ArticleBMC health services research2021
Lean adoption in hospitals: the role of contextual factors and introduction strategy.
Article in BMC health services research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
11 citing papers in PubMed.
- A Lean-based Digital Twin model for planning and governance in secondary and tertiary hospital networks.BMC health services research · 2026Article
- Lean Adoption in Healthcare: Between Promise and Practice.Healthcare (Basel, Switzerland) · 2026Review
- Bridging organizational boundaries in complex care pathways: lessons from a Lean and Safety Management approach.BMC health services research · 2026Article
- The maturity of lean management in a large academic medical center in Finland: a qualitative study.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2024Article
- A framework for lean implementation in preoperative assessment: Evidence from a high complexity hospital in Italy.Health services management research · 2024Article
- Toward a roadmap for sustainable lean adoption in hospitals: a Delphi study.BMC health services research · 2024Article
- The use and application of Lean Management methods to research processes-a scoping review protocol.BMJ open · 2024Article
- A cross-organizational Lean deployment in an Italian regional healthcare system.International journal of health care quality assurance · 2023Article
- Article
- Using Lean Six Sigma in a Private Hospital Setting to Reduce Trauma Orthopedic Patient Waiting Times and Associated Administrative and Consultant Caseload.Healthcare (Basel, Switzerland) · 2023Article
- Organizational arrangements as a key to enhancing innovativeness and efficiency - analysis of a restructuring hospital in Finland.BMC health services research · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn the scientific literature, many studies describe the application of lean methodology in the hospital setting. Most of the articles focus on the results rather than on the approach adopted to introduce the lean methodology. In the absence of a clear view of the context and the introduction strategy, the first steps of the implementation process can take on an empirical, trial and error profile. Such implementation is time-consuming and resource-intensive and affects the adoption of the model at the organizational level. This research aims to outline the role contextual factors and introduction strategy play in supporting the operators introducing lean methodology in a hospital setting. METHODOLOGY: The methodology is revealed in a case study of an important hospital in Southern Italy, where lean has been successfully introduced through a pilot project in the pathway of cancer patients. The originality of the research is seen in the detailed description of the contextual elements and the introduction strategy.
resultsThe results show significant process improvements and highlight the spontaneous dissemination of the culture of change in the organization and the streamlined adoption at the micro level.
conclusionThe case study shows the importance of the lean introduction strategy and contextual factors for successful lean implementation. Furthermore, it shows how both factors influence each other, underlining the dynamism of the organizational system.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.