IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v20y2023i2p1067-d1028090.html
   My bibliography  Save this article

Implementation of Lean Management Tools Using an Example of Analysis of Prolonged Stays of Patients in a Multi-Specialist Hospital in Poland

Author

Listed:
  • Agnieszka Zdęba-Mozoła

    (Department of Management and Logistics in Healthcare, Medical University of Lodz, 90-131 Lodz, Poland)

  • Remigiusz Kozłowski

    (Centre for Security Technologies in Logistics, Faculty of Management, University of Lodz, 90-237 Lodz, Poland)

  • Anna Rybarczyk-Szwajkowska

    (Department of Management and Logistics in Healthcare, Medical University of Lodz, 90-131 Lodz, Poland)

  • Tomasz Czapla

    (Department of Management, Faculty of Management, University of Lodz, 90-237 Lodz, Poland)

  • Michał Marczak

    (Department of Management and Logistics in Healthcare, Medical University of Lodz, 90-131 Lodz, Poland)

Abstract

Healthcare institutions in Poland constantly encounter challenges related both to the quality of provided services and to the pressures associated with treatment effectiveness and economic efficiency. The implemented solutions have a goal of improving the service quality of lowering the continuously increasing operational costs. The aim of this paper is to present the application of Lean Management (LM) tools in a Polish hospital, which allowed for the identification of prolonged stays as one of the main issues affecting the service costs and the deteriorating financial results of the hospital. The study was conducted in the neurology department and involved an analysis of data for the whole of 2019 and the first half of 2022. In addition, surveys were conducted among the medical staff to help identify the main causes of prolonged stays. Methods of data analysis and feasible solutions were developed in order to improve the economic efficiency of the unit. The analysis shows that the application of LM tools may contribute to improvement in the functioning of hospitals and that further studies should focus on the development of the method to evaluate efficiency of the implemented solutions intended at shortening the hospital stays of the patients.

Suggested Citation

  • Agnieszka Zdęba-Mozoła & Remigiusz Kozłowski & Anna Rybarczyk-Szwajkowska & Tomasz Czapla & Michał Marczak, 2023. "Implementation of Lean Management Tools Using an Example of Analysis of Prolonged Stays of Patients in a Multi-Specialist Hospital in Poland," IJERPH, MDPI, vol. 20(2), pages 1-23, January.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:2:p:1067-:d:1028090
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/20/2/1067/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/20/2/1067/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Arianna Scala & Alfonso Maria Ponsiglione & Ilaria Loperto & Antonio Della Vecchia & Anna Borrelli & Giuseppe Russo & Maria Triassi & Giovanni Improta, 2021. "Lean Six Sigma Approach for Reducing Length of Hospital Stay for Patients with Femur Fracture in a University Hospital," IJERPH, MDPI, vol. 18(6), pages 1-13, March.
    2. Shungo Sakaki, 2018. "A method of building simulation model for organizational decision-making and inter-organizational control," Evolutionary and Institutional Economics Review, Springer, vol. 15(2), pages 289-313, December.
    3. Wallace J. Hopp, 2018. "Positive lean: merging the science of efficiency with the psychology of work," International Journal of Production Research, Taylor & Francis Journals, vol. 56(1-2), pages 398-413, January.
    4. Agnieszka Zdęba-Mozoła & Anna Rybarczyk-Szwajkowska & Tomasz Czapla & Michał Marczak & Remigiusz Kozłowski, 2022. "Implementation of Lean Management in a Multi-Specialist Hospital in Poland and the Analysis of Waste," IJERPH, MDPI, vol. 19(2), pages 1-23, January.
    5. Carlos Zepeda-Lugo & Diego Tlapa & Yolanda Baez-Lopez & Jorge Limon-Romero & Sinue Ontiveros & Armando Perez-Sanchez & Guilherme Tortorella, 2020. "Assessing the Impact of Lean Healthcare on Inpatient Care: A Systematic Review," IJERPH, MDPI, vol. 17(15), pages 1-24, August.
    6. Giovanni Improta & Anna Borrelli & Maria Triassi, 2022. "Machine Learning and Lean Six Sigma to Assess How COVID-19 Has Changed the Patient Management of the Complex Operative Unit of Neurology and Stroke Unit: A Single Center Study," IJERPH, MDPI, vol. 19(9), pages 1-19, April.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Agnieszka Zdęba-Mozoła & Anna Rybarczyk-Szwajkowska & Tomasz Czapla & Michał Marczak & Remigiusz Kozłowski, 2022. "Implementation of Lean Management in a Multi-Specialist Hospital in Poland and the Analysis of Waste," IJERPH, MDPI, vol. 19(2), pages 1-23, January.
    2. Pilar I. Vidal-Carreras & Julio J. Garcia-Sabater & Juan A. Marin-Garcia, 2022. "Applying Value Stream Mapping to Improve the Delivery of Patient Care in the Oncology Day Hospital," IJERPH, MDPI, vol. 19(7), pages 1-18, April.
    3. Florian Magnani & Valentina Carbone & Valérie Moatti, 2019. "The human dimension of lean: a literature review," Post-Print hal-03349359, HAL.
    4. Maria Antoniadou, 2024. "Integrating Lean Management and Circular Economy for Sustainable Dentistry," Sustainability, MDPI, vol. 16(22), pages 1-25, November.
    5. Diego Tlapa & Ignacio Franco-Alucano & Jorge Limon-Romero & Yolanda Baez-Lopez & Guilherme Tortorella, 2022. "Lean, Six Sigma, and Simulation: Evidence from Healthcare Interventions," Sustainability, MDPI, vol. 14(24), pages 1-25, December.
    6. Juan A. Marin-Garcia & Pilar I. Vidal-Carreras & Julio J. Garcia-Sabater, 2021. "The Role of Value Stream Mapping in Healthcare Services: A Scoping Review," IJERPH, MDPI, vol. 18(3), pages 1-25, January.
    7. Teresa Angela Trunfio & Anna Borrelli & Giovanni Improta, 2022. "Is It Possible to Predict the Length of Stay of Patients Undergoing Hip-Replacement Surgery?," IJERPH, MDPI, vol. 19(10), pages 1-16, May.
    8. Shungo Sakaki, 2019. "Equality in Income and Sustainability in Economic Growth: Agent-Based Simulations on OECD Data," Sustainability, MDPI, vol. 11(20), pages 1-32, October.
    9. Shungo Sakaki, 2023. "The rationality of adaptive decision-making and the feasibility of optimal growth planning," Palgrave Communications, Palgrave Macmillan, vol. 10(1), pages 1-12, December.
    10. Sandeep Jadhav & Ahmed Imran & Marjia Haque, 2023. "Application of six sigma and the system thinking approach in COVID-19 operation management: a case study of the victorian aged care response centre (VACRC) in Australia," Operations Management Research, Springer, vol. 16(1), pages 531-553, March.
    11. Małgorzata Cygańska & Magdalena Kludacz-Alessandri, 2024. "Energy Consumption Trends and Determinants in Polish Hospitals: Implications for Energy Efficiency Strategies," Sustainability, MDPI, vol. 16(21), pages 1-17, October.
    12. Arianna Scala & Antonio D’Amore & Maria Pia Mannelli & Mario Mensorio & Giovanni Improta, 2024. "Management of Patients with Colorectal Cancer through Fast-Track Surgery," IJERPH, MDPI, vol. 21(9), pages 1-16, September.
    13. Sinead Moffatt & Catherine Garry & Hannah McCann & Sean Paul Teeling & Marie Ward & Martin McNamara, 2022. "The Use of Lean Six Sigma Methodology in the Reduction of Patient Length of Stay Following Anterior Cruciate Ligament Reconstruction Surgery," IJERPH, MDPI, vol. 19(3), pages 1-18, January.
    14. Arianna Scala & Teresa Angela Trunfio & Lucia De Coppi & Giovanni Rossi & Anna Borrelli & Maria Triassi & Giovanni Improta, 2022. "Regression Models to Study the Total LOS Related to Valvuloplasty," IJERPH, MDPI, vol. 19(5), pages 1-13, March.
    15. Zeynep Tosuner & Osman Karaer & Ümit İnce, 2023. "Lean Six Sigma Applications in a Multicenter Pathology Laboratory: an Industrial Pathology Model," SN Operations Research Forum, Springer, vol. 4(3), pages 1-18, September.
    16. Arianna Scala & Ilaria Loperto & Maria Triassi & Giovanni Improta, 2022. "Risk Factors Analysis of Surgical Infection Using Artificial Intelligence: A Single Center Study," IJERPH, MDPI, vol. 19(16), pages 1-10, August.
    17. Emma Montella & Antonino Ferraro & Giancarlo Sperlì & Maria Triassi & Stefania Santini & Giovanni Improta, 2022. "Predictive Analysis of Healthcare-Associated Blood Stream Infections in the Neonatal Intensive Care Unit Using Artificial Intelligence: A Single Center Study," IJERPH, MDPI, vol. 19(5), pages 1-9, February.
    18. Ana-Beatriz Hernández-Lara & Maria-Victoria Sánchez-Rebull & Angels Niñerola, 2021. "Six Sigma in Health Literature, What Matters?," IJERPH, MDPI, vol. 18(16), pages 1-13, August.
    19. Nicola Wolfe & Seán Paul Teeling & Marie Ward & Martin McNamara & Liby Koshy, 2021. "Operation Note Transformation: The Application of Lean Six Sigma to Improve the Process of Documenting the Operation Note in a Private Hospital Setting," IJERPH, MDPI, vol. 18(22), pages 1-16, November.
    20. Giovanni Improta & Anna Borrelli & Maria Triassi, 2022. "Machine Learning and Lean Six Sigma to Assess How COVID-19 Has Changed the Patient Management of the Complex Operative Unit of Neurology and Stroke Unit: A Single Center Study," IJERPH, MDPI, vol. 19(9), pages 1-19, April.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:20:y:2023:i:2:p:1067-:d:1028090. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.