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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
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    References listed on IDEAS

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    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.
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