Journal•ISSN: 1063-8628
Quality management in health care
Lippincott Williams & Wilkins
About: Quality management in health care is an academic journal published by Lippincott Williams & Wilkins. The journal publishes majorly in the area(s): Health care & Quality management. It has an ISSN identifier of 1063-8628. Over the lifetime, 1038 publications have been published receiving 16794 citations. The journal is also known as: QMHC.
Papers published on a yearly basis
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752 citations
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546 citations
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TL;DR: The article outlines key elements of the Breakthrough Series to provide a framework for future collaborative improvement efforts.
Abstract: The article describes the Breakthrough Series, a collaborative improvement model developed by the Institute for Healthcare Improvement. The model adapts and applies existing knowledge to multiple, similar sites to accomplish common aims. It has been used to address several of the most pressing issues in health care today. The article outlines key elements of the Breakthrough Series to provide a framework for future collaborative improvement efforts.
436 citations
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405 citations
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TL;DR: Lean production in health care is mostly used as a process improvement approach and focuses on 3 main areas: defining value from the patient point of view, mapping value streams, and eliminating waste in an attempt to create continuous flow.
Abstract: PURPOSE:The purpose of this article is to discuss the current state of implementation of Lean production in health care. The study focuses on the definition of Lean in health care and implementation process, barriers, challenges, enablers, and outcomes of implementing Lean production methods in health care.DESIGN/METHODOLOGY/APPROACH:A comprehensive search of the literature concerning the implementation of Lean production in health care was used to generate a synthesis of the literature around the chosen research questions.FINDINGS:Lean production in health care is mostly used as a process improvement approach and focuses on 3 main areas: (1) defining value from the patient point of view, (2) mapping value streams, and (3) eliminating waste in an attempt to create continuous flow. Value stream mapping is the most frequently applied Lean tool in health care. The usual implementation steps include conducting Lean training, initiating pilot projects, and implementing improvements using interdisciplinary teams. One of the barriers is lack of educators and consultants who have their roots in the health care sector and can provide support by sharing experience and giving examples from real-life applications of Lean in health care. The enablers of Lean in health care seem not to be different from the enablers of any other change initiative. The outcomes can be divided into 2 broad areas: the performance of the health care system and the development of employees and work environment.
345 citations