zdmeЗдоровье мегаполисаCity Healthcare2713-2617ГБУ «НИИОЗММ ДЗМ»10.47619/2713-2617.zm.2025.v.6i2;45-54zdme-219Research ArticleОРИГИНАЛЬНЫЕ ИССЛЕДОВАНИЯORIGINAL RESEARCHESТехнология анализа инцидентов в реализации бережливого подхода к деятельности медицинской организацииIncident Analysis Technologies for Lean Management in Healthcare Organizationshttps://orcid.org/0000-0001-8822-1294ПетроваВ. Ю.PetrovaV. Y.

Петрова Вероника Юрьевна – врач-методист 

108814, г. Москва, пос. Коммунарка, ул. Сосенский Стан, д. 8 

115088, Москва, ул. Шарикоподшипниковская, д. 9 

Veronika Y. Petrova – methodologist 

8, Sosenskiy Stan ul., 108814, Moscow 

9, Sharikopodshipnikovskaya ul., 115088, Moscow

https://orcid.org/0000-0002-4416-3309БарсеговаК. А.BarsegovaK. А.

Барсегова Карина Арменовна – начальник отдела «Проектный офис» 

108814, г. Москва, пос. Коммунарка, ул. Сосенский Стан, д. 8 

Karina А. Barsegova – Head of the Project Office 

8, Sosenskiy Stan ul., 108814, Moscow 

https://orcid.org/0000-0002-1589-6423КоготыжевР. К.KogotyzhevR. K.

Коготыжев Рустам Казбекович – заместитель главного врача по онкологии  

108814, г. Москва, пос. Коммунарка, ул. Сосенский Стан, д. 8 

Rustam K. Kogotyzhev – Deputy Chief Physician for Oncology

8, Sosenskiy Stan ul., 108814, Moscow 

https://orcid.org/0000-0001-8587-2681ЖирноваГ. М.ZhirnovaG. M.

Жирнова Галина Михайловна – канд. мед. наук, доцент 

115088, г. Москва, ул. Шарикоподшипниковская, д. 9 

Galina M. Zhirnova – Cand. Sci. in Medicine, Associate Professor 

9, Sharikopodshipnikovskaya ul., 115088, Moscow

gzhirnova@yandex.ruМосковский многопрофильный клинический центр «Коммунарка» Департамента здравоохранения города Москвы ; Научно-исследовательский институт организации здравоохранения и медицинского менеджмента Департамента здравоохранения города МосквыMoscow Multidisciplinary Clinical Center “Kommunarka” of Moscow Healthcare Department ; Research Institute for Healthcare Organization and Medical Management of Moscow Healthcare DepartmentМосковский многопрофильный клинический центр «Коммунарка» Департамента здравоохранения города МосквыMoscow Multidisciplinary Clinical Center “Kommunarka” of Moscow Healthcare DepartmentНаучно-исследовательский институт организации здравоохранения и медицинского менеджмента Департамента здравоохранения города МосквыResearch Institute for Healthcare Organization and Medical Management of Moscow Healthcare Department202527062025624554Copyright © Петрова В.Ю., Барсегова К.А., Коготыжев Р.К., Жирнова Г.М., 20252025Петрова В.Ю., Барсегова К.А., Коготыжев Р.К., Жирнова Г.М.Petrova V.Y., Barsegova K.А., Kogotyzhev R.K., Zhirnova G.M.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.city-healthcare.com/jour/article/view/219

Актуальность. Системы здравоохранения существуют в условиях высокой потребности населения в медицинской помощи и требуют постоянного совершенствования деятельности медицинских организаций в условиях ограниченности ресурсов, которого можно добиться при помощи методик и технологий бережливого производства. Цель исследования. Изучение возможности использования инцидентов, выявляемых в медицинских организациях, в качестве информационной базы для осуществления мероприятий, направленных на устранение потерь и дефектов в лечебно-диагностическом процессе. Материалы и методы. В ходе исследования проведен анализ открытых научных источников по теме из баз данных PubMed, CyberLeninka, eLIBRARY, использованы методы кейс-стади (ситуационного анализа), «5 Почему», швейцарского сыра для описания применения инцидентов как источника информации при внедрении бережливых технологий. Результаты. Сбор и анализ инцидентов является ценным инструментом реализации бережливого производства, позволяющим определять и совершенствовать процессы, ведущие к потерям и излишним затратам ресурсов в медицинских организациях.

Background. Healthcare systems operate under high public demand for medical care and require ongoing improvement of organizational activities despite limited resources. These improvements can be achieved by applying lean manufacturing techniques and technologies. The purpose of the study is to assess the feasibility of utilizing incidents identified in medical organizations as an informational basis for implementing measures to eliminate losses and defects in the treatment and diagnostic processes. Materials and methods. The study analyzed open-access scientific sources databases such as PubMed, CyberLeninka, and eLibrary. It employed case study methods, the “5 Whys” approach, and the Swiss cheese model to describe how incidents can serve as a source of information for implementing lean technologies. Results. The collection and analysis of incidents represent effective tools for introducing lean manufacturing in healthcare. This approach allows one to identify and improve processes that lead to losses and unnecessary waste iof resources in medical organizations.

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The authors declare that there are no conflicts of interest present.