Incident Analysis Technologies for Lean Management in Healthcare Organizations
https://doi.org/10.47619/2713-2617.zm.2025.v.6i2;45-54
Abstract
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.
About the Authors
V. Y. Petrova
Moscow Multidisciplinary Clinical Center “Kommunarka” of Moscow Healthcare Department ; Research Institute for Healthcare Organization and Medical Management of Moscow Healthcare Department
Russian Federation
Russian Federation
Veronika Y. Petrova – methodologist
8, Sosenskiy Stan ul., 108814, Moscow
9, Sharikopodshipnikovskaya ul., 115088, Moscow
K. А. Barsegova
Moscow Multidisciplinary Clinical Center “Kommunarka” of Moscow Healthcare Department
Russian Federation
Russian Federation
Karina А. Barsegova – Head of the Project Office
8, Sosenskiy Stan ul., 108814, Moscow
R. K. Kogotyzhev
Moscow Multidisciplinary Clinical Center “Kommunarka” of Moscow Healthcare Department
Russian Federation
Russian Federation
Rustam K. Kogotyzhev – Deputy Chief Physician for Oncology
8, Sosenskiy Stan ul., 108814, Moscow
G. M. Zhirnova
Research Institute for Healthcare Organization and Medical Management of Moscow Healthcare Department
Russian Federation
Russian Federation
Galina M. Zhirnova – Cand. Sci. in Medicine, Associate Professor
9, Sharikopodshipnikovskaya ul., 115088, Moscow
References
1. Amalberti R., Nicklin W., Braithwaite J. Preparing national health systems to cope with the impending tsunami of ageing and its associated complexities: Towards more sustainable health care. International Journal for Quality in Health Care. 2016;28(3):412-414. https://doi.org/10.1093/intqhc/mzw021
2. OECD. Fiscal sustainability of health systems: bridging health and finance perspectives. Paris: OECD Publishing; 2015. Available from: https://doi.org/10.1787/9789264233386-en (accessed 2025 Feb 5)
3. Zurynski Y., Herkes-Deane J., Holt J., et al. How can the healthcare system deliver sustainable performance? A scoping review. BMJ Open. 2022;12(5):e059207. https://doi.org/10.1136/bmjopen-2021-059207
4. Souza D.L., Korzenowski A.L., Alvarado M.M., et al. A Systematic Review on Lean Applications in Emergency Departments. Healthcare (Basel). 2021;9(6):763. https://doi.org/10.3390/healthcare9060763
5. Mogini V., Campanella P., Moraca E., et al. Improving quality and efficiency in healthcare. The Lean Thinking strategy. Eur J Public Health. 2017;27(3):ckx187.272. https://doi.org/10.1093/eurpub/ckx187.272
6. Improta G., Romano M., Di Cicco M.V., et al. Lean thinking to improve emergency department throughput at AORN Cardarelli hospital. BMC health services research. 2018;18(1):914. https://doi.org/10.1186/s12913-018-3654-0
7. Zepeda-Lugo C., Tlapa D., Baez-Lopez Y., et al. Assessing the Impact of Lean Healthcare on Inpatient Care: A Systematic Review. International journal of environmental research and public health. 2020;17(15):5609. https://doi.org/10.3390/ijerph17155609
8. Niemeijer G.C., Trip A., Ahaus K.T., et al. Quality in Trauma Care: Improving the Discharge Procedure of Patients by Means of Lean Six Sigma. The Journal of Trauma: Injury, Infection, and Critical Care. 2010;69(3):614-619. https://doi.org/10.1097/TA.0b013e3181e70f90
9. Toussaint J.S., Berry L.L. The promise of lean in health care. Mayo Clinic Proceedings. 2013;88(1):74-82. https://doi.org/10.1016/j.mayocp.2012.07.025
10. Improta G., Cesarelli M., Montuori P., et al. Reducing the risk of healthcare-associated infections through Lean Six Sigma: The case of the medicine areas at the Federico II University Hospital in Naples (Italy). Journal of evaluation in clinical practice. 2018;24(2):338-346. https://doi.org/10.1111/jep.12844
11. Montella E., Di Cicco M.V., Ferraro A., et al. The application of lean six sigma methodology to reduce the risk of healthcare–associated infections in surgery departments. J Eval Clin Pract. 2017;23(3):530-539. https://doi.org/10.1111/jep.12662
12. Karakulina E.V., Shchegolev P.E., Khodyreva I.N., et al. New model of a medical organization providing primary health care (4th edition with additions and clarifications). Methodological recommendations. Moscow: ROPNIZ, OOO “SILITSEYA-POLIGRAF”; 2024. 240 p. (In Russ.)
13. Batwara A., Sharma V., Makkar M., et al. Towards smart sustainable development through value stream mapping – a systematic literature review. Heliyon. 2023;9(5):e15852. https://doi.org/10.1016/j.heliyon.2023.e15852
14. Kanamori S., Castro M.C., Sow S., et al. Impact of the Japanese 5S management method on patients’ and caretakers’ satisfaction: a quasi-experimental study in Senegal. Global health action. 2016;9:32852. https://doi.org/10.3402/gha.v9.32852
15. Potapov I.V., Ovchinnikov D.A., Konradi A.O. Lean technologies in medical care: current status and future opportunities in Russia (analytical review). Orgzdrav: News. Opinions. Training. Bull VShOUZ. 2020;6(4):78-103. (In Russ.)
16. de Feijter J.M., de Grave W.S., Muijtjens A.M., et al. A comprehensive overview of medical error in hospitals using incident-reporting systems, patient complaints and chart review of inpatient deaths. PLoS One. 2012;7(2)e31125. https://doi.org/10.1371/journal.pone.0031125
17. Cooper J., Edwards A., Williams H., et al. Nature of Blame in Patient Safety Incident Reports: Mixed Methods Analysis of a National Database. Ann Fam Med. 2017:15(5):455-461. https://doi.org/10.1370/afm.2123
Review
For citations:
Petrova V.Y., Barsegova K.А., Kogotyzhev R.K., Zhirnova G.M. Incident Analysis Technologies for Lean Management in Healthcare Organizations. City Healthcare. 2025;6(2):45-54. (In Russ.) https://doi.org/10.47619/2713-2617.zm.2025.v.6i2;45-54
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