Abstract
The application of Lean Philosophy in a healthcare environment is still a relatively new field of research, but there already exists a considerable amount of literature on the topic. This article structures, analyzes and interprets the data of articles on Lean Healthcare from 2002 through 2015 bibliometrically. The databases used in order to realize the analysis are the main sources for citation data available: Elsevier’s Scopus and Thomson Reuters’ Web of Science. The scientific contribution of this article lies in structuring the literature on Lean Healthcare and summarizing future research proposals. Thereby it encourages the review and consolidation of existing directions in this field of research and the exploration of new ones. With respect to the article’s applied contribution it helps hospitals and professionals which want to apply Lean Healthcare to deal with uncertainties and challenges before or during its implementation by granting easy access to the literature. It also allows adapting suitable findings of major publications for the practical implementation with the goal to improve the patient experience. As results of this bibliometric analysis it was found that J.E. Bassham and D.I. Ben-Tovim share the first place as most cited authors in Lean Healthcare and the Linköpings Universitet is the most cited institution. With respect to countries, the United States take the first rank. The most cited article is Trends and approaches in lean healthcare by L. Brandão de Souza which was published in the most cited journal, namely Leadership in Health Services. Four main tendencies for future research possibilities in Lean Healthcare were identified: Evaluate the implementation; Amplify basic knowledge; Investigate challenges and success stories; Expand the focus.
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Abdelhadi, A. (2015). Investigating emergency room service quality using lean manufacturing. International Journal of Health Care Quality Assurance, 28(5), 510–519.
Aguilar-Escobar, V. G., Bourque, S., & Godinho-Gallego, N. (2015). Hospital kanban system implementation: Evaluating satisfaction of nursing personnel. Investigaciones Europeas de Direccion y Economia de la Empresa, 21(3), 101–110.
Andersen, H., & Røvik, K. A. (2015). Lost in translation: A case-study of the travel of lean thinking in a hospital. BMC Health Services Research, 15(1), article number 1081.
Ball, R., & Tunger, D. (2006). Bibliometric analysis—A new business area for information professionals in libraries? Scientometrics, 66(3), 561–577.
Brandão de Souza, L. (2009). Trends and approaches in lean healthcare. Leadership in Health Services, 22(2), 121–139.
Cheng, S. Y., Bamford, D., Papalexi, M., & Dehe, B. (2015). Improving access to health services–challenges in Lean application. International Journal of Public Sector Management, 28(2), 121–135.
Costa, L. B. M., & Godinho Filho, M. (2016). Lean healthcare: Review, classification and analysis of literature. Production Planning and Control, 27(10), 823–836.
D’Andreamatteo, A., Ianni, L., Lega, F., & Sargiacomo, M. (2015). Lean in healthcare: A comprehensive review. Health Policy, 119(9), 1197–1209.
Daultani, Y., Chaudhuri, A., & Kumar, S. (2015). A decade of lean in healthcare: Current state and future directions. Global Business Review, 16(6), 1082–1099.
Dickson, E. W., Singh, S., Cheung, D. S., Wyatt, C. C., & Nugent, A. S. (2009). Application of lean manufacturing techniques in the emergency department. The Journal of Emergency Medicine, 37(2), 177–182.
Diem, A., & Wolter, S. C. (2013). The use of bibliometrics to measure research performance in education sciences. Research in Higher Education, 54(1), 86–114.
Duska, L. R., Mueller, J., Lothamer, H., Pelkofski, E. B., & Novicoff, W. M. (2015). Lean methodology improves efficiency in outpatient academic gynecologic oncology clinics. Gynecologic Oncology, 138(3), 707–711.
Elsevier. (2016). Scopus help. http://help.elsevier.com/app/answers/list/p/8150. Accessed May 17, 2016.
Fillingham, D. (2007). Can lean save lives? Leadership in Health Services, 20(4), 231–241.
Garousi, V. (2015). A bibliometric analysis of the Turkish software engineering research community. Scientometrics, 105(1), 23–49.
Garza-Reyes, J. A. (2015). Lean and green–a systematic review of the state of the art literature. Journal of Cleaner Production, 102, 18–29.
Gonçalves, B., & Perra, N. (2015). Introduction. In B. Gonçalves & N. Perra (Eds.), Social Phenomena: From data analysis to models (pp. 1–12). Cham: Springer.
Gonzalez, R., & Martins, M. F. (2015). Competências habilitadoras da melhoria contínua: estudo de casos em empresas do setor automobilístico e de bens de capital. Gestão & Produção, 22(4), 725–742.
Goodridge, D., Westhorp, G., Rotter, T., Dobson, R., & Bath, B. (2015). Lean and leadership practices: development of an initial realist program theory. BMC Health Services Research, 15(1), article number 362.
Health, S. A. (2009). Flinders medical centre. http://www.flinders.sa.gov.au/. Accessed May 18, 2016.
Hicks, C., McGovern, T., Prior, G., & Smith, I. (2015). Applying lean principles to the design of healthcare facilities. International Journal of Production Economics, 170, 677–696.
Holden, R. J. (2011). Lean thinking in emergency departments: A critical review. Annals of Emergency Medicine, 57(3), 265–278.
Holden, R. J., Eriksson, A., Andreasson, J., Williamsson, A., & Dellve, L. (2015). Healthcare workers’ perceptions of lean: A context-sensitive, mixed methods study in three Swedish hospitals. Laboratory Medicine, 46(3), 259–264.
Iritani, D. R., Morioka, S. N., Carvalho, M. M. D., & Ometto, A. R. (2015). Análise sobre os conceitos e práticas de Gestão por processos: Revisão sistemática e bibliometria. Gestão & Produção, 22(1), 164–180.
Jimmerson, C., Weber, D., & Sobek, D. K., II. (2005). Reducing waste and errors: Piloting lean principles at intermountain healthcare. Joint Commission Journal on Quality and Patient Safety, 31(5), 249–257.
Joosten, T., Bongers, I., & Janssen, R. (2009). Application of lean thinking to health care: issues and observations. International Journal for Quality in Health Care, 21(5), 341–347.
Kanamori, S., Sow, S., Castro, M.C., Matsuno, R., Tsuru, A., & Jimba, M. (2015). Implementation of 5S management method for lean healthcare at a health center in Senegal: A qualitative study of staff perception. Global Health Action, 8(1), article number 27256.
Kästli Meier, B. (1994). Lean-Production: Umstrittene Arbeitsorganisation auch im Gesundheitswesen. Die Rückseite der Medaille: Arbeitslosigkeit. Krankenpflege Soins Infirmiers, 87(6), 1–5.
Kim, C. S., Spahlinger, D. A., Kin, J. M., & Billi, J. E. (2006). Lean health care: What can hospitals learn from a world-class automaker? Journal of Hospital Medicine (Online), 1(3), 191–199.
King, D. L., Ben-Tovim, D. I., & Bassham, J. (2006). Redesigning emergency department patient flows: Application of Lean thinking to health care. Emergency Medicine Australasia, 18(4), 391–397.
Kollberg, B., Dahlgaard, J. J., & Brehmer, P.-O. (2007). Measuring lean initiatives in health care services: issues and findings. International Journal of Productivity and Performance Management, 56(1), 7–24.
Liker, J. K. (2004). The toyota way. Madison: McGraw-Hill.
Mazzocato, P., Savage, C., Brommels, M., Aronsson, H., & Thor, J. (2010). Lean thinking in healthcare: a realist review of the literature. BMJ Quality & Safety, 19(5), 376–382.
McCann, L., Hassard, J. S., Granter, E., & Hyde, P. J. (2015). Casting the lean spell: The promotion, dilution and erosion of lean management in the NHS. Human Relations, 68(10), 1557–1577.
Merriam-Webster. (2015). Health care. http://www.merriam-webster.com/dictionary/health%20care. Accessed June 21, 2016.
Mongeon, P., & Paul-Hus, A. (2016). The journal coverage of web of science and scopus: A comparative analysis. Scientometrics, 106(1), 213–228.
Moraros, J., Lemstra, M., & Nwankwo, C. (2016). Lean interventions in healthcare: do they actually work? A systematic literature review. International Journal for Quality in Health Care, 28(2), 150–165.
Noori, B. (2015a). Identifying critical issues in lean implementation in hospitals. Hospital Topics, 93(2), 44–52.
Noori, B. (2015b). The critical success factors for successful lean implementation in hospitals. International Journal of Productivity and Quality Management, 15(1), 108–126.
OECD. (2002). Frascati manual (6th ed.). Paris: OECD.
Papadopoulos, T., Radnor, Z., & Merali, Y. (2011). The role of actor associations in understanding the implementation of Lean thinking in healthcare. International Journal of Operations & Production Management, 31(2), 167–191.
Pfaff, H. (1994). Lean Production – ein Modell für das Krankenhaus? Gefahren, Chancen. Denkanstöße. Zeitschrift für Gesundheitswissenschaften, 2(1), 61–80.
Printezis, A., & Gopalakrishnan, M. (2007). Current pulse: Can a production system reduce medical errors in health care? Quality Management in Health care, 16(3), 226–238.
Radnor, Z. J., Holweg, M., & Waring, J. (2012). Lean in healthcare: The unfilled promise? Social Science and Medicine, 74(3), 364–371.
Rico, F., Yalcin, A., & Eikman, E. A. (2015). Technology integration performance assessment Using Lean principles in health care. American Journal of Medical Quality, 30(4), 374–381.
Saunders, M., Lewis, P., & Thornhill, A. (2012). Research methods for business students (6th ed.). Essex: Pearson Education Ltd.
Savino, M. M., Mazza, A., & Marchetti, B. (2015). Lean manufacturing within critical healthcare supply chain: An exploratory study through value chain simulation. International Journal of Procurement Management, 8(1–2), 3–24.
Scavarda, A. L., Machado, C. M. L., Vaccaro, G., & Korzenowski, A. L. (2015). A management model for decision making at the hospital supply chain to minimize waste. Chemical Engineering Transactions, 45, 529–534.
Scimago Lab. (2016a). Country rankings. http://www.scimagojr.com/countryrank.php. Accessed May 18, 2016.
Scimago Lab. (2016b). Journal rankings. http://www.scimagojr.com/journalrank.php. Accessed November 27, 2016.
Simons, P. A. M., Benders, J., Marneffe, W., Pijls-Johannesma, M., & Vandijck, D. (2015). Workshops as a useful tool to better understand care professionals’ views of a lean change program. International Journal of Health Care Quality Assurance, 28(1), 64–74.
Spear, S. (2005). Fixing health care from the inside. Today. Harvard Business Review, 83(9), 78–91.
Sugianto, J. Z., Stewart, B., Ambruzus, J. M., Arista, A., Park, J. Y., Cope-Yokoyama, S., et al. (2015). Applying the principles of lean production to gastrointestinal biopsy handling: From the Factory Floor to the Anatomic Pathology Laboratory. Lab Medicine, 46(3), 259–264.
Thomson Reuters. (2008). Whitepaper using bibliometrics: A guide to evaluating research performance with citation data. New York: Thomson Reuters.
Thomson Reuters. (2014). In cites indicators handbook. New York: Thomson Reuters.
United Nations. (2015). Transforming our world: The 2030 agenda for sustainable development. New York: United Nations.
Waring, J. J., & Bishop, S. (2010). Lean healthcare: Rhetoric, ritual and resistance. Social Science and Medicine, 71(7), 1332–1340.
World Health Organization. (2016). Health topics - Primary health care. http://www.who.int/topics/primary_health_care/en/. Accessed June 21, 2016.
Young, T. P., & McClean, I. P. (2008). A critical look at Lean Thinking in healthcare. BMJ Quality & Safety, 17(5), 382–386.
Zhang, J., & Guan, J. (2017). Scientific relatedness and intellectual base: a citation analysis of un-cited and highly-cited papers in the solar energy field. Scientometrics, 110(1), 141–162.
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Filser, L.D., da Silva, F.F. & de Oliveira, O.J. State of research and future research tendencies in lean healthcare: a bibliometric analysis. Scientometrics 112, 799–816 (2017). https://doi.org/10.1007/s11192-017-2409-8
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DOI: https://doi.org/10.1007/s11192-017-2409-8