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Implementing Lean Principles in the Healthcare Industry: A Theoretical and Practical Overview

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Delivering Superior Health and Wellness Management with IoT and Analytics

Part of the book series: Healthcare Delivery in the Information Age ((Healthcare Delivery Inform. Age))

Abstract

This chapter aims to present how lean philosophy can be implemented in healthcare delivery processes in order to create a practical base for lean practitioners and decision-makers.

Based on the literature review, 14 principles of lean were analyzed in healthcare processes and organizations. In light of the analysis in this chapter, healthcare providers, managers, and decision-makers can focus on how to implement lean in healthcare organizations more effectively and efficiently. Even though lean is expressed as the latest rage in the healthcare industry, no systematic effort to provide an approach to integrate all 14 lean principles in healthcare service delivery processes has been made so far. This chapter presents how lean is interpreted in healthcare.

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References

  • Allen, S. (2009). No waiting: A simple prescription that could dramatically improve hospitals and American health care. The Boston Globe, 276, C1–C4.

    Google Scholar 

  • Anumala, H., Busetty, S. M., & Bharti, V. (2015). Leveraging IoT device data for emotional health. In International internet of things summit (pp. 487–501). Cham: Springer.

    Google Scholar 

  • Arcidiacono, G., & Pieroni, A. (2018). The revolution lean Six Sigma 4.0. International Journal on Advanced Science, Engineering and Information Technology, 8(1), 141–149.

    Article  Google Scholar 

  • Aronsson, H., Abrahamsson, M., & Spens, K. (2011). Developing lean and agile healthcare supply chains. Supply Chain Management: An International Journal, 16(3), 176–183.

    Article  Google Scholar 

  • Atkinson, P. (2004). Creating and implementing lean strategies. Management Services, 48(2), 18.

    Google Scholar 

  • Ballé, M., & Régnier, A. (2007). Lean as a learning system in a hospital ward. Leadership in Health Services, 20(1), 33–41.

    Article  PubMed  Google Scholar 

  • Barnas, K. (2011). ThedaCare’s business performance system: Sustaining continuous daily improvement through hospital management in a lean environment. The Joint Commission Journal on Quality and Patient Safety, 37(9), 387–399.

    Article  PubMed  Google Scholar 

  • Bass, B. M. (1999). Two decades of research and development in transformational leadership. European Journal of Work and Organizational Psychology, 8(1), 9–32.

    Article  Google Scholar 

  • Berwick, D. M., Godfrey, B. A., & Roessner, J. (1991). Curing health care: New strategies for quality improvement. Journal for Healthcare Quality, 13(5), 65–66.

    Article  Google Scholar 

  • Bhatt, Y., & Bhatt, C. (2017). Internet of things in healthcare. In Internet of things and big data technologies for next generation HealthCare (pp. 13–33). Cham: Springer.

    Chapter  Google Scholar 

  • Bicheno, J. (1999). The new lean toolbox. London: Picsie.

    Google Scholar 

  • Black, J., & Miller, D. (2008). The Toyota way to healthcare excellence: Increase efficiency and improve quality with lean. Chicago: Health Administration Press.

    Google Scholar 

  • Borger, C., Smith, S., Truffer, C., Keehan, S., Sisko, A., Poisal, J., & Clemens, M. K. (2006). Health spending projections through 2015: Changes on the horizon. Health Affairs, 25(2), w61–w73.

    Article  PubMed  Google Scholar 

  • Boyer, M., & Sovilla, L. (2003). How to identify and remove the barriers for a successful lean implementation. Journal of Ship Production, 19(2), 116–120.

    Google Scholar 

  • Breyfogle, F., & Salveker, A. (2004). Lean six sigma in sickness and in health. Austin: Smarter Solutions.

    Google Scholar 

  • Brody, H. (2010). Medicine’s ethical responsibility for health care reform—The top five list. New England Journal of Medicine, 362(4), 283–285.

    Article  CAS  PubMed  Google Scholar 

  • Burgess, N. J. (2012) Evaluating lean in healthcare (Unpublished Ph.D. thesis). University of Warwick, Warwick Business School.

    Google Scholar 

  • Burgess, N., & Radnor, Z. (2013). Evaluating lean in healthcare. International Journal of Health Care Quality Assurance, 26(3), 220–235.

    Article  PubMed  Google Scholar 

  • Bushell, S., & Shelest, B. (2002). Discovering lean thinking at progressive healthcare. The Journal for Quality and Participation, 25, 20–25.

    Google Scholar 

  • Caldwell, C., Brexler, J., & Gillem, T. (2005). Engaging physicians in lean six sigma. Quality Progress, 38(11), 42.

    Google Scholar 

  • Chalice, R. (2005). Stop rising healthcare costs using Toyota lean production methods: 38 steps for improvement. Milwaukee: ASQ Quality Press.

    Google Scholar 

  • Christopher, M. (2000). The agile supply chain: Competing in volatile markets. Industrial Marketing Management, 29(1), 37–44.

    Article  Google Scholar 

  • Christopher, M., & Towill, D. (2001). An integrated model for the design of agile supply chains. International Journal of Physical Distribution & Logistics Management, 31(4), 235–246.

    Article  Google Scholar 

  • Christopher, M., & Towill, D. R. (2002). Developing market specific supply chain strategies. International Journal of Logistics Management, 13(1), 1–14.

    Article  Google Scholar 

  • CMS. (2010). Accessed on 31st Oct 2016. https://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/MedicareMedicaidStatSupp/2010.html

  • Collins, K. F., Muthusamy, S. K., & Carr, A. (2015). Toyota production system for healthcare organisations: Prospects and implementation challenges. Total Quality Management & Business Excellence, 26(7–8), 905–918.

    Article  Google Scholar 

  • Condel, J. L., Sharbaugh, D. T., & Raab, S. S. (2004). Error-free pathology: Applying lean production methods to anatomic pathology. Clinics in Laboratory Medicine, 24(4), 865–899.

    Article  PubMed  Google Scholar 

  • Congressional Budget Office. Increasing the value of federal spending on health care. Accessed at http://www.cbo.gov/publication/41717

  • Dahlgaard, J. J., Pettersen, J., & Dahlgaard-Park, S. M. (2011). Quality and lean health care: A system for assessing and improving the health of healthcare organisations. Total Quality Management & Business Excellence, 22(6), 673–689.

    Article  Google Scholar 

  • Damle, A., et al. (2016). Elimination of waste: Creation of a successful lean colonoscopy program at an academic medical center. Surgical Endoscopy, 30(7), 3071–3076.

    Article  PubMed  Google Scholar 

  • De Souza, L. B. (2009). Trends and approaches in lean healthcare. Leadership in Health Services, 22(2), 121–139.

    Article  Google Scholar 

  • Deming, W. E. (1986). Out of the crisis. Cambridge, MA: MIT Press.

    Google Scholar 

  • Elder, B. L. (2008). Six Sigma in the microbiology laboratory. Clinical Microbiology Newsletter, 30(19), 143–147.

    Article  Google Scholar 

  • Emiliani, M. L. (2006). Origins of lean management in America: The role of Connecticut businesses. Journal of Management History, 12(2), 167–184.

    Article  Google Scholar 

  • Esain, A., Williams, S., & Massey, L. (2008). Combining planned and emergent change in a healthcare lean transformation. Public Money and Management, 28(1), 21–26.

    Google Scholar 

  • Fillingham, D. (2007). Can lean save lives? Leadership in Health Services, 20(4), 231–241.

    Article  PubMed  Google Scholar 

  • Fine, B. A., Golden, B., Hannam, R., & Morra, D. (2009). Leading lean: A Canadian healthcare leader’s guide. Healthcare Quarterly, 12(3), 32–41.

    Article  PubMed  Google Scholar 

  • Frings, G. W., & Grant, L. (2005). Who moved my Sigma… effective implementation of the Six Sigma methodology to hospitals. Quality and Reliability Engineering International, 21(3), 311–328.

    Article  Google Scholar 

  • Furman, C. (2005). Implementing a patient safety alert system. Nursing Economics, 23, 42–45.

    PubMed  Google Scholar 

  • Gomez, M. A., Hirsch, J. A., Stingley, P., Byers, E., & Sheridan, R. M. (2010). Applying the Lean management philosophy to NeuroInterventional radiology. Journal of Neurointerventional surgery, 2(1), 83–86.

    Article  PubMed  Google Scholar 

  • Graban, M. (2009). Lean hospitals: Improving quality, patient safety, and employee satisfaction. Boca Raton: CRC Press.

    Google Scholar 

  • Greenleaf, R. K., & Spears, L. C. (2002). Servant leadership: A journey into the nature of legitimate power and greatness. New York: Paulist Press.

    Google Scholar 

  • Grout, J. R. (2007). Mistake-proofing the design of healthcare processes (AHRQ Pub. No. 07-0020). Rockville: U.S. Department of Health and Human Services.

    Google Scholar 

  • Grout, J. R., & Toussaint, J. S. (2010). Mistake-proofing healthcare: Why stopping processes may be a good start. Business Horizons, 53(2), 149–156.

    Article  Google Scholar 

  • Grout, J. R., Hill, J. W., & Langvardt, A. W. (2013). Mistake-proofing medicine: Legal considerations and healthcare quality implications. Minnesota Journal of Law, Science & Technology, 14, 387–438.

    Google Scholar 

  • Hall, W., & Doran, C. (2016). How much can the USA reduce health care costs by reducing smoking? PLoS Medicine, 13(5), e1002021.

    Article  PubMed  PubMed Central  Google Scholar 

  • Health Care Costs, A Primer: Key Information on Health Care Costs and Their IMpact. (2007). Available: http://www.kff.org/insurance/upload/7670.pdf

  • Himmelstein, D. U., Wright, A., & Woolhandler, S. (2010). Hospital computing and the costs and quality of care: A national study. The American Journal of Medicine, 123(1), 40–46.

    Article  PubMed  Google Scholar 

  • Hines, P., Holweg, M., & Rich, N. (2004). Learning to evolve: A review of contemporary lean thinking. International Journal of Operations & Production Management, 24(10), 994–1011.

    Article  Google Scholar 

  • Hintzen, B. L., Knoer, S. J., Van Dyke, C. J., & Milavitz, B. S. (2009). Effect of lean process improvement techniques on a university hospital inpatient pharmacy. American Journal of Health-System Pharmacy, 66(22), 2042–2047.

    Article  PubMed  Google Scholar 

  • Hurley, B., Taylor, T., Levett, J., Huber, C., & Hahn, E. (2008). Implementation of Six Sigma and lean methodology into the anticoagulation management process. Journal of Thrombosis and Thrombolysis, 25(1), 106–106.

    Article  Google Scholar 

  • Husby, B. C. (2012). Integrating people, process, and technology in lean healthcare (Ph.D. Dissertation). The University of Michigan.

    Google Scholar 

  • Ikuma, L. H., & Nahmens, I. (2014). Making safety an integral part of 5S in healthcare. Work, 47(2), 243–251.

    PubMed  Google Scholar 

  • Jeong, J. S., Han, O., & You, Y. Y. (2016). A design characteristics of smart healthcare system as the IoT application. Indian Journal of Science and Technology, 9(37), 52.

    Google Scholar 

  • Johnson, D. P., Lind, C., Parker, S. E. S., Beuschel, C., VanVliet, S., Nichols, J., et al. (2016). Toward high-value care: A quality improvement initiative to reduce unnecessary repeat complete blood counts and basic metabolic panels on a pediatric hospitalist service. Hospital Pediatrics, 6(1), 1–8.

    Article  CAS  PubMed  Google Scholar 

  • Jonsson, C., & Randefelt, A. (2013). What is Lean?: A case study of how Akademiska Hospital’s departments work with Lean, Uppsala University. Unpublished case study report.

    Google Scholar 

  • Karlsson, C., Rognes, J., & Nordgren, H. (1995). Model for lean production. Goteborg: Institute for Management of Innovation and Technology.

    Google Scholar 

  • Kendall, E. M. (2003). Improving patient care with collaborative rounds. American Journal of Health-System Pharmacy, 60(2), 132.

    Article  PubMed  Google Scholar 

  • Kim, C. S., Spahlinger, D. A., Kin, J. M., & Coffey, R. J. (2009). Implementation of lean thinking: One health system’s journey. The Joint Commission Journal on Quality and Patient Safety, 35(8), 406–413.

    Article  PubMed  Google Scholar 

  • Kohn, L. T., Corrigan, J., & Donaldson, M. S. (2000). To err is human: Building a safer health system. Washington, DC: National Academy Press.

    Google Scholar 

  • Kollberg, B., Dahlgaard, J. J., & Brehmer, P. O. (2006). Measuring lean initiatives in health care services: Issues and findings. International Journal of Productivity and Performance Management, 56(1), 7–24.

    Article  Google Scholar 

  • Kruskal, J. B., Reedy, A., Pascal, L., Rosen, M. P., & Boiselle, P. M. (2012). Quality initiatives: Lean approach to improving performance and efficiency in a radiology department. Radiographics, 32(2), 573–587.

    Article  PubMed  Google Scholar 

  • Kumar, S., & Steinebach, M. (2008). Eliminating US hospital medical errors. International Journal of Health Care Quality Assurance, 21(5), 444–471.

    Article  PubMed  Google Scholar 

  • Laing, K., & Baumgartner, K. (2005). Implementing “lean” principles to improve the efficiency of the endoscopy department of a community hospital: A case study. Gastroenterology Nursing, 28(3), 210–215.

    Article  PubMed  Google Scholar 

  • Laursen, M., Gertsen, F., & Johanson, J. (2003). Applying lean thinking in hospitals—Exploring implementation difficulties. Denmark: Center for Industrial Production.

    Google Scholar 

  • Lee, N. S., Whitman, N., Vakharia, N., & Rothberg, M. B. (2017). High-cost patients: Hot-spotters don’t explain the half of it. Journal of general internal medicine, 32(1), 28–34.

    Article  PubMed  Google Scholar 

  • Liker, J. (2004). The Toyota way: 14 managements principles from the world’s greatest manufacturer. New York: McGraw-Hill.

    Google Scholar 

  • Liker, J. K., & Convis, G. L. (2011). The Toyota way to lean leadership: Achieving and sustaining excellence through leadership development. New York: McGraw-Hill.

    Google Scholar 

  • Löffler, M., & Tschiesner, A. (2013). The Internet of Things and the future of manufacturing. (pp. 1–6). McKinsey & Company.

    Google Scholar 

  • Lowe, G., Plummer, V., O’Brien, A. P., & Boyd, L. (2012). Time to clarify–the value of advanced practice nursing roles in health care. Journal of Advanced Nursing, 68(3), 677–685.

    Article  PubMed  Google Scholar 

  • Lunardini, D., Arington, R., Canacari, E. G., Gamboa, K., Wagner, K., & McGuire, K. J. (2014). Lean principles to optimize instrument utilization for spine surgery in an academic medical center: An opportunity to standardize, cut costs, and build a culture of improvement. Spine, 39(20), 1714–1717.

    Article  PubMed  Google Scholar 

  • MacDuffie, J. P., & Helper, S. (1997). Creating lean suppliers: Diffusing lean production through the supply chain. California Management Review, 39(4), 118–151.

    Article  Google Scholar 

  • Machado, V. C., & Leitner, U. (2010). Lean tools and lean transformation process in health care. International Journal of Management Science and Engineering Management, 5(5), 383–392.

    Article  Google Scholar 

  • Malcolm, E., & Milstein, A. (2016). Achieving higher quality and lower costs via innovations in healthcare delivery design. America’s Healthcare Transformation: Strategies and Innovations, 105–112.

    Google Scholar 

  • Manos, A., Sattler, M., & Alukal, G. (2006). Make healthcare lean. Quality Progress, 39(7), 24.

    Google Scholar 

  • McLaughlin, D. B., & Olson, J. R. (2012). Healthcare operations management. Chicago: Health Administration Press.

    Google Scholar 

  • Meisel, Z. F., VonHoltz, L. A. H., & Merchant, R. M. (2016). Crowdsourcing healthcare costs: Opportunities and challenges for patient centered price transparency. Healthcare (Amsterdam, Netherlands), 4(1), 3–5.

    Google Scholar 

  • Miller, D. (2005). Going lean in health care. Cambridge, MA: Institute for Healthcare Improvement.

    Google Scholar 

  • Modig, N., & Åhlström, P. (2012). This is lean-resolving the efficiency paradox. Halmstad: Bulls Graphics AB.

    Google Scholar 

  • Monden, Y. (1998). Toyota production system, an integrated approach to just-in-time. Norcross: Engineering and Management Press.

    Google Scholar 

  • Naylor, J. B., Naim, M. M., & Berry, D. (1999). Leagility: Integrating the lean and agile manufacturing paradigms in the total supply chain. International Journal of Production Economics, 62(1), 107–118.

    Article  Google Scholar 

  • NHSIII. (2007). Going lean in the NHS. Warwick: NHS Institute for Innovation and Improvement.

    Google Scholar 

  • Ohno, T. (1988). Toyota production system: Beyond large-scale production. New York: CRC Press.

    Google Scholar 

  • Pakdil, F., & Harwood, T. N. (2005). Factors that influence efficiency in performing ENT cases: A qualitative and quantitative analysis. Journal of Medical Systems, 29(3), 285–301.

    Article  PubMed  Google Scholar 

  • PCAST Report. (2014). Report to the president better health care and lower costs: Accelerating improvement through systems engineering. Washington, DC: Executive Office of the President, President’s Council of Advisors on Science and Technology.

    Google Scholar 

  • Pezzin, L. E., Laud, P., Neuner, J., Yen, T. W. F., & Nattinger, A. B. (2016). A statewide controlled trial intervention to reduce use of unproven or ineffective breast cancer care. Contemporary Clinical Trials, 50, 150–156.

    Article  PubMed  PubMed Central  Google Scholar 

  • Radnor, Z. J., Holweg, M., & Waring, J. (2012). Lean in healthcare: The unfilled promise? Social Science & Medicine, 74(3), 364–371.

    Article  Google Scholar 

  • Raja, P. V., Davis, M. C., Bales, A., & Afsarmanesh, N. (2015). NPITxt, a 21st-century reporting system: Engaging residents in a lean-inspired process. American Journal of Medical Quality, 30(3), 255–262.

    Article  PubMed  Google Scholar 

  • Rezaei, S., Akbari Sari, A., Arab, M., Majdzadeh, R., Shaahmadi, F., & Mohammadpoorasl, A. (2016). The association between smoking status and hospital length of stay: Evidence from a hospital-based cohort. Hospital Practice, 44(3), 129–132.

    Article  PubMed  Google Scholar 

  • Riebling, N., & Tria, L. (2005). Six sigma project reduces analytical errors in an automated lab. MLO: Medical Laboratory Observer, 37(6), 20, 22–23.

    PubMed  Google Scholar 

  • Robinson, S., Radnor, Z., et al. (2012). SimLean: Utilizing simulation in the implementation of lean in healthcare. European Journal of Operational Research, 219, 188–197.

    Article  Google Scholar 

  • Rosmulder, R. W. (2011). Improving healthcare delivery with lean thinking: Action research in an emergency department. Enschede: University of Twente.

    Book  Google Scholar 

  • Rust, T. C. (2013). Dynamic analysis of healthcare service delivery: Application of lean and agile concepts (Doctoral dissertation). Worcester Polytechnic Institute.

    Google Scholar 

  • Scarpato, N., Pieroni, A., Di Nunzio, L., & Fallucchi, F. (2017). E-health-IoT universe: A review. International Journal on Advanced Science Engineering Information Technology, 7(6), 2328–2336.

    Article  Google Scholar 

  • Seltzer, S. E., Kelly, P., Adams, D. F., Chiango, B. F., Viera, M. A., Fener, E., Hooton, S., Bannon-Rohrbach, S., Healy, C. D., Doubilet, P. M., & Holman, B. L. (1997). Expediting the turnaround of radiology reports in a teaching hospital setting. AJR: American Journal of Roentgenology, 168(4), 889–893.

    Article  CAS  PubMed  Google Scholar 

  • Shaffer, S. L., Hutchison, S. L., Ayers, A. M., Goldberg, R. W., Herman, D., Duch, D. A., et al. (2015). Brief critical time intervention to reduce psychiatric rehospitalization. Psychiatric Services (Washington, DC), 66(11), 1155–1161.

    Article  Google Scholar 

  • Shahrabi, M. S. (2015). Reducing errors by RFID technology to achieve lean healthcare. International Journal of Hospital Research, 4(2), 95–100.

    Google Scholar 

  • Shingo, S. (1986). Zero quality control: Source inspection and the poka-yoke system. Cambridge, MA: Productivity Press.

    Google Scholar 

  • Sollecito, W., & Johnson, J. (2013). Continuous quality improvement in health care: Theory, implementations, and applications. Burlington: Jones & Bartlett Learning.

    Google Scholar 

  • Spear, S., & Bowen, K. H. (1999, September–October). Decoding the DNA of the Toyota production system. Harvard Business Review, 77, 96–106.

    Google Scholar 

  • Sugianto, J. Z., Stewart, B., Ambruzs, J. M., Arista, A., Park, J. Y., Cope-Yokoyama, S., & Luu, H. S. (2015). Applying the principles of lean production to gastrointestinal biopsy handling: From the factory floor to the anatomic pathology laboratory. Laboratory Medicine, 46(3), 259–264.

    Article  PubMed  Google Scholar 

  • Tachibana, C., & Nelson-Peterson, D. L. (2007). Implementing the clinical nurse leader role using the Virginia Mason Production System. Journal of Nursing Administration, 37(11), 477–479.

    Article  PubMed  Google Scholar 

  • Taner, T. M., Sezen, B., & Antony, J. (2007). An overview of Six Sigma applications in healthcare industry. International Journal of Health Care Quality Assurance, 20(4), 329–340.

    Article  Google Scholar 

  • Toussaint, J. S., & Berry, L. L. (2013). The promise of lean in health care. Mayo Clinic Proceedings, 88(1), 74–82.

    Article  PubMed  Google Scholar 

  • Tu, Y. J., Zhou, W., & Piramuthu, S. (2009). Identifying RFID-embedded objects in pervasive healthcare applications. Decision Support Systems, 46(2), 586–593.

    Article  Google Scholar 

  • Van Vliet, E. J., Bredenhoff, E., Sermeus, W., Kop, L. M., Sol, J. C. A., & Van Harten, W. H. (2011). Exploring the relation between process design and efficiency in high-volume cataract pathways from a lean thinking perspective. International Journal for Quality in Health Care, 23(1), 83–93.

    Article  PubMed  Google Scholar 

  • Vegas, D. B., Levinson, W., Norman, G., Monteiro, S., & You, J. J. (2015). Readiness of hospital-based internists to embrace and discuss high-value care with patients and family members: A single-centre cross-sectional survey study. CMAJ Open, 3(4), E382.

    Article  Google Scholar 

  • Wachter B. (2016). How measurement fails doctors and teachers. New York Times. January 16, 2016.

    Google Scholar 

  • Wagner, J. (2004). Medical errors still plague US hospitals, WebMD, Inc., available at: www.webmd.com/content/article/91/101128.htm

  • Waring, J. J., & Bishop, S. (2010). Lean healthcare: Rhetoric, ritual and resistance. Social Science & Medicine, 71(7), 1332–1340.

    Article  Google Scholar 

  • Warner, C. J., Walsh, D. B., Horvath, A. J., Walsh, T. R., Herrick, D. P., Prentiss, S. J., & Powell, R. J. (2013). Lean principles optimize on-time vascular surgery operating room starts and decrease resident work hours. Journal of Vascular Surgery, 58(5), 1417–1422.

    Article  PubMed  Google Scholar 

  • Weber, D. (2006). Toyota-style management drives Virginia-Mason. Physician Executive, 32(1), 12–17.

    PubMed  Google Scholar 

  • Werner, R. M., Konetzka, R. T., & Polsky, D. (2016). Changes in consumer demand following public reporting of summary quality ratings: An evaluation in nursing homes. Health Services Research, 51(Suppl 2), 1291–1309.

    Article  PubMed  PubMed Central  Google Scholar 

  • Wickramasinghe, N., Al-Hakim, L., Gonzalez, C., & Tan, J. (Eds.). (2014). Lean thinking for healthcare. New York: Springer.

    Google Scholar 

  • Wilensky, G. (2016). Changing physician behavior is harder than we thought. JAMA, 316(1), 21–22.

    Article  PubMed  Google Scholar 

  • Wilt, T. J., & Dahm, P. (2015). PSA screening for prostate cancer: Why saying no is a high-value health care choice. Journal of the National Comprehensive Cancer Network, 13(12), 1566–1574.

    Article  CAS  PubMed  Google Scholar 

  • Womack, J. P., & Jones, D. T. (1996). Beyond Toyota: How to root out waste and pursue perfection. Harvard Business Review, 74(5), 140–158.

    Google Scholar 

  • Womack, J. P., & Jones, D. T. (2003). Lean thinking. London: Simon & Schuster.

    Google Scholar 

  • Womack, J. P., Byrne, A. P., Fiume, O. J., Kaplan, G. S., & Toussaint, J. (2005). Going lean in health care. Cambridge, MA: Institute for Healthcare Improvement.

    Google Scholar 

  • Young, T., Brailsford, S., Connell, C., Davies, R., Harper, P., & Klein, J. H. (2004). Using industrial processes to improve patient care. British Medical Journal, 328(7432), 162–164.

    Article  PubMed  PubMed Central  Google Scholar 

  • Zidel, T. (2006). A lean guide to transforming healthcare: How to implement lean principles in hospitals, medical offices, clinics, and other healthcare organizations. Milwaukee: Quality Press.

    Google Scholar 

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Authors and Affiliations

  1. Eastern Connecticut State University, Willimantic, CT, USA

    Fatma Pakdil

  2. Wake Forest University, Winston-Salem, NC, USA

    Timothy N. Harwood

  3. Baskent University, Ankara, Turkey

    Feride Bahar Isin

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  1. Fatma Pakdil
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  2. Timothy N. Harwood
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  3. Feride Bahar Isin
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Correspondence to Fatma Pakdil .

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Editors and Affiliations

  1. Epworth HealthCare, Richmond, VIC, Australia, Swinburne University of Technology, Hawthorn, VIC, Australia

    Nilmini Wickramasinghe

  2. Friedrich-Alexander-University, Erlangen-Nuremberg, Erlangen, Germany

    Freimut Bodendorf

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Pakdil, F., Harwood, T.N., Isin, F.B. (2020). Implementing Lean Principles in the Healthcare Industry: A Theoretical and Practical Overview. In: Wickramasinghe, N., Bodendorf, F. (eds) Delivering Superior Health and Wellness Management with IoT and Analytics. Healthcare Delivery in the Information Age. Springer, Cham. https://doi.org/10.1007/978-3-030-17347-0_19

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