Abstract
The aim of this study was to analyze the contributions of the Lean Healthcare approach through the use of methods and tools to reduce Healthcare-Associated Infections (HAI). The guiding question of the study was to investigate how can the Lean Healthcare approach contribute to the implementation of actions to mitigate the risk of HealthCare-Associated Infections? Articles were collected from 2010 to February 2021, in the Web of Science, Scopus, Emerald databases. An analysis form was created. Of the 21 articles collected, 09 were selected, according to the PRISMA®. As for Lean Healthcare methods and tools, the use of standardized work, CTQ and SIPOC was identified as the most used to mitigate the risk of HAI. The high LOS of patients in the hospital increases the risk of HAI, with Lean Six Sigma results in the reduction of hospital costs and lower rates of LOS, with the reduction of the number of complications and infections. Standardized work has reduced the rates of HAI, which reinforces the idea of the need to implement the Lean Healthcare approach, with a focus on respect for people and consequently on the valorization of teamwork, which leads to change in the organizational culture.
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References
Ankrum, A.L., Neogi, S., Morckel, M.A., Wilhite, A.W., Li, Z., Schaffzin, J.K.: Reduced isolation room turnover time using lean methodology. Infect. Control Hosp. Epidemiol. 40(10), 1151–1156 (2019)
Antonioli, P., Bolognesi, N., Valpiani, G., Morotti, C., Bernardini, D., Bravi, F., Di Ruscio, E., Stefanati, A., Gabutti, G.: A 2-year point-prevalence surveillance of healthcare-associated infections and antimicrobial use in Ferrara University Hospital, Italy. BMC Infect. Dis. 20(1), 1–8 (2020)
Anvisa: Programa nacional de prevenção e controle de infecções relacionadas à assistência à saúde. https://www.gov.br/anvisa/pt-br/centraisdeconteudo/publicacoes/servicosdesaude/publicacoes/pnpciras_2021_2025.pdf
Backman, C., et al..: Implementation of a multimodal patient safety improvement program “safetyleap" in intensive care units: a cross-case study analysis. Int. J. Healthc. Qual. Assur. 31(2), 140–149 (2018)
Ernst, J., Schleiter, A.J.: Standardization for patient safety in a hospital department: killing butterflies with a musket? Qual. Res. Organ. Manag. Int. J. 13, 368–383 (2018)
Hellström, A., Lifvergren, S., Gustavsson, S., Gremyr, I.: Adopting a management innovation in a professional organization: the case of improvement knowledge in healthcare. Bus. Process Manag. J. (2015)
Improta, G., Cesarelli, M., Montuori, P., Santillo, L.C., Triassi, M.: Reducing the risk of healthcare-associated infections through lean six sigma: the case of the medicine areas at the Federico II University Hospital in Paples (italy). J. Eval. Clin. Pract. 24(2), 338–346 (2018)
Montella, E., Di Cicco, M.V., Ferraro, A., Centobelli, P., Raiola, E., Triassi, M., Improta, G.: The application of lean six sigma methodology to reduce the risk of healthcare-associated infections in surgery departments. J. Evalu. Clin. Practi. 23(3), 530–539 (2017)
Nyström, M.E., Garvare, R., Westerlund, A., Weinehall, L.: Concurrent implementation of quality improvement programs: coordination or conflict? Int. J. Healthc. Qual. Assur. 27(3), 190–208 (2014)
O’Reilly, K., et al.: Standard work for room entry: linking lean, hand hygiene, and patient-centeredness. Healthcare 4, 45–51 (2016)
Organization, W.H., et al.: Report on the Burden of Endemic Health Care-Associated Infection Worldwide, WHO (2011)
Ricciardi, C., Fiorillo, A., Valente, A.S., Borrelli, A., Verdoliva, C., Triassi, M., Improta, G.: Lean six sigma approach to reduce LOS through a diagnostic-therapeutic-assistance path at A.O.R.N cardarelli. TQM J. 31, 651–672 (2019)
Ricciardi, C., et al.: A health technology assessment between two pharmacological therapies through six sigma: the case study of bone cancer. TQM J. 32, 1507–1524 (2020)
Team, P.E.A.: Engaging Patients in Patient Safety-a Canadian Guide. Canadian Patient Safety Institute (2017)
Acknowledgements
The authors would like to thank the Brazilian Ministry of Health, Fluminense Federal University and Euclides da Cunha Foundation. This Research is part of a “Lean Project in UPAs 24h” that has been funded by the Brazilian Ministry of Health (TED 125/2019, number: 25000191682201908).
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de Amaral, L.C., Calado, R.D., Vieira, L.W.H., Chaves, S.M.d.A. (2021). Lean Healthcare in Reducing HAI an Integrative Literature Review. In: Dolgui, A., Bernard, A., Lemoine, D., von Cieminski, G., Romero, D. (eds) Advances in Production Management Systems. Artificial Intelligence for Sustainable and Resilient Production Systems. APMS 2021. IFIP Advances in Information and Communication Technology, vol 631. Springer, Cham. https://doi.org/10.1007/978-3-030-85902-2_38
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