The purpose of this study is to explore how representatives of the pilotprojects teams and dissemination practitioners, belonging to several hospitals inApulian hospitals in Italy experienced the implementation of Lean over 3 years.An exploratory and qualitative design was drawn based on data triangulation fromsemi-structured interviews, documentation analysis relating to Lean implementa tion and direct observation. The main implementation drivers of the methodologyin hospitals were increasing patient value and improving workplace well-being.The panel highlighted three pivotal implementation stages: introduction, spon taneous and informal dissemination, and strategic-level implementation. Criticalsuccess and failure factors emerged for each of these stages. During the intro duction, expert training and coaching from an external consultant are among themost impactful factors in the success of pilot projects, while time constraintsand the adoption of process analysis tools are the main barriers to implementa tion. However, the absence of managerial expertise to support implementation andorganisational constraints, such as departmental org
Implementation Experiences of Lean Organization in Healthcare for Apulian Hospitals: A Longitudinal Interview In-Depth Study
Rosa A
;
2023-01-01
Abstract
The purpose of this study is to explore how representatives of the pilotprojects teams and dissemination practitioners, belonging to several hospitals inApulian hospitals in Italy experienced the implementation of Lean over 3 years.An exploratory and qualitative design was drawn based on data triangulation fromsemi-structured interviews, documentation analysis relating to Lean implementa tion and direct observation. The main implementation drivers of the methodologyin hospitals were increasing patient value and improving workplace well-being.The panel highlighted three pivotal implementation stages: introduction, spon taneous and informal dissemination, and strategic-level implementation. Criticalsuccess and failure factors emerged for each of these stages. During the intro duction, expert training and coaching from an external consultant are among themost impactful factors in the success of pilot projects, while time constraintsand the adoption of process analysis tools are the main barriers to implementa tion. However, the absence of managerial expertise to support implementation andorganisational constraints, such as departmental orgI documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
