Optimizing Quality of Hospital Services and Inpatient Satisfaction through Lean Principles

Authors

DOI:

https://doi.org/10.6000/1929-6029.2024.13.39

Keywords:

Lean principles, Healthcare quality, Patient satisfaction, Waste reduction, Hospital management, Operational efficiency, Waiting times, Inventory management, Staff workflow

Abstract

Aim: The aim of this study is to evaluate the impact of Lean principles on improving hospital service quality and inpatient satisfaction tertiary care hospital in Pune, India. It focuses on reducing key inefficiencies to enhance patient experiences and operational efficiency.

Information & Methods: This quantitative study was conducted at tertiary care hospital in Pune, India, with 110 inpatients who had been admitted for at least three days. Data were collected through a closed-ended questionnaire based on Lean’s seven waste categories.

Methods: A cross-sectional design was used, and data were analyzed using SPSS version 20. Descriptive statistics summarized demographics and survey responses, while chi-square tests and multivariate logistic regression assessed the relationships between Lean variables and inpatient satisfaction.

Findings: The findings reveal that Lean principles significantly improved hospital service quality and inpatient satisfaction. Reductions in "waiting" and "motion" wastes were strongly correlated with higher patient satisfaction, highlighting the importance of streamlined processes and reduced wait times. Efficient inventory management also emerged as a key factor in enhancing satisfaction, while "excess processing" and "overproduction" showed less influence on patient satisfaction, indicating areas for further improvement. These results underscore the effectiveness of Lean in optimizing healthcare delivery and improving patient experiences.

Conclusion: The study concludes that Lean principles effectively improve hospital service quality and inpatient satisfaction by reducing key wastes such as waiting, motion, and inventory inefficiencies. Continuous implementation of Lean practices can lead to more efficient and patient-centered healthcare delivery.

References

Graban M. Lean hospitals: Improving quality, patient safety, and employee engagement, third edition, Lean Hospitals: Improving Quality. Patient Safety, and Employee Engagement, Third Edition 2018. https://doi.org/10.4324/9781315380827 DOI: https://doi.org/10.4324/9781315380827

Vashi A. Applying Lean Principles to Reduce Wait Times in a VA Emergency Department. Military Medicine 2019; 184(1). https://doi.org/10.1093/milmed/usy165 DOI: https://doi.org/10.1093/milmed/usy165

Ahmed S. Effect of Lean Six Sigma on quality performance in Malaysian hospitals. International Journal of Health Care Quality Assurance 2018; 31(8): 973-987. https://doi.org/10.1108/IJHCQA-07-2017-0138 DOI: https://doi.org/10.1108/IJHCQA-07-2017-0138

Hallam CRA, Contreras C. Lean healthcare: scale, scope and sustainability. International Journal of Health Care Quality Assurance 2018; 31(7): 684-696. https://doi.org/10.1108/IJHCQA-02-2017-0023 DOI: https://doi.org/10.1108/IJHCQA-02-2017-0023

Souza DL, et al. A systematic review on lean applications’ in emergency departments. Healthcare (Switzerland) 2021; 9(6): 1-19. https://doi.org/10.3390/healthcare9060763 DOI: https://doi.org/10.3390/healthcare9060763

Wirawan A, Yunita V. Analisis Kepuasan Pelayanan Pasien Pada Instalasi Rawat Jalan Di Rumah Sakit Rumah Sakit Umum Daerah Embung Fatimah Batam Dengan Pendekatan Lean Service Dan Service Performance. Journal of Applied Business Administration 2018; 1(2): 194-208. https://doi.org/10.30871/jaba.v1i2.608 DOI: https://doi.org/10.30871/jaba.v1i2.608

Pini A, et al. Assessment of patient satisfaction of the quality of health care provided by outpatient services of an oncology hospital. Global Journal of Health Science 2014; 6(5): 196-203. https://doi.org/10.5539/gjhs.v6n5p196 DOI: https://doi.org/10.5539/gjhs.v6n5p196

Zepeda-Lugo C. Assessing the impact of lean healthcare on inpatient care: A systematic review. International Journal of Environmental Research and Public Health 2020; 1-24. https://doi.org/10.3390/ijerph17155609 DOI: https://doi.org/10.3390/ijerph17155609

Kusdarmadji, Pribadi F, Permana I. Implementation of Lean Management To Reduce Waste in Hemodialization Installation. Jurnal Profesi Medika 2021; 15(2): 166-170. DOI: https://doi.org/10.33533/jpm.v15i2.3671

Gurumurthy A, Nair VK, Vinodh S. Application of a hybrid selective inventory control technique in a hospital: a precursor for inventory reduction through lean thinking. TQM Journal 2020; 33(3): 568-595. https://doi.org/10.1108/TQM-06-2020-0123 DOI: https://doi.org/10.1108/TQM-06-2020-0123

Lestari SA, Suryawati C, Sugiarto J. Analisis Waste dengan Model Lean Hospital pada Pelayanan Poli Rawat Jalan. Jurnal Kesehatan 2020; 8(1): 16-25. https://doi.org/10.25047/j-kes.v8i1.133 DOI: https://doi.org/10.25047/j-kes.v8i1.133

Saleeshya PG, et al. Lean practices in machinery manufacturing industries - A case study. International Journal of Logistics Systems and Management 2015; 20(4): 536-554. https://doi.org/10.1504/IJLSM.2015.068494 DOI: https://doi.org/10.1504/IJLSM.2015.068494

Atmojo A, Purnomo IP, Muljono S. The Influence of Organizational Culture on Inpatient Staff Performance of QIM Hospital. Unnes Journal of Public Health 2018; 7(1): 25-29. https://doi.org/10.15294/ujph.v7i1.19213 DOI: https://doi.org/10.15294/ujph.v7i1.19213

Bharsakade RS, et al. A lean approach to healthcare management using multi criteria decision making. Opsearch. Springer India 2021; 58(3): 610-635. https://doi.org/10.1007/s12597-020-00490-5 DOI: https://doi.org/10.1007/s12597-020-00490-5

Agiwahyuanto F, et al. Satisfaction Index of Employees on Service Quality through Quality Leadership at Three Hospitals B-Type, Central Java Province. Unnes Journal of Public Health 2021; 10(1): 78-85. DOI: https://doi.org/10.15294/ujph.v10i1.36806

Ahmed S, Manaf NHA, Islam R. Effects of Lean Six Sigma application in healthcare services: A literature review. Reviews on Environmental Health 2013; 28(4): 189-194. https://doi.org/10.1515/reveh-2013-0015 DOI: https://doi.org/10.1515/reveh-2013-0015

Zidel TG. A lean guide to transforming healthcare: how to implement lean principles in hospitals, medical offices, clinics, and other healthcare organizations 2006.

Usman I. Lean hospital management implementation in health care service: A multicase study. Systematic Reviews in Pharmacy 2020; 11(3): 361-367. https://doi.org/10.5530/srp.2020.3.45

Kharismawati A, Herliansyah MK. Implementasi Lean Healthcare pada Pasien BPJS Rawat Jalan Di Rumah Sakit Bethesda Yogyakarta. Seminar Nasional Teknik Industri Universitas Gadjah Mada 2016; pp. 10-19.

Gabrielle K. Application of Lean Management Principles in the Identification of Wastes and Improving Waiting Time At a Hospital Pharmacy. International Journal of Public Health & Clinical Sciences (IJPHCS) 2021; 8(4): 41-52. Available at: https://search.ebscohost.com/login.aspx?direct=true&db=edb&AN=152720 259&site=eds-live&authtype=sso&custid =s9494728.

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Published

2024-12-30

How to Cite

Bhaladhare, R. ., & Rishipathak, P. . (2024). Optimizing Quality of Hospital Services and Inpatient Satisfaction through Lean Principles. International Journal of Statistics in Medical Research, 13, 450–455. https://doi.org/10.6000/1929-6029.2024.13.39

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General Articles