Implementation Experiences of Lean Organization in Healthcare for Apulian Hospitals: A Longitudinal Interview In-Depth Study - Lean, Green and Sustainability
Conference Papers Year : 2023

Implementation Experiences of Lean Organization in Healthcare for Apulian Hospitals: A Longitudinal Interview In-Depth Study

Abstract

The purpose of this study is to explore how representatives of the pilot projects teams and dissemination practitioners, belonging to several hospitals in Apulian hospitals in Italy experienced the implementation of Lean over 3 years. An exploratory and qualitative design was drawn based on data triangulation from semi-structured interviews, documentation analysis relating to Lean implementation and direct observation. The main implementation drivers of the methodology in hospitals were increasing patient value and improving workplace well-being. The panel highlighted three pivotal implementation stages: introduction, spontaneous and informal dissemination, and strategic-level implementation. Critical success and failure factors emerged for each of these stages. During the introduction, expert training and coaching from an external consultant are among the most impactful factors in the success of pilot projects, while time constraints and the adoption of process analysis tools are the main barriers to implementation. However, the absence of managerial expertise to support implementation and organisational constraints, such as departmental organisational structure, do not allow for systemic adoption of the methodology.
Embargoed file
Embargoed file
1 0 5
Year Month Jours
Avant la publication
Thursday, January 1, 2026
Embargoed file
Thursday, January 1, 2026
Please log in to request access to the document

Dates and versions

hal-04735670 , version 1 (14-10-2024)

Licence

Identifiers

Cite

Angelo Rosa, Giuliano Marolla, Olivia Mcdermott. Implementation Experiences of Lean Organization in Healthcare for Apulian Hospitals: A Longitudinal Interview In-Depth Study. 8th European Lean Educator Conference (ELEC), Nov 2022, Galway, Ireland. pp.41-53, ⟨10.1007/978-3-031-25741-4_5⟩. ⟨hal-04735670⟩
15 View
3 Download

Altmetric

Share

More