Abstract
This study was developed at a private health care center with problems in its emergency department, which had a process efficiency of 39.6%. As such, implementing a lean healthcare model was proposed using knowledge management and change management as it pillars. As a result, employees were committed to change, which facilitated the transfer of knowledge when implementing the lean tools, reducing waiting time in the process by 67.01% at its highest level, while an efficiency of 63.87% was achieved.
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References
WHO, “Repositorio de datos del Observatorio Global de Salud,” GHO (2018). http://apps.who.int/gho/data/?theme=main. Accessed 23 Apr 2018
SUSALUD, “Encuesta Nacional de Satisfacción de Usuarios en Salud 2016 - INFORME FINAL,” Lima (2016)
Tsai, T.C., Orav, E.J., Jha, A.K.: Patient satisfaction and quality of surgical care in US hospitals. Ann. Surg. 261(1), 2–8 (2015)
Matthias, O., Brown, S.: Implementing operations strategy through Lean processes within health care: the example of NHS in the UK. Int. J. Oper. Prod. Manag. 36(11), 1435–1457 (2016)
Mandahawi, N., Shurrab, M., Al-Shihabi, S., Abdallah, A.A., Alfarah, Y.M.: Utilizing six sigma to improve the processing time: a simulation study at an emergency department. J. Ind. Prod. Eng. 34(7), 495–503 (2017)
Crema, M., Verbano, C.: How to combine lean and safety management in health care processes: a case from Spain. Saf. Sci. 79(May), 63–71 (2015)
Klein, D., Khan, V.: Utilizing six sigma lean strategies to expedite emergency department CT scan throughput in a tertiary care facility. J. Am. Coll. Radiol. 14(1), 78–81 (2017)
Sayed, M.J.E., El-Eid, G.R., Saliba, M., Jabbour, R., Hitti, E.A.: Improving emergency department door to doctor time and process reliability: a successful implementation of lean methodology. Med. (U.S.) 94(42), e1679 (2015)
Chang, C.L.H., Lin, T.C.: The role of organizational culture in the knowledge management process. J. Knowl. Manag. 19(3), 433–455 (2015)
Kianto, A., Vanhala, M., Heilmann, P.: The impact of knowledge management on job satisfaction. J. Knowl. Manag. 20(4), 621–636 (2016)
Sandoval, J.L.: Los procesos de cambio organizacional y la generación de valor. Estud. Gerenciales 30(131), 162–171 (2014)
Gerbec, M.: Safety change management–a new method for integrated management of organizational and technical changes. Saf. Sci. 100(May), 225–234 (2017)
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Maravi-Cardenas, A., Fuentes-Chahuaylla, M., Peñafiel-Carrera, J., Mamani-Macedo, N., Raymundo-Ibañez, C., Dominguez, F. (2020). Lean Healthcare Model Using Knowledge Management and Change Management Approaches to Reduce Delays for Care in the Health Sector. In: Ahram, T., Taiar, R., Gremeaux-Bader, V., Aminian, K. (eds) Human Interaction, Emerging Technologies and Future Applications II. IHIET 2020. Advances in Intelligent Systems and Computing, vol 1152. Springer, Cham. https://doi.org/10.1007/978-3-030-44267-5_67
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DOI: https://doi.org/10.1007/978-3-030-44267-5_67
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