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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 16, 2011

Evaluating Lean in healthcare.

Nicola Burgess¹, Zoe Radnor

¹Warwick Business School, University of Warwick, Coventry, UK. Nicola.Burgess@wbs.ac.uk

International Journal of Health Care Quality Assurance

|June 5, 2013

Summary

This summary is machine-generated.

Lean implementation in English hospitals shows varied approaches, often isolated rather than systemic. However, usage is increasing, with a trend towards more integrated strategies in healthcare.

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Last Updated: May 10, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 16, 2011

Area of Science:

Healthcare Management
Operations Research
Public Health Policy

Background:

Lean management principles are increasingly adopted in healthcare settings globally.
Understanding the specific implementation strategies within diverse healthcare systems is crucial for effective adoption.
English hospitals represent a significant sector for examining Lean adoption within a national health service context.

Purpose of the Study:

To investigate and present findings on the methods of Lean implementation within English hospitals.
To analyze the status and trajectory of Lean adoption in English healthcare.
To develop a typology of Lean implementation approaches in this setting.

Main Methods:

Content analysis of annual reports and websites from English hospitals over two distinct time periods.
Snapshot approach to capture Lean implementation at specific points in time.
Analysis focused on the articulation of "Lean" methods within organizational documentation.

Main Results:

Identified divergent approaches to Lean implementation, categorized into a novel typology.
Findings indicate that Lean implementation is often isolated, rather than system-wide.
Data reveal an increasing trend in Lean adoption by English hospitals, with a progression towards more systemic approaches over time.

Conclusions:

The study provides the first detailed examination of "how" Lean is implemented in English hospitals.
The developed typology offers a framework for evaluating Lean implementation and may be applicable to other public and service organizations.
This research establishes a baseline for tracking Lean implementation and understanding Lean thinking within the English National Health Service (NHS).