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Published on: February 16, 2011
How Visual Management for Continuous Improvement Might Guide and Affect Hospital Staff: A Case Study
Waqar Ulhassan1, Ulrica von Thiele Schwarz, Hugo Westerlund
1Medical Management Centre, Karolinska Institutet, Stockholm, Sweden (Drs Ulhassan, von Thiele Schwarz, Sandahl, and Thor); Department of Psychology (Dr von Thiele Schwarz) and Stress Research Institute (Dr Westerlund), Stockholm University, Stockholm, Sweden; and the Jönköping Academy for Improvement of Health and Welfare, Jönköping University, Jönköping, Sweden (Dr Thor).
Visual management (VM) tools like whiteboards can improve healthcare processes. However, their success depends on fitting the local context and staff needs for sustained engagement in continuous improvement.
Area of Science:
- Healthcare Management
- Organizational Behavior
- Lean Management
Background:
- Visual management (VM) tools, such as whiteboards, are utilized in Lean initiatives to enhance work processes across various industries.
- The application and impact of VM within healthcare Lean interventions on clinical staff remain underexplored.
Purpose of the Study:
- To examine the implementation and influence of Lean-inspired VM using whiteboards on hospital staff's work and collaboration.
- To understand how VM adoption affects continuous improvement efforts in a healthcare setting.
Main Methods:
- A case study design was employed on two cardiology wards.
- Data collection involved semistructured interviews, nonparticipant observations, and photography.
Main Results:
- VM adoption and effectiveness varied significantly between the two wards.
- One ward successfully integrated VM, enhancing continuous improvement, while the other found it ill-fitting and unsustainable.
- VM facilitated cross-time communication and teamwork when contextually appropriate.
Conclusions:
- The success of VM in healthcare is contingent upon its alignment with the specific local context and workflow.
- Integrating VM with continuous improvement strategies can foster long-term staff engagement in change processes.
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