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Identifying and eliminating inefficiencies in information system usage: A lean perspective
Vincent Blijleven1, Kitty Koelemeijer2, Monique Jaspers3
1Nyenrode Business University, Straatweg 25, 3621 BG Breukelen, The Netherlands; Department of Medical Informatics, Academic Medical Center, Meibergdreef 15, 1105 AZ Amsterdam, The Netherlands.
International Journal of Medical Informatics
|October 15, 2017
Summary
Information system (IS) workflows often mismatch user needs, hindering efficiency and patient care. This study found 241 waste instances in healthcare electronic health record (EHR) systems, highlighting areas for workflow improvement.
Area of Science:
- Health Informatics
- Lean Management in Healthcare
- Information Systems Research
Background:
- Mismatches between information system (IS) workflows and actual user practices are common.
- These workflow impediments reduce efficiency in service delivery and can compromise patient safety and care effectiveness in healthcare settings.
Purpose of the Study:
- To evaluate the impact of an electronic health record (EHR) system on healthcare professional workflows.
- To analyze workflow mismatches from a lean management waste perspective within a large university hospital.
Main Methods:
- Direct observations of healthcare professionals.
- Semi-structured interviews with physicians and nurses.
- Identification and classification of workflow waste manifestations using lean management principles.
Main Results:
- A total of 241 manifestations of waste were identified and categorized into 8 types.
- Significant relationships were observed, including variations in waste frequency, cascading effects of certain wastes, and proliferation through routine behavior.
Conclusions:
- Findings provide insights into the nature and impact of waste in EHR-driven workflows.
- This knowledge can inform the redesign of IS to better align with clinical workflows, ultimately enhancing patient care safety, effectiveness, and efficiency.
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