Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Healthcare Associated Infections II: Preventive Measures01:22

Healthcare Associated Infections II: Preventive Measures

4.6K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
4.6K
Nursing Implementation01:15

Nursing Implementation

6.4K
Implementation is the execution of the nursing care plan developed during the planning phase.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
6.4K
Methods Of Healthcare Delivery System01:26

Methods Of Healthcare Delivery System

4.2K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
4.2K
Secondary Healthcare System01:11

Secondary Healthcare System

2.1K
Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...
2.1K
Integrated Healthcare System01:20

Integrated Healthcare System

2.5K
An integrated healthcare system (IHS) is a set of organizations that provides for or arranges to provide coordinated and continuous service to a defined population. The IHS takes responsibility for that particular population's health status and outcome, both clinically and fiscally. An integrated healthcare system is a well-organized, well-coordinated, and collaborative network. The integrated delivery system is a network that connects different healthcare providers to deliver organized,...
2.5K
Patient-centered Care01:13

Patient-centered Care

3.2K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
3.2K

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Restriction of PFAS use in medical devices - what next for medical device manufacturers?

Expert review of medical devices·2026
Same author

Methodologies for generating and evaluating clinical and performance evidence for high-risk and innovative medical devices and <i>in vitro</i> diagnostics: a scoping review.

Frontiers in medical technology·2026
Same author

The impact of integrating artificial intelligence into regulatory affairs functions in the Medtech industry.

Expert review of medical devices·2026
Same author

Global market and supply chain implications of the European Union medical device regulation 2017/745 as amended by 2023/607.

BMC health services research·2025
Same author

Developing safe and sustainable work activities in the industries of the future in metal additive manufacturing. A literature review of methods and proposals.

Applied ergonomics·2025
Same author

The Challenges in the Regulatory Approval of Additive-Manufactured Medical Devices: A Quantitative Survey.

Therapeutic innovation & regulatory science·2025

Related Experiment Video

Updated: Mar 8, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
14:32

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

Published on: February 16, 2011

24.9K

Lean practice implementation in French healthcare: a longitudinal case study.

Anne Zouggar Amrani1, Olivia McDermott2, Benjamin Garel3

  • 1Univeritie de Bordeaux, Bordeaux, France.

BMC Health Services Research
|March 6, 2026
PubMed
Summary

This study identifies five key drivers for successfully implementing and sustaining Lean in a French public hospital. These drivers, including leadership commitment and patient focus, are crucial for long-term Lean healthcare success.

Keywords:
Case studyInnovative organisationLean driversLean healthcareLean implementationPatient flow

More Related Videos

E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
06:28

E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy

Published on: August 1, 2019

9.3K
Project-Based Learning Guidelines for Health Sciences Students: An Analysis with Data Mining and Qualitative Techniques
13:44

Project-Based Learning Guidelines for Health Sciences Students: An Analysis with Data Mining and Qualitative Techniques

Published on: December 9, 2022

4.6K

Related Experiment Videos

Last Updated: Mar 8, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
14:32

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

Published on: February 16, 2011

24.9K
E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
06:28

E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy

Published on: August 1, 2019

9.3K
Project-Based Learning Guidelines for Health Sciences Students: An Analysis with Data Mining and Qualitative Techniques
13:44

Project-Based Learning Guidelines for Health Sciences Students: An Analysis with Data Mining and Qualitative Techniques

Published on: December 9, 2022

4.6K

Area of Science:

  • Healthcare Management
  • Operations Research
  • Public Health Policy

Background:

  • Lean management principles are increasingly adopted in healthcare settings.
  • Sustained implementation of Lean in public hospitals presents unique challenges.
  • Understanding organizational drivers is crucial for successful Lean deployment in healthcare.

Purpose of the Study:

  • To examine the introduction, implementation, and sustainability of Lean in a French public hospital.
  • To identify organizational drivers supporting a five-year Lean journey.
  • To provide guidance for hospital leaders and policymakers on Lean deployment.

Main Methods:

  • A qualitative, longitudinal single-case study was conducted over five years at "Greta Hospital".
  • Data were collected through interviews, non-participant observations, and internal documents.
  • Thematic coding and interpretation in light of Lean healthcare literature were employed.

Main Results:

  • Lean projects in various departments yielded measurable improvements in performance and management.
  • Five interdependent drivers for sustainable Lean deployment were identified: visible direction commitment, patient focus, cross-functional team and portfolio design, step-by-step conversions, and remaining close to the field.
  • Lean initiatives evolved into a more integrated system over time.

Conclusions:

  • The five identified drivers are crucial for accumulating Lean capabilities and achieving sustainable deployment in complex healthcare settings.
  • Findings offer analytically generalizable insights for structuring Lean deployment, project selection, team composition, pacing, and leadership engagement.
  • The study provides rare longitudinal, organization-wide evidence on Lean healthcare in the French context, consolidating success factors into a process-based framework.