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Related Experiment Video

Updated: Mar 21, 2026

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
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Improving Emergency Department Staff Satisfaction Through Lean Thinking: Evidence From a Mixed Study.

Andrea Pastor-Puigdomènech1,2, Miquel Sánchez1,3, Cristina Font-Cabrera2,4,5

  • 1Emergency Department, Clínic University Hospital, Barcelona, Catalonia, Spain.

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|March 20, 2026
PubMed
Summary

Lean Thinking implementation in emergency departments improved staff job satisfaction, particularly in work monotony and setting. This methodology fosters structured work and better communication, supporting its continuation.

Keywords:
Lean Thinkingemergency departmenthealthcare managementjob satisfactionmixed methodsquality improvement

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Area of Science:

  • Healthcare Management
  • Process Improvement
  • Occupational Health

Background:

  • Lean Thinking, a methodology from the automotive sector, is increasingly adopted in healthcare to optimize processes and enhance patient care.
  • Staff perceptions and engagement are critical for the successful integration of Lean Thinking in healthcare settings.

Purpose of the Study:

  • To evaluate changes in job satisfaction among emergency department staff post-Lean Thinking implementation.
  • To explore staff experiences with Lean Thinking and identify factors influencing job satisfaction.

Main Methods:

  • A mixed-methods pre-post study design was employed.
  • The Font-Roja job satisfaction questionnaire was administered before and one year after Lean Thinking implementation.
  • Semistructured interviews were conducted with emergency department staff to gather qualitative data.

Main Results:

  • Overall job satisfaction significantly increased (p = 0.029), with notable improvements in job monotony (p = 0.038) and the physical work setting (p = 0.007).
  • Qualitative findings indicated enhanced organization, teamwork, and a more methodical workflow, alongside adaptation challenges and concerns about potential dehumanization.

Conclusions:

  • Lean Thinking positively impacted job satisfaction in the emergency department by promoting structured work and interprofessional communication.
  • Emergency department professionals supported the continued use of Lean Thinking and emphasized the need for ongoing follow-up and improvement initiatives.