Literature analysis of the application of value stream mapping in improving medical services_West China Medical Journal

Authors：

LU Yanxi ¹ ,  ZHAI Lixiang ² ,  XIA Ping ^3,4

1. School of Public Health and Management, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong 510006, P. R. China;
2. The Second Affiliated Hospital of Guangzhou University of Chinese Medicine / Guangdong Provincial Hospital of Chinese Medicine, Guangzhou, Guangdong 510120, P. R. China;
3. Patient Service Centre, the Second Affiliated Hospital of Guangzhou University of Chinese Medicine / Guangdong Provincial Hospital of Chinese Medicine, Guangzhou, Guangdong 510120, P. R. China;
4. Department of Hospital Management, School of Public Health and Management, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong 510006, P. R. China;

Corresponding author：

ZHAI Lixiang, Email: zhai3071@qq.com; XIA Ping, Email: xiaping1976@163.com

Keywords：

Value stream mapping; Lean healthcare; Health care service

DOI：

10.7507/1002-0179.202008271

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To analyze the application status and existing problems of value stream mapping (VSM) in improving medical services at home and abroad, so as to provide decision evidence for hospitals to apply VSM to improve medical services.Methods Using “value stream mapping” and “value stream” as search terms, we searched PubMed, Embase, China National Knowledge Infrastructure, CQVIP Journal Database and Wanfang Database (2009-2019), and collected relevant literature on the application of VSM to improve medical services at home and abroad. We conducted bibliometric analysis after confirming the literature according to the inclusion criteria. The standardization of application of VSM was also evaluated.Results Of the 299 articles retrieved, 13 studies fulfilled the inclusion criteria. The publication time of the literature was distributed between 2013 and 2019. Of the 8 foreign articles included, the regions to which the first author belonged were 4 in the United States, 1 in Ireland, Norway, Lebanon and Indonesia respectively. Of the 5 included domestic articles, the regions to which the first author belonged were 2 in Zhejiang and Shanghai respectively, and 1 in Guangdong. Of the foreign literature, 5 articles did not clearly state the sample size observed when drawing VSM, 5 articles incomplete drawing elements of VSM, and 3 articles did not show VSM. Of the domestic literature, 2 articles did not clearly state the sample size observed when drawing VSM, 3 articles had incomplete drawing elements of VSM, and 1 article did not show VSM.Conclusions VSM is relatively more used in high-income and upper-middle income countries. The medical service improvement issues for which VSM is applied are relatively single. The standardization of the application of VSM in domestic and foreign literature needs to be improved overall.

Citation： LU Yanxi, ZHAI Lixiang, XIA Ping. Literature analysis of the application of value stream mapping in improving medical services. West China Medical Journal, 2020, 35(12): 1456-1461. doi: 10.7507/1002-0179.202008271 Copy

1.	朱迪·沃思, 汤姆·舒凯尔, 博·基特, 等. 精益医疗实践: 用价值流创建患者期待的服务体验. 郦宏, 赵自闲, 徐远航, 译. 北京: 机械工业出版社, 2014: 172.
2.	马克·格雷班. 精益医院. 张国萍, 王泽瑶, 译. 北京: 机械工业出版社, 2017: 65.
3.	Gellad ZF, Day TE. What is value stream mapping, and how can it help my practice?. Am J Gastroenterol, 2016, 111(4): 447-448.
4.	Pilar IV, Julio JG, Marin-Garcia JA, et al. Value stream mapping on healthcare. (2015-10-23)[2020-08-28]. https://www.researchgate.net/publication/304291405_Value_stream_mapping_on_healthcare.
5.	程博宇, 江志斌, 耿娜, 等. 面向精益医院管理的价值流分析方法. 工业工程与管理, 2018, 23(2): 53-58, 67.
6.	季孟忠, 董芬, 谢勇, 等. 基于离散系统仿真和价值流图析法的妇幼保健院就诊流程分析. 北京生物医学工程, 2019, 38(3): 290-297.
7.	Jajja MR, Maxwell D, Hashmi SS, et al. Standardization of operative technique in minimally invasive right hepatectomy: improving cost-value relationship through value stream mapping in hepatobiliary surgery. HPB (Oxford), 2019, 21(5): 566-573.
8.	Hynes JP, Murray AS, Murray OM, et al. Use of Lean six sigma methodology shows reduction of inpatient waiting time for peripherally inserted central catheter placement. Clin Radiol, 2019, 74(9): 733. e5-733. e9.
9.	Cerfolio RJ, Ferrari-Light D, Ren-Fielding C, et al. Improving operating room turnover time in a New York city academic hospital via lean. Ann Thorac Surg, 2019, 107(4): 1011-1016.
10.	Ankrum AL, Neogi S, Morckel MA, et al. Reduced isolation room turnover time using Lean methodology. Infect Control Hosp Epidemiol, 2019, 40(10): 1151-1156.
11.	Johannessen KA, Alexandersen N. Improving accessibility for outpatients in specialist clinics: reducing long waiting times and waiting lists with a simple analytic approach. BMC Health Serv Res, 2018, 18(1): 827.
12.	Hitti EA, El-Eid GR, Tamim H, et al. Improving emergency department radiology transportation time: a successful implementation of lean methodology. BMC Health Serv Res, 2017, 17(1): 625.
13.	Duska LR, Mueller J, Lothamer H, et al. Lean methodology improves efficiency in outpatient academic gynecologic oncology clinics. Gynecol Oncol, 2015, 138(3): 707-711.
14.	Jonny J, Nasution J. Quality service analysis and improvement of pharmacy unit of XYZ hospital using value stream analysis methodology. (2013-02-17)[2020-08-28]. https://www.researchgate.net/publication/258805730_Quality_Service_Analysis_and_Improvement_of_Pharmacy_Unit_of_XYZ_Hospital_Using_Value_Stream_Analysis_Methodology.
15.	朱瑶. 价值流程图在缩短CRRT上机准备时间中的应用. 全科护理, 2019, 17(16): 2012-2014.
16.	张玮, 葛敏, 陈毅芳, 等. 基于精益管理理论的出院带药流程再造实践与体会. 中国现代应用药学, 2019, 36(12): 1569-1573.
17.	周珏, 耿慧枫, 陈薇. 价值流程图在优化剖宫产巡回护理流程中的应用效果研究. 护理管理杂志, 2017, 17(10): 749-752.
18.	柯兰兰, 陈伟飞, 洪卢晓. 利用价值流图提升办理入院手续患者满意度的实践. 医院管理论坛, 2017, 34(12): 15-18.
19.	李艳华, 李萍. 精益理论在优化单病种冠状动脉旁路移植术住院流程中的应用研究. 重庆医学, 2015(16): 2285-2287.
20.	Nowak M, Pfaff H, Karbach U. Does value stream mapping affect the structure, process, and outcome quality in care facilities?A systematic review. Syst Rev, 2017, 6(1): 170.
21.	Isfahani HM, Tourani S, Seyedin H. Lean management approach in hospitals: a systematic review. Int J Lean Six Sig, 2018, 10(2): 1-29.

1. 朱迪·沃思, 汤姆·舒凯尔, 博·基特, 等. 精益医疗实践: 用价值流创建患者期待的服务体验. 郦宏, 赵自闲, 徐远航, 译. 北京: 机械工业出版社, 2014: 172.
2. 马克·格雷班. 精益医院. 张国萍, 王泽瑶, 译. 北京: 机械工业出版社, 2017: 65.
3. Gellad ZF, Day TE. What is value stream mapping, and how can it help my practice?. Am J Gastroenterol, 2016, 111(4): 447-448.
4. Pilar IV, Julio JG, Marin-Garcia JA, et al. Value stream mapping on healthcare. (2015-10-23)[2020-08-28]. https://www.researchgate.net/publication/304291405_Value_stream_mapping_on_healthcare.
5. 程博宇, 江志斌, 耿娜, 等. 面向精益医院管理的价值流分析方法. 工业工程与管理, 2018, 23(2): 53-58, 67.
6. 季孟忠, 董芬, 谢勇, 等. 基于离散系统仿真和价值流图析法的妇幼保健院就诊流程分析. 北京生物医学工程, 2019, 38(3): 290-297.
7. Jajja MR, Maxwell D, Hashmi SS, et al. Standardization of operative technique in minimally invasive right hepatectomy: improving cost-value relationship through value stream mapping in hepatobiliary surgery. HPB (Oxford), 2019, 21(5): 566-573.
8. Hynes JP, Murray AS, Murray OM, et al. Use of Lean six sigma methodology shows reduction of inpatient waiting time for peripherally inserted central catheter placement. Clin Radiol, 2019, 74(9): 733. e5-733. e9.
9. Cerfolio RJ, Ferrari-Light D, Ren-Fielding C, et al. Improving operating room turnover time in a New York city academic hospital via lean. Ann Thorac Surg, 2019, 107(4): 1011-1016.
10. Ankrum AL, Neogi S, Morckel MA, et al. Reduced isolation room turnover time using Lean methodology. Infect Control Hosp Epidemiol, 2019, 40(10): 1151-1156.
11. Johannessen KA, Alexandersen N. Improving accessibility for outpatients in specialist clinics: reducing long waiting times and waiting lists with a simple analytic approach. BMC Health Serv Res, 2018, 18(1): 827.
12. Hitti EA, El-Eid GR, Tamim H, et al. Improving emergency department radiology transportation time: a successful implementation of lean methodology. BMC Health Serv Res, 2017, 17(1): 625.
13. Duska LR, Mueller J, Lothamer H, et al. Lean methodology improves efficiency in outpatient academic gynecologic oncology clinics. Gynecol Oncol, 2015, 138(3): 707-711.
14. Jonny J, Nasution J. Quality service analysis and improvement of pharmacy unit of XYZ hospital using value stream analysis methodology. (2013-02-17)[2020-08-28]. https://www.researchgate.net/publication/258805730_Quality_Service_Analysis_and_Improvement_of_Pharmacy_Unit_of_XYZ_Hospital_Using_Value_Stream_Analysis_Methodology.
15. 朱瑶. 价值流程图在缩短CRRT上机准备时间中的应用. 全科护理, 2019, 17(16): 2012-2014.
16. 张玮, 葛敏, 陈毅芳, 等. 基于精益管理理论的出院带药流程再造实践与体会. 中国现代应用药学, 2019, 36(12): 1569-1573.
17. 周珏, 耿慧枫, 陈薇. 价值流程图在优化剖宫产巡回护理流程中的应用效果研究. 护理管理杂志, 2017, 17(10): 749-752.
18. 柯兰兰, 陈伟飞, 洪卢晓. 利用价值流图提升办理入院手续患者满意度的实践. 医院管理论坛, 2017, 34(12): 15-18.
19. 李艳华, 李萍. 精益理论在优化单病种冠状动脉旁路移植术住院流程中的应用研究. 重庆医学, 2015(16): 2285-2287.
20. Nowak M, Pfaff H, Karbach U. Does value stream mapping affect the structure, process, and outcome quality in care facilities?A systematic review. Syst Rev, 2017, 6(1): 170.
21. Isfahani HM, Tourani S, Seyedin H. Lean management approach in hospitals: a systematic review. Int J Lean Six Sig, 2018, 10(2): 1-29.

West China Medical Journal

Literature analysis of the application of value stream mapping in improving medical services

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content