Skip to main navigation menu Skip to main content Skip to site footer

Materiali per la ricerca e l'approfondimento

No. 122 (2022)

Implementation of the Lean methodology for the optimization of Covid-19 testing points: the experience of Piove di Sacco

DOI
https://doi.org/10.3280/mesa2022-122oa14621
Submitted
settembre 19, 2022
Published
2022-12-15

Abstract

During the outbreak of SARS-CoV-2 the need to optimize the operations inside the Italian NHS has rapidly grown. This issue was particularly significant for the management of swab testing hubs.
Some tools from the Lean methodology toolbox has been implemented in a Veneto region’s swab testing hub to map the process, collect data and define effective actions for user flow improvement. Users’ average transit time has been reduced by 73% for molecular tests and by 42% for antigen tests. In addition, errors during the check-in have been zeroed and staff satisfaction level has been increased.
The importance to meet challenges with agility, the effectiveness of an iterative approach and the relevance of the cross collaboration are the main learnings of this experience.

References

  1. Epicentro.ISS (2020). Le nuove sfide nella gestione del COVID-19: l’esperienza dei Servizi di prevenzione. -- Text available at the website: https://www.epicentro.iss.it/coronavirus/sars-cov-2-esperienza-servizi-prevenzione.
  2. Iannone R., Rosa A. (2021). Lean Organization in sanità: valore e prospettive di un approccio innovativo. -- Text available at the website: https://www.pphc.it/lean-organization-in-sanita/.
  3. Mahmoud Z., Angelé-Halgand N., Churruca K., Ellis L.A., Braithwaite J. (2021). The impact of lean management on frontline healthcare professionals: a scoping review of the literature. BMC Health Serv Res., Apr 26, 21(1): 383. DOI: 10.1186/s12913-021-06344-0.
  4. Marsilio M., Prenestini A. (2020b). Operations in tempo di crisi: le 10 lezioni apprese dalle Aziende sanitarie. -- Text available at the website: https://www.sanita24.ilsole24ore.com/art/aziende-e-regioni/2020-05-20/coronavirusoperations-tempo-crisi-10-lezioni-apprese-aziende-sanitarie-101009.php?uuid=ADIsppR.
  5. Marsilio M., Pisarra M. (2021). Lean management in health care: a review of reviews of socio-technical components for effective impact. J Health Organ Manag., 35(4): 475-491.
  6. Marsilio M., Rosa A. (2020a). Il lean e value based management. Modelli e strumenti per la creazione di valore nelle aziende sanitarie. Milano: FrancoAngeli.
  7. Prado-Prado J.C., García-Arca J., Fernández-González A.J., Mosteiro-Añón M. (2020). Increasing Competitiveness through the Implementation of Lean Management in Healthcare. Int J Environ Res Public Health., Jul 10, 17(14): 4981. DOI: 10.3390/ijerph17144981.
  8. Rotter T., Plishka C., Lawal A., Harrison L., Sari N., Goodridge D., Flynn R., Chan J., Fiander M., Poksinska B., Willoughby K., Kinsman L. (2019). What Is Lean Management in Health Care? Development of an Operational Definition for a Cochrane Systematic Review. Eval Health Prof., Sep, 42(3): 366-390. DOI: 10.1177/0163278718756992.
  9. Sankoff J., Taub J., Mintzer D. (2013). Accomplishing much in a short time: use of a rapid improvement event to redesign the assessment and treatment of patients with alcohol withdrawal. Am J Med Qual., Mar-Apr, 28(2): 95-102. DOI: 10.1177/1062860612448679.
  10. Tlapa D., Zepeda-Lugo C.A., Tortorella G.L., Baez-Lopez Y.A., Limon-Romero J., Alvarado-Iniesta A., Rodriguez-Borbon M.I. (2020), Effects of Lean Healthcare on Patient Flow: A Systematic Review. Value Health., Feb, 23(2): 260-273. DOI: 10.1016/j.jval.2019.11.002.
  11. Ughi N., Bernasconi DP., Del Gaudio F., Dicuonzo A., Maloberti A., Giannattasio C., Tarsia P., Puoti M., Scaglione F., Beltrami L., Colombo F., Bertuzzi M., Bellone A., Adinolfi A., Valsecchi MG., Epis OM., Rossetti C., Niguarda COVID Working Group (2022). Trends in all-cause mortality of hospitalized patients due to SARS-CoV-2 infection from a monocentric cohort in Milan (Lombardy, Italy). Z Gesundh Wiss., Jan 4:1-9. DOI: 10.1007/s10389-021-01675-y. Epub ahead of print.
  12. Womack J.P., Jones DT. (1997). Lean Thinking. Come creare valore e bandire gli sprechi. Milano: Guerini Next.

Metrics

Metrics Loading ...