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A mixed model study evaluating lean in the transformation of an orthopaedic radiology service

Martin, A, Hogg, P and Mackay, S 2013, 'A mixed model study evaluating lean in the transformation of an orthopaedic radiology service' , Radiography, 19 (1) , pp. 2-6.

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Abstract

Objective: The purpose of the study was to explore the proposition that lean is an effective methodology for service improvement within healthcare by using it to evaluate and implement change in a poor service. Design: A mixed model approach was used with data being collected before and after change. Setting: The orthopaedic radiology out-patient pathway in a large district general hospital was receiving increasing numbers of complaints with long waiting times and poor levels of satisfaction amongst patients and staff. Participants: Data were collected in the form of qualitative and quantitative data taken from questionnaires completed by staff and patients, and quantitative data extracted from the Radiology Information System. A proportionate stratified random sampling method was used to collect data from the patients and a theoretical sample was used for the staff. Intervention: The pre-implementation data was collected during a lean event in which a value stream map of the pathway was created. From this information, changes were planned and implemented, before collecting the post-implementation data using the same methods. Main outcome measures: The aims of the study were to compare pre-implementation and postimplementation data related to patient journey time, patient experience and staff and patient satisfaction. The quantitative data were analysed using Levene’s test for equality of variance and a 2-sample ttest to test for comparison of the means. Descriptive statistics were used to analyse data collected from the polar and the selected response questions from the questionnaires, whilst thematic analysis was used to analyse the qualitative data. Results: Results demonstrated that the new service offered a better quality of patient experience with higher levels of staff satisfaction whilst enabling an improvement in productivity. Conclusions: The author proposes that these findings support the proposition that lean is an effective methodology for service improvement within a healthcare setting.

Item Type: Article
Themes: Health and Wellbeing
Schools: Schools > School of Health Sciences > Centre for Health Sciences Research
Schools > School of Health Sciences
Journal or Publication Title: Radiography
Publisher: Elsevier
Refereed: Yes
ISSN: 1078-8174
Related URLs:
Funders: Non funded research
Depositing User: P Hogg
Date Deposited: 08 Oct 2013 10:51
Last Modified: 30 Nov 2015 23:43
URI: http://usir.salford.ac.uk/id/eprint/29528

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