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

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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, 湯姆·舒凱爾, 博·基特, 等. 精益醫療實踐: 用價值流創建患者期待的服務體驗. 酈宏, 趙自閑, 徐遠航, 譯. 北京: 機械工業出版社, 2014: 172.
2.	馬克·格雷班. 精益醫院. 張國萍, 王澤瑤, 譯. 北京: 機械工業出版社, 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. 面向精益醫院管理的價值流分析方法. 工業工程與管理, 2018, 23(2): 53-58, 67.
6.	季孟忠, 董芬, 謝勇, 等. 基于離散系統仿真和價值流圖析法的婦幼保健院就診流程分析. 北京生物醫學工程, 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.	朱瑤. 價值流程圖在縮短CRRT上機準備時間中的應用. 全科護理, 2019, 17(16): 2012-2014.
16.	張瑋, 葛敏, 陳毅芳, 等. 基于精益管理理論的出院帶藥流程再造實踐與體會. 中國現代應用藥學, 2019, 36(12): 1569-1573.
17.	周玨, 耿慧楓, 陳薇. 價值流程圖在優化剖宮產巡回護理流程中的應用效果研究. 護理管理雜志, 2017, 17(10): 749-752.
18.	柯蘭蘭, 陳偉飛, 洪盧曉. 利用價值流圖提升辦理入院手續患者滿意度的實踐. 醫院管理論壇, 2017, 34(12): 15-18.
19.	李艷華, 李萍. 精益理論在優化單病種冠狀動脈旁路移植術住院流程中的應用研究. 重慶醫學, 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, 湯姆·舒凱爾, 博·基特, 等. 精益醫療實踐: 用價值流創建患者期待的服務體驗. 酈宏, 趙自閑, 徐遠航, 譯. 北京: 機械工業出版社, 2014: 172.
2. 馬克·格雷班. 精益醫院. 張國萍, 王澤瑤, 譯. 北京: 機械工業出版社, 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. 面向精益醫院管理的價值流分析方法. 工業工程與管理, 2018, 23(2): 53-58, 67.
6. 季孟忠, 董芬, 謝勇, 等. 基于離散系統仿真和價值流圖析法的婦幼保健院就診流程分析. 北京生物醫學工程, 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. 朱瑤. 價值流程圖在縮短CRRT上機準備時間中的應用. 全科護理, 2019, 17(16): 2012-2014.
16. 張瑋, 葛敏, 陳毅芳, 等. 基于精益管理理論的出院帶藥流程再造實踐與體會. 中國現代應用藥學, 2019, 36(12): 1569-1573.
17. 周玨, 耿慧楓, 陳薇. 價值流程圖在優化剖宮產巡回護理流程中的應用效果研究. 護理管理雜志, 2017, 17(10): 749-752.
18. 柯蘭蘭, 陳偉飛, 洪盧曉. 利用價值流圖提升辦理入院手續患者滿意度的實踐. 醫院管理論壇, 2017, 34(12): 15-18.
19. 李艷華, 李萍. 精益理論在優化單病種冠狀動脈旁路移植術住院流程中的應用研究. 重慶醫學, 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

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