Literature analysis on the application of lean healthcare management in hospital pharmacy services domestically and internationally_West China Medical Journal

Authors：

CAI Yuqi ¹ ,  XIA Ping ^1,2 , LIN Dasheng ³ , ZHOU Jingrong ¹ , YANG Ziwei ¹ , ZHONG Congjie ¹ , PAN Yawen ¹ , ZHONG Ziyan ¹ , ZHANG Dongmei ^1,2 , JIN Juan ^1,2 , LIU Maoling ^1,2 , ZOU Zongfeng ^1,2 , JIE Jianwang ^1,2 , WEI Wei ^1,2

1. School of Public Health, Guangdong Pharmaceutical University, Guangzhou, Guangdong 510006, P. R. China;
2. Centre for Research on Health Economics and Health Promotion, Guangdong Pharmaceutical University, Guangzhou, Guangdong 510006, P. R. China;
3. College of Medical Information Engineering, Guangdong Pharmaceutical University, Yunfu, Guangdong 572322, P. R. China;

Corresponding?author：

XIA Ping, Email: xiaping@gdpu.edu.cn

Keywords：

Lean healthcare; pharmacy services; management

DOI：

10.7507/1002-0179.202411119

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To analyze the current application status of lean healthcare management in hospital pharmacy services domestically and internationally, and provide evidence support for optimizing pharmacy service practices. Methods The literature on the application of lean healthcare management to pharmacy services in domestic and foreign hospitals published in China National Knowledge Infrastructure, Wanfang, PubMed, SinoMed from January 1, 2006 to June 30, 2025 was systematically searched. The characteristics, application scenarios, lean tools, and implementation effects included in the literature were analyzed. Results Finally, 22 articles were included, including 7 English articles and 15 Chinese articles. The publication time of literature in domestic and foreign research showed different trends. Foreign research showed a sustained and stable number of publications, while domestic research showed an overall trend of being flat in the early stage and active in recent times. The application of lean healthcare in pharmacy services mainly involved optimizing outpatient pharmacy service processes (8 articles), managing inpatient pharmacy operations (9 articles), specialized management of ward pharmacies (2 articles), and management of intravenous medication dispensing centers (2 articles). The included literature usually used multidimensional indicators to evaluate the improvement effectiveness of lean healthcare management. In China, it focused highly on patient waiting time for medication retrieval (7 articles) and patient/medical staff satisfaction (6 articles), while in foreign countries, it mainly involved drug dispensing/turnover time. The application of drug dispensing/turnover time was relatively balanced in domestic and foreign literature (5 domestic articles and 3 foreign articles). The included literature covered 11 lean tools, with the most frequently used tools being value stream mapping. More than half of the studies used a combination of multiple tools to improve the model, with foreign applications highly concentrated on value stream maps (6 articles), and domestic tool choices being more diverse. Conclusions There are differences in the development stages and evaluation focuses of lean healthcare management research related to pharmacy services in domestic and foreign hospitals, as well as the application models of lean tools.

Citation： CAI Yuqi, XIA Ping, LIN Dasheng, ZHOU Jingrong, YANG Ziwei, ZHONG Congjie, PAN Yawen, ZHONG Ziyan, ZHANG Dongmei, JIN Juan, LIU Maoling, ZOU Zongfeng, JIE Jianwang, WEI Wei. Literature analysis on the application of lean healthcare management in hospital pharmacy services domestically and internationally. West China Medical Journal, 2026, 41(1): 84-89. doi: 10.7507/1002-0179.202411119 Copy

1.	李琳琳, 龔時薇. 我國藥學服務研究的內容與發展趨勢. 中國醫院藥學雜志, 2012, 32(2): 147-150.
2.	毛軍偉, 姚恒宇. 精細化管理在醫院服務中的探索與實踐. 現代經濟信息, 2013(5): 51.
3.	計寧. 精益六西格瑪在醫院藥品供配流程改進中的應用研究. 廣州: 南方醫科大學, 2006.
4.	Creed M, McGuirk M, Buckley R, et al. Using lean six sigma to improve controlled drug processes and release nursing time. J Nurs Care Qual, 2019, 34(3): 236-241.
5.	Kieran M, Cleary M, De Brún A, et al. Supply and demand: application of lean six sigma methods to improve drug round efficiency and release nursing time. Int J Qual Health Care, 2017, 29(6): 803-809.
6.	Nazar H, Nazar Z, Simpson J, et al. Use of a service evaluation and lean thinking transformation to redesign an NHS 111 refer to community pharmacy for emergency repeat medication supply service (PERMSS). BMJ Open, 2016, 6(8): e011269.
7.	Sullivan P, Soefje S, Reinhart D, et al. Using lean methodology to improve productivity in a hospital oncology pharmacy. Am J Health Syst Pharm, 2014, 71(17): 1491-1498.
8.	Rico RA, Jagwani JM. Application of lean methods to compounding services in hospital pharmacy. Eur J Hosp Pharm, 2013, 20(3): 168-173.
9.	Hintzen BL, Knoer SJ, Van Dyke CJ, et al. Effect of lean process improvement techniques on a university hospital inpatient pharmacy. Am J Health Syst Pharm, 2009, 66(22): 2042-2047.
10.	Al-Araidah O, Momani A, Khasawneh M, et al. Lead-time reduction utilizing lean tools applied to healthcare: the inpatient pharmacy at a local hospital. J Healthc Qual, 2010, 32(1): 59-66.
11.	寧微微, 劉方敏, 孫麗. 精益醫療管理用于中藥飲片藥房工作流程實踐. 中國藥業, 2022, 31(22): 24-28.
12.	羅芳梅, 田靜, 劉輝, 等. 10S 精益管理提升靜脈用藥調配中心服務質量的實踐與應用. 兒科藥學雜志, 2021, 27(11): 48-51.
13.	金嵐, 王一平. 醫院藥房精益管理的實施方法與效果評價. 中醫藥管理雜志, 2019, 27(7): 88-89.
14.	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.
15.	吳玉秀. 門診藥房藥事管理精益化對優化藥房工作流程及降低藥患糾紛率的影響. 中國處方藥, 2019, 17(8): 50-51.
16.	林麗娜, 汪立梅, 姜明宇. 精益管理用于靜脈用藥集中調配中心藥品配置效果評價. 中國藥業, 2018, 27(16): 87-89.
17.	彭婕, 王甲, 王一茹, 等. 精益 6σ原理在住院藥房滿意度管理中的應用研究. 中國現代應用藥學, 2017, 34(3): 465-468.
18.	韋美丹, 馮煥村, 曾振, 等. 運用精益管理減少住院藥房調劑差錯. 現代醫學, 2015, 43(2): 200-203.
19.	趙震華. 精益管理模式在醫院藥房管理中的應用分析. 山西醫藥雜志, 2014, 43(24): 2950-2952.
20.	楊西曉, 劉世霆, 侯連兵, 等. 用精益管理理論改造藥房服務流程. 中國藥房, 2009, 20(7): 515-516.
21.	陽巧鳳, 畢婷婷, 趙晶晶, 等. PDCA 循環管理對優化住院藥房自動分包機藥品管理的效果觀察. 國際醫藥衛生導報, 2021, 27(13): 2047-2049.
22.	王倩, 趙翠榮, 張桂芳. PDCA 循環在降低本院住院藥房藥品調劑差錯中的應用. 國際醫藥衛生導報, 2017, 23(9): 1466-1468, 封 3.
23.	包華健, 何靜, 駱松梅. 基于 PDCA 循環法優化病區藥房手擺藥品管理. 中國藥物與臨床, 2024, 24(15): 995-999.
24.	劉世霆, 楊西曉, 晏媛, 等. 精益管理在門診及住院藥房中的應用. 中華醫院管理雜志, 2008, 24(5): 298-299.
25.	丁蔚, 蔣曉梅, 駱松梅, 等. PDCA 循環法降低病區藥房針劑破損率的應用效果. 中國藥物與臨床, 2025, 25(5): 337-340, 后插 2, 封 3.
26.	周婧榮, 夏萍, 林達生, 等. 精益醫療管理在國外手術室優化服務的研究. 華西醫學, 2024, 39(12): 1860-1866.
27.	李梅英, 夏萍, 翟理祥, 等. 公立醫院患者滿意度管理現狀調查. 華西醫學, 2025, 40(4): 583-587.
28.	陳慧慧, 王日相, 陳東鑫, 等. 基于精益管理理論對門診自動化藥房精細化管理的實踐. 中醫藥管理雜志, 2025, 33(18): 193-195.
29.	郭海嬿, 普燕芳, 秦宏花, 等. 藥學服務主要評價模型的應用與評價. 中國醫院藥學雜志, 2025, 45(23): 2758-2767.

1. 李琳琳, 龔時薇. 我國藥學服務研究的內容與發展趨勢. 中國醫院藥學雜志, 2012, 32(2): 147-150.
2. 毛軍偉, 姚恒宇. 精細化管理在醫院服務中的探索與實踐. 現代經濟信息, 2013(5): 51.
3. 計寧. 精益六西格瑪在醫院藥品供配流程改進中的應用研究. 廣州: 南方醫科大學, 2006.
4. Creed M, McGuirk M, Buckley R, et al. Using lean six sigma to improve controlled drug processes and release nursing time. J Nurs Care Qual, 2019, 34(3): 236-241.
5. Kieran M, Cleary M, De Brún A, et al. Supply and demand: application of lean six sigma methods to improve drug round efficiency and release nursing time. Int J Qual Health Care, 2017, 29(6): 803-809.
6. Nazar H, Nazar Z, Simpson J, et al. Use of a service evaluation and lean thinking transformation to redesign an NHS 111 refer to community pharmacy for emergency repeat medication supply service (PERMSS). BMJ Open, 2016, 6(8): e011269.
7. Sullivan P, Soefje S, Reinhart D, et al. Using lean methodology to improve productivity in a hospital oncology pharmacy. Am J Health Syst Pharm, 2014, 71(17): 1491-1498.
8. Rico RA, Jagwani JM. Application of lean methods to compounding services in hospital pharmacy. Eur J Hosp Pharm, 2013, 20(3): 168-173.
9. Hintzen BL, Knoer SJ, Van Dyke CJ, et al. Effect of lean process improvement techniques on a university hospital inpatient pharmacy. Am J Health Syst Pharm, 2009, 66(22): 2042-2047.
10. Al-Araidah O, Momani A, Khasawneh M, et al. Lead-time reduction utilizing lean tools applied to healthcare: the inpatient pharmacy at a local hospital. J Healthc Qual, 2010, 32(1): 59-66.
11. 寧微微, 劉方敏, 孫麗. 精益醫療管理用于中藥飲片藥房工作流程實踐. 中國藥業, 2022, 31(22): 24-28.
12. 羅芳梅, 田靜, 劉輝, 等. 10S 精益管理提升靜脈用藥調配中心服務質量的實踐與應用. 兒科藥學雜志, 2021, 27(11): 48-51.
13. 金嵐, 王一平. 醫院藥房精益管理的實施方法與效果評價. 中醫藥管理雜志, 2019, 27(7): 88-89.
14. 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.
15. 吳玉秀. 門診藥房藥事管理精益化對優化藥房工作流程及降低藥患糾紛率的影響. 中國處方藥, 2019, 17(8): 50-51.
16. 林麗娜, 汪立梅, 姜明宇. 精益管理用于靜脈用藥集中調配中心藥品配置效果評價. 中國藥業, 2018, 27(16): 87-89.
17. 彭婕, 王甲, 王一茹, 等. 精益 6σ原理在住院藥房滿意度管理中的應用研究. 中國現代應用藥學, 2017, 34(3): 465-468.
18. 韋美丹, 馮煥村, 曾振, 等. 運用精益管理減少住院藥房調劑差錯. 現代醫學, 2015, 43(2): 200-203.
19. 趙震華. 精益管理模式在醫院藥房管理中的應用分析. 山西醫藥雜志, 2014, 43(24): 2950-2952.
20. 楊西曉, 劉世霆, 侯連兵, 等. 用精益管理理論改造藥房服務流程. 中國藥房, 2009, 20(7): 515-516.
21. 陽巧鳳, 畢婷婷, 趙晶晶, 等. PDCA 循環管理對優化住院藥房自動分包機藥品管理的效果觀察. 國際醫藥衛生導報, 2021, 27(13): 2047-2049.
22. 王倩, 趙翠榮, 張桂芳. PDCA 循環在降低本院住院藥房藥品調劑差錯中的應用. 國際醫藥衛生導報, 2017, 23(9): 1466-1468, 封 3.
23. 包華健, 何靜, 駱松梅. 基于 PDCA 循環法優化病區藥房手擺藥品管理. 中國藥物與臨床, 2024, 24(15): 995-999.
24. 劉世霆, 楊西曉, 晏媛, 等. 精益管理在門診及住院藥房中的應用. 中華醫院管理雜志, 2008, 24(5): 298-299.
25. 丁蔚, 蔣曉梅, 駱松梅, 等. PDCA 循環法降低病區藥房針劑破損率的應用效果. 中國藥物與臨床, 2025, 25(5): 337-340, 后插 2, 封 3.
26. 周婧榮, 夏萍, 林達生, 等. 精益醫療管理在國外手術室優化服務的研究. 華西醫學, 2024, 39(12): 1860-1866.
27. 李梅英, 夏萍, 翟理祥, 等. 公立醫院患者滿意度管理現狀調查. 華西醫學, 2025, 40(4): 583-587.
28. 陳慧慧, 王日相, 陳東鑫, 等. 基于精益管理理論對門診自動化藥房精細化管理的實踐. 中醫藥管理雜志, 2025, 33(18): 193-195.
29. 郭海嬿, 普燕芳, 秦宏花, 等. 藥學服務主要評價模型的應用與評價. 中國醫院藥學雜志, 2025, 45(23): 2758-2767.

West China Medical Journal

Literature analysis on the application of lean healthcare management in hospital pharmacy services domestically and internationally

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content