Implementare il modello Lean nelle organizzazioni sanitarie : il caso dell'ospedale Galliera

The current study aims to enhance research on Lean applied to healthcare by identifying and categorizing the organizational factors that play a relevant role in successful and sustainable Lean change initiatives within healthcare organizations. A comprehensive literature review was conducted and a case study approach was then applied. In light of the evidence collected, the implementation of Lean in a healthcare organization requires integrated and coordinated actions along seven broad categories of organizational factors: integration between improvement program and organizational strategy; engagement of staff and management commitment; change management and organizational culture; availability of resources and organizational set-up; process-driven organization; information systems; physical layout and spaces.