The DOI matches its Crossref record; 39 of the 39 references it cites were found in a registry or an index.
Lean-Oriented Layout Design of a Health Care Facility
Abstract
Background: In this article, we propose a method that integrates systematic layout planning techniques to lean health care practices aided by multicriteria decision analysis that could be applied to reformulate the layout of health care facilities. Methods: We analyze a high-variety sterilization unit of a large public hospital located in Brazil. The unit is currently implementing lean practices, and layout changes are required to provide more efficient materials and information flows. Results: Traditional design of health care facilities is not aligned with lean implementation and its underlying practices and principles. We propose the integration of such approaches to enhance their benefits. To rank and select the best layout alternative, a multicriteria decision analysis method (analytic hierarchy process) is adopted. Conclusions: There are 3 contributions here: the integration of lean principles into traditional health care facility design practices, the use of multicriteria decision analysis to refine the determination of the best layout solution, and the application of our propositions in a real case study.
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“From an organizational point of view, tools help to change healthcare service flows and, as an effect of this, for example, one can obtain a “decrease in length of stay and lead time”, “increased productivity”, “reduction of errors” and time “increased in the time allocated for assistance” [20,21,32,50,51,56].”
From Lean Healthcare Tools for Processes Evaluation: An Integrative Review. (2021) · cites this paper as [20]
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“four (12.1%) did not clearly describe the place of study [20,21,22,23]”
From Lean Healthcare Tools for Processes Evaluation: An Integrative Review. (2021) · cites this paper as [20]
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Cites
Financing of global health: tracking development assistance for health from 1990 to 2007
Ravishankar, N., Gubbins, P., Cooley, R. J., Leach‐Kemon, K., Michaud, C. M., Jamison, D. T. T., & Murray, C. J. L. (2009) · The Lancet · doi:10.1016/s0140-6736(09)60881-3 · Cited by 558
Human resources for health and universal health coverage: fostering equity and effective coverage
Campbell, J., Buchan, J., Cometto, G., David, B., Dussault, G., Fogstad, H., Fronteira, I., Lozano, R., Nyonator, F. K., Pablos-Méndez, A., et al. (2013) · Bulletin of the World Health Organization · doi:10.2471/blt.13.118729 · Cited by 355
Hospital Layout as a Quadratic Assignment Problem
Elshafei, A. N. (1977) · Journal of the Operational Research Society · doi:10.1057/jors.1977.29 · Cited by 277
Automated facilities layout: past, present and future
Liggett, R. S. (2000) · Automation in Construction · doi:10.1016/s0926-5805(99)00005-9 · Cited by 188
Applying lean principles to the design of healthcare facilities
Hicks, C., McGovern, T., Prior, G., & Smith, I. M. (2015) · International Journal of Production Economics · doi:10.1016/j.ijpe.2015.05.029 · Cited by 183
The legitimacy of rank reversal
Saaty, T. L., & Vargas, L. G. (1984) · Omega · doi:10.1016/0305-0483(84)90052-5 · Cited by 175
Lean healthcare in developing countries: Evidence from Brazilian hospitals
Costa, L. B. M., Filho, M. G., Rentes, A. F., Bertani, T. M., & Mardegan, R. (2017) · The International Journal of Health Planning and Management · doi:10.1002/hpm.2331 · Cited by 150
Bringing Robustness to Patient Flow Management Through Optimized Patient Transports in Hospitals
Hanne, T., Melo, T., & Nickel, S. (2009) · INFORMS Journal on Applied Analytics · doi:10.1287/inte.1080.0379 · Cited by 131
Stummer, C., Doerner, K. F., Focke, A., & Heidenberger, K. (2003) · Health Care Management Science · doi:10.1023/b:hcms.0000005399.23600.69 · Cited by 111
Lin, Q., Liu, H., Wang, D.-J., & Liu, L. (2013) · Journal of Intelligent Manufacturing · doi:10.1007/s10845-013-0764-8 · Cited by 100
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Research works printed but not linked: 5
- Dela Vega, 2013, Planejamento de layout em unidade de saúde baseado no metodo SLP, Revista de Gestao e Operacoes, 2, 1
- Delon, 1970, A methodology for total hospital design, Health Serv Res, 5, 210
- Lin, 2009, Application of systematic layout planning to operation rooms in a hospital, Ind Eng J, 5, 111
- Motaghi, 2011, Optimization of hospital layout through the application of heuristic technique (diamond algorithm) in Shafa Hospital (2009), Int J Manag Bus Res, 1, 133
- Tortorella, 2016, Making the value flow: application of value stream mapping in a Brazilian public healthcare organization, Total Qual Manag Bus Excell, 27, 1
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Facility layout planning. An extended literature review
Pérez-Gosende, P., Mula, J., & Díaz‐Madroñero, M. (2021) · International Journal of Production Research · doi:10.1080/00207543.2021.1897176 · Cited by 246
Lean Healthcare Tools for Processes Evaluation: An Integrative Review.
de Barros, L. B., Bassi, L. D. C., Caldas, L. P., Sarantopoulos, A., Zeferino, E. B. B., Minatogawa, V., & Gasparino, R. C. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18147389 · Cited by 90
Operating Room Performance Optimization Metrics: a Systematic Review
Schouten, A. M., Flipse, S. M., van Nieuwenhuizen, K. E., Jansen, F. W., van der Eijk, A. C., & van den Dobbelsteen, J. J. (2023) · Journal of Medical Systems · doi:10.1007/s10916-023-01912-9 · Cited by 67
Tortorella, G. L., Fogliatto, F. S., Vijaya Sunder, M., Vergara, A., & Vassolo, R. S. (2021) · International Journal of Production Research · doi:10.1080/00207543.2021.1912429 · Cited by 59
Self-citationTlapa, D. A., Tortorella, G., Fogliatto, F., Kumar, M., Cawley, A. M. M., Vassolo, R., Enberg, L., & Baez-López, Y. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19159018 · Cited by 46
Self-citation
Metadata
- Authors
- Fogliatto, F. S., Tortorella, G. L., Anzanello, M. J., & Tonetto, L. M.
- Affiliations
- Universidade Federal do Rio Grande do Sul (BR)
- Corresponding author
- Fogliatto, Flavio S.
- Venue
- Quality Management in Health Care
- Published
- 2019-01
- Volume
- 28
- Issue
- 1
- Pages
- 25-32
- ISSN
- 1063-8628 (ISSN-L)
- OpenAlex
- W2969526463
- Cited by
- 28
- References
- 39
- Citations by year
- 2026: 3 · 2025: 3 · 2024: 6 · 2023: 1 · 2022: 7 · 2021: 7 · 2020: 1
- FWCI
- 2.77
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Quality Management in Health Care (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Physical Sciences › Engineering › Industrial and Manufacturing Engineering › Advanced Manufacturing and Logistics Optimization
- Social Sciences › Decision Sciences › Management Science and Operations Research › Healthcare Operations and Scheduling Optimization
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Healthcare Quality and Management
- Keywords
- systematic layout planning, multi-criteria decision making, analytic hierarchy process, hospital architecture, material and information flows, layout selection
- MeSH terms
- Brazil, Central Supply, Hospital, Facility Design and Construction, Hospitals, University, Sterilization, Total Quality Management
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