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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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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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