Cited by 31Advanced Manufacturing and Logistics OptimizationHealthcare Operations and Scheduling OptimizationHealthcare Quality and Management

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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Crossref · 10.1097/qmh.0000000000000193

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Citations

Cites

Show all 39 references

Research works printed but not linked: 5

  1. Dela Vega, 2013, Planejamento de layout em unidade de saúde baseado no metodo SLP, Revista de Gestao e Operacoes, 2, 1
  2. Delon, 1970, A methodology for total hospital design, Health Serv Res, 5, 210
  3. Lin, 2009, Application of systematic layout planning to operation rooms in a hospital, Ind Eng J, 5, 111
  4. 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
  5. 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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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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