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Comparative study: TQ and Lean Production ownership models in health services
Open accessAbstract
Objective: compare the application of Total Quality (TQ) models used in processes of a health service, cases of lean healthcare and literature from another institution that has also applied this model.Method: this is a qualitative research that was conducted through a descriptive case study.Results:through critical analysis of the institutions studied it was possible to make a comparison between the traditional quality approach checked in one case and the theoretical and practice lean production approach used in another case and the specifications are described below.Conclusion: the research identified that the lean model was better suited for people that work systemically and generate the flow. It also pointed towards some potential challenges in the introduction and implementation of lean methods in health.
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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 [50]
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“development and standardization of documents [29,50,51,52,53]”
From Lean Healthcare Tools for Processes Evaluation: An Integrative Review. (2021) · cites this paper as [50]
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Research works printed but not linked: 11
- Pedroso MC, 2011, As Quatro Dimensões Competitivas da Saúde, Harvard Business Rev, 89, 59
- Fonseca PC, 2009, Investigação dos níveis de eficiência na utilização de recursos no setor de saúde: uma análise das microrregiões de Minas Gerais, Saúde Soc, 18, 199
- Gurgel GD Junior, 2002, Qualidade total e administração hospitalar: explorando disjunções conceituais, Ci Saúde Coletiva, 7, 325, 10.1590/S1413-81232002000200012 · DOI
- Manzo BF, 2012, Nursing in the hospital accreditation process: practice and implications in the work quotidian, Rev. Latino-Am. Enfermagem, 20, 151, 10.1590/S0104-11692012000100020 · DOI
- Womack JP, 1996, Beyond Toyota: how to root out waste and pursue perfection, Harvard Business Rev, 74, 140
- Shah R, 2003, Lean manufacturing: context, practice bundles, and performance, J Operations Manage, 21, 129, 10.1016/S0272-6963(02)00108-0 · DOI · Paper page
- Joosten T, 2009, Application of lean thinking to health care: issues and observations, Int J Quality in Health Care, 21, 341, 10.1093/intqhc/mzp036 · DOI · Paper page
- Ventura MMO, 2007, Estudo de caso como modalidade de pesquisa, Rev SOCERJ, 20, 383
- Harari O, 1993, Ten reasons why Total Quality Management (TQM) doesn't work, Manage Rev, 82, 33
- Vieira KF, 2011, A utilidade dos indicadores da qualidade no gerenciamento de laboratórios clínicos, J Bras Patol Med Lab, 47, 201, 10.1590/S1676-24442011000300002 · DOI
- Coelho SMA, 2012, Integration of value stream map (VSM) and FMEA in the handling and chemotherapeutic infusion process in the clinical oncology service: case study of regional hospital vele do Paraíba, Eng Res, 3, 1
Cited by
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
“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].”
Background
Metadata
- Authors
- Eiro, N. Y., & Torres-Junior, A. S.
- Affiliations
- Universidade de São Paulo (BR)
- Universidade de São Paulo, Brazil
- Venue
- Revista Latino-Americana de Enfermagem
- Publisher
- FapUNIFESP (SciELO)
- Published
- 2015-10
- Volume
- 23
- Issue
- 5
- Pages
- 846-854
- ISSN
- 0104-1169 (ISSN-L)
- PMC
- PMC4660406
- OpenAlex
- W2301263571
- Cited by
- 19
- References
- 0
- Citations by year
- 2024: 3 · 2023: 3 · 2022: 3 · 2021: 2 · 2020: 4 · 2019: 2 · 2018: 1 · 2016: 1
- FWCI
- 1.28
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Licence
- cc-by-nc
- Locations
- Revista Latino-Americana de Enfermagem (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) (publishedVersion, other-oa)
- Americanae (AECID Library) (submittedVersion, other-oa)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Healthcare Quality and Management
- Social Sciences › Business, Management and Accounting › Management Information Systems › Quality and Supply Management
- Social Sciences › Decision Sciences › Management Science and Operations Research › Healthcare Operations and Scheduling Optimization
- Keywords
- total quality management, lean healthcare, lean manufacturing, health services, quality management model, implementation barriers
- MeSH terms
- Brazil, Health Services Administration, Models, Theoretical, Total Quality Management, Quality Improvement
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- CoChat. (2026). Citation check: Comparative study: TQ and Lean Production ownership models in health services. https://app.cochat.ai/papers/10.1590/0104-1169.0151.2605
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- Eiro, N. Y., & Torres-Junior, A. S. (2015). Comparative study: TQ and Lean Production ownership models in health services. Revista Latino-Americana de Enfermagem. https://doi.org/10.1590/0104-1169.0151.2605
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Bibliographic data: Semantic Scholar, OpenAlex, Crossref.
Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.
