A SYSTEMATIC REVIEW ON THE IMPLEMENTATION OF LEAN HOSPITAL TO IMPROVE CHEMOTHERAPY UNIT SERVICES IN HOSPITAL

Background: Rising demand for efficient chemotherapy services calls for improved hospital processes. Lean Hospital applies Lean principles to reduce waste and enhance service quality. Objective: This study aims to assess the available quantitative evidence regarding the impact of lean methodologi...

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Main Author: Evelyn Hemme Tambunan
Format: Article
Language:English
Published: Lembaga Penelitian dan Pengabdian Masyarakat Universitas Nahdlatul Ulama Surabaya 2025-04-01
Series:Nurse and Holistic Care
Subjects:
Online Access:https://journal2.unusa.ac.id/index.php/nhc/article/view/7154
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author Evelyn Hemme Tambunan
author_facet Evelyn Hemme Tambunan
author_sort Evelyn Hemme Tambunan
collection DOAJ
description Background: Rising demand for efficient chemotherapy services calls for improved hospital processes. Lean Hospital applies Lean principles to reduce waste and enhance service quality. Objective: This study aims to assess the available quantitative evidence regarding the impact of lean methodologies on key performance indicators (KPIs) such as cost efficiency, service quality, and patient satisfaction in the chemotherapy unit. Design: A systematic literature review methodology was adopted to collate evidence related to the implementation of lean hospital practices in chemotherapy units using PRISMA guidelines for Scopus, Web of Science, and PubMed searches. Data Sources: This systematic review synthesizes peer-reviewed studies published between 2015 and 2023, retrieved from Scopus, Web of Science, and PubMed databases. Review Methods: A systematic literature search was conducted in Scopus, Web of Science, and PubMed using a combination of keywords and MeSH terms related to lean hospital practices and chemotherapy services. Boolean operators and truncation were applied to refine results, with the search limited to peer-reviewed articles published between 2015 and 2023. Title, abstract, and full-text screenings were conducted based on predefined inclusion criteria. Results: This study included a total of 48 full-text studies for analysis. The findings indicate statistically significant improvements in process efficiency and service quality metrics following lean interventions, with cost savings ranging from 10% to 35% observed across studies. Conclusion: This systematic review shows that Lean Hospital practices effectively improve chemotherapy unit services. Lean interventions significantly reduce costs, enhance service quality, and boost patient satisfaction. Despite some methodological variations, the evidence supports lean methods as a cost-effective strategy for optimizing care delivery.
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spelling doaj-art-0b51db6aeae544a8a14014241f7b11cf2025-08-20T02:27:49ZengLembaga Penelitian dan Pengabdian Masyarakat Universitas Nahdlatul Ulama SurabayaNurse and Holistic Care2797-69712797-71882025-04-015110.33086/nhc.v5i1.7154A SYSTEMATIC REVIEW ON THE IMPLEMENTATION OF LEAN HOSPITAL TO IMPROVE CHEMOTHERAPY UNIT SERVICES IN HOSPITALEvelyn Hemme Tambunan0Master of Nursing, Nursing Faculty, Universitas Advent Indonesia, Bandung, Indonesia Background: Rising demand for efficient chemotherapy services calls for improved hospital processes. Lean Hospital applies Lean principles to reduce waste and enhance service quality. Objective: This study aims to assess the available quantitative evidence regarding the impact of lean methodologies on key performance indicators (KPIs) such as cost efficiency, service quality, and patient satisfaction in the chemotherapy unit. Design: A systematic literature review methodology was adopted to collate evidence related to the implementation of lean hospital practices in chemotherapy units using PRISMA guidelines for Scopus, Web of Science, and PubMed searches. Data Sources: This systematic review synthesizes peer-reviewed studies published between 2015 and 2023, retrieved from Scopus, Web of Science, and PubMed databases. Review Methods: A systematic literature search was conducted in Scopus, Web of Science, and PubMed using a combination of keywords and MeSH terms related to lean hospital practices and chemotherapy services. Boolean operators and truncation were applied to refine results, with the search limited to peer-reviewed articles published between 2015 and 2023. Title, abstract, and full-text screenings were conducted based on predefined inclusion criteria. Results: This study included a total of 48 full-text studies for analysis. The findings indicate statistically significant improvements in process efficiency and service quality metrics following lean interventions, with cost savings ranging from 10% to 35% observed across studies. Conclusion: This systematic review shows that Lean Hospital practices effectively improve chemotherapy unit services. Lean interventions significantly reduce costs, enhance service quality, and boost patient satisfaction. Despite some methodological variations, the evidence supports lean methods as a cost-effective strategy for optimizing care delivery. https://journal2.unusa.ac.id/index.php/nhc/article/view/7154Lean HospitalImplementationChemotherapy UnitSystematic Review
spellingShingle Evelyn Hemme Tambunan
A SYSTEMATIC REVIEW ON THE IMPLEMENTATION OF LEAN HOSPITAL TO IMPROVE CHEMOTHERAPY UNIT SERVICES IN HOSPITAL
Nurse and Holistic Care
Lean Hospital
Implementation
Chemotherapy Unit
Systematic Review
title A SYSTEMATIC REVIEW ON THE IMPLEMENTATION OF LEAN HOSPITAL TO IMPROVE CHEMOTHERAPY UNIT SERVICES IN HOSPITAL
title_full A SYSTEMATIC REVIEW ON THE IMPLEMENTATION OF LEAN HOSPITAL TO IMPROVE CHEMOTHERAPY UNIT SERVICES IN HOSPITAL
title_fullStr A SYSTEMATIC REVIEW ON THE IMPLEMENTATION OF LEAN HOSPITAL TO IMPROVE CHEMOTHERAPY UNIT SERVICES IN HOSPITAL
title_full_unstemmed A SYSTEMATIC REVIEW ON THE IMPLEMENTATION OF LEAN HOSPITAL TO IMPROVE CHEMOTHERAPY UNIT SERVICES IN HOSPITAL
title_short A SYSTEMATIC REVIEW ON THE IMPLEMENTATION OF LEAN HOSPITAL TO IMPROVE CHEMOTHERAPY UNIT SERVICES IN HOSPITAL
title_sort systematic review on the implementation of lean hospital to improve chemotherapy unit services in hospital
topic Lean Hospital
Implementation
Chemotherapy Unit
Systematic Review
url https://journal2.unusa.ac.id/index.php/nhc/article/view/7154
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