Managerial process improvement: a lean approach to eliminating medication delivery

Int J Health Care Qual Assur. 2015;28(1):55-63. doi: 10.1108/IJHCQA-08-2013-0102.

Abstract

Purpose: Statistical evidence shows that medication errors are a major cause of injuries that concerns all health care oganizations. Despite all the efforts to improve the quality of care, the lack of understanding and inability of management to design a robust system that will strategically target those factors is a major cause of distress. The paper aims to discuss these issues.

Design/methodology/approach: Achieving optimum organizational performance requires two key variables; work process factors and human performance factors. The approach is that healthcare administrators must take in account both variables in designing a strategy to reduce medication errors. However, strategies that will combat such phenomena require that managers and administrators understand the key factors that are causing medication delivery errors.

Findings: The authors recommend that healthcare organizations implement the Toyota Production System (TPS) combined with human performance improvement (HPI) methodologies to eliminate medication delivery errors in hospitals.

Originality/value: Despite all the efforts to improve the quality of care, there continues to be a lack of understanding and the ability of management to design a robust system that will strategically target those factors associated with medication errors. This paper proposes a solution to an ambiguous workflow process using the TPS combined with the HPI system.

Keywords: Accountability; Business process re-engineering/patient focused care; Clinical effectiveness; Continuous quality improvement; Employee involvement; Improvement models.

MeSH terms

  • Clinical Competence
  • Efficiency, Organizational*
  • Environment
  • Hospital Administration*
  • Humans
  • Medication Systems, Hospital / organization & administration
  • Quality Improvement / organization & administration*
  • Quality of Health Care / organization & administration