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The experience of workflow optimization of the city polyclinic based on the principles of lean production and IT-based management

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1. Title Title of document The experience of workflow optimization of the city polyclinic based on the principles of lean production and IT-based management
2. Creator Author's name, affiliation, country Marina S. Grigorovich; Kirov State Medical University ; Russian Federation
2. Creator Author's name, affiliation, country Aleksandr V. Starikov; Kirov Clinical Diagnostic Centre ; Russian Federation
2. Creator Author's name, affiliation, country Sofya N. Voytko; Kirov Clinical Diagnostic Centre ; Russian Federation
2. Creator Author's name, affiliation, country Larisa A. Koykova; Kirov Clinical Diagnostic Centre ; Russian Federation
2. Creator Author's name, affiliation, country Natalya Yu. Nekrasova; Kirov State Medical University ; Russian Federation
3. Subject Discipline(s)
3. Subject Keyword(s) outpatient clinic; loss; lean production
4. Description Abstract

The article presents the main principles of lean manufacturing, experience and results of lean production launch in a large city outpatient clinic as part of the Ministry of Health pilot project “Lean outpatient clinic”. In the clinic, redistribution of space, optimization of e-document management and registry workflow were performed. It reduced queueing time and time of blood sampling, simplified arranging a visit to General practitioner and other physicians, increased time of doctor and patient interaction, which allowed to serve much more patients with the same amount of resources, save time of medical staff and patients, and increase their satisfaction.

5. Publisher Organizing agency, location Eco-Vector
6. Contributor Sponsor(s)
7. Date (DD-MM-YYYY) 15.12.2018
8. Type Status & genre Peer-reviewed Article
8. Type Type Research Article
9. Format File format
10. Identifier Uniform Resource Identifier https://journals.eco-vector.com/RFD/article/view/11043
10. Identifier Digital Object Identifier (DOI) 10.17816/RFD2018419-24
10. Identifier Digital Object Identifier (DOI) (PDF (Rus)) 10.17816/RFD11043-8712
11. Source Title; vol., no. (year) Russian Family Doctor; Vol 22, No 4 (2018)
12. Language English=en ru
13. Relation Supp. Files Fig. 1. Structure of the product / service creation process (167KB) doi: 10.17816/RFD11043-6628
Fig. 2. Patient flow map for passing the first stage of clinical examination until losses are eliminated, highlighting problem areas (244KB) doi: 10.17816/RFD11043-6629
Fig. 3. Dynamics of patient satisfaction rate as a result of questioning by insurance medical organizations (93KB) doi: 10.17816/RFD11043-6630
Standard Operating Card Patient Examination (346KB) doi: 10.17816/RFD11043-6631
14. Coverage Geo-spatial location, chronological period, research sample (gender, age, etc.)
15. Rights Copyright and permissions Copyright (c) 2018 Grigorovich M.S., Starikov A.V., Voytko S.N., Koykova L.A., Nekrasova N.Y.
Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.