Lean implementation at different levels in Swedish hospitals: the importance for working conditions and stress

Lotta Dellve, Anna Williamsson, Marcus Strömgren, Richard J. Holden, Andrea Eriksson
2015 International Journal of Human Factors and Ergonomics  
Healthcare organisations in Sweden are reorienting toward horizontal organisation around care processes. This paper's aim was to investigate how implementation approaches for improvements of care processes in line with lean production (LP), at hospital strategic and operative levels, are associated with working conditions and stress-related health among the employees. Five hospitals working with improvements to care processes were studied using questionnaires to employees (n = 1,303) and
more » ... ews at strategic and operative levels at baseline and follow-up. The process redesign implementation strategies varied between the strategic and operative levels. L. Dellve et al. There were associations between a higher degree of LP at operative level and increased work resources and decreased work demands. Physical, cognitive and mental stress-related symptoms were only weakly associated with strategic or operative LP initiatives. There was evidence of more beneficial or improved working conditions in relation to higher degree of LP at operative levels. University of Wisconsin-Madison in 2009. His research applies human factors engineering and psychology to study and improve the work performance of patients, informal caregivers, and clinicians. He has investigated multiple healthcare interventions, including information technology, team-based care, and lean process redesign. Andrea Eriksson obtained her Bachelor in Human Resource Management at
doi:10.1504/ijhfe.2015.073001 fatcat:snieml5ftvdbll4wqdbjqqnzvq