Bibliometric survey on Lean Healthcare in Project Management


  • Samuel Martins Drei Federal Fluminense University
  • Ruben Huamanchumo Gutierrez
  • Lidia Angulo-Meza


Lean Healthcare, Project Management, Bibliometric survey.


The hospital environment is very conducive to incorporate the Lean philosophy, as this organizations must provide quality services with a comprehensive resource restriction. Since some experts attribute many health services to inefficient work systems, these Lean tools have been associated with some complementary concepts, such as project management. Thus, it is necessary to level the literature to know the advances in the depth level of these tools. Therefore, this paper is intended to present an overview of the literature on Lean Healthcare aimed at Project Management. To achieve this goal, a bibliometric survey was first used using the PRISMA guide for reviews, analyzing the main institutions and countries involved with the publications. Then, a survey was done about the keywords used in the papers studied to identify the patterns present in the Lean Healthcare studies in Project Management. As results, it was possible to establish the universities that have the most impact on the production of papers in this theme, their countries of origin, as well as the characteristics of the papers present in the literature, concluding that there are still opportunities to drop further.


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Alves, A. C., Gonçalves, A. M., Fernandes, J. M., Vaz, I., Teixeira, S., Sousa, I., ... & Dória-Nóbrega, S. (2016). Combined tools for Surgical Case Packages contents and cost optimization: a preliminary study. Procedia Computer Science, 100, 393-398.

Antonsen, Y., & Bye, G. (2020). Line managers and employees use of lean task boards in Norwegian municipal healthcare sector: a tool for action learning?. Leadership in Health Services.

Begun, J. W., & Kaissi, A. A. (2004). Uncertainty in health care environments: myth or reality?. Health Care Management Review, 29(1), 31-39.

Boronat, F., Budia, A., Broseta, E., Ruiz-Cerdá, J. L., & Vivas-Consuelo, D. (2018). Application of Lean Healthcare methodology in a urology department of a tertiary hospital as a tool for improving efficiency. Actas Urológicas Españolas (English Edition), 42(1), 42-48.

Britt, K., Alves, T. D. C. L., Reed, D., & Gracz, B. (2014). Lessons learned from the make ready process in a hospital project. Understanding and improving project-based production, Oslo, Norway, June. IGLC, 257-268.

Bruno, F. (2017). Lean thinking in emergency departments: concepts and tools for quality improvement. Emergency Nurse (2014+), 25(6), 38.

Chiarini, A. (2013). Waste savings in patient transportation inside large hospitals using lean thinking tools and logistic solutions. Leadership in Health Services.

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Dávila, S. P., & González, J. T. (2015). Mejora de la eficiencia de un servicio de rehabilitación mediante metodología Lean Healthcare. Revista de Calidad Asistencial, 30(4), 162-165.

Dossick, C. S., Azari, R., Kim, Y. W., & El-Anwar, O. (2013). IPD in Practice: innovation in healthcare design and construction. AEI 2013, 377-86.

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