Kanabar Bhavesh, Piparva Kiran G, Pandya Dhruvin, Kanabar Rajvi B
Preventive and Social Medicine, Pandit Deendayal Upadhyay (PDU) Government Medical College, Rajkot, IND.
Pharamacology, All India Institutes of Medical Sciences (AIIMS), Rajkot, IND.
Cureus. 2024 Jul 16;16(7):e64634. doi: 10.7759/cureus.64634. eCollection 2024 Jul.
The 5S methodology, rooted in lean manufacturing principles, has been adopted in healthcare settings to improve organization, efficiency, and quality. This systematic review aimed to synthesize the literature on the implementation of the 5S methodology in healthcare, its impact, and factors influencing successful implementation. A comprehensive literature search was conducted in PubMed, Google Scholar, and Cochrane databases for original studies on the implementation of the 5S methodology in healthcare settings. Studies were screened based on inclusion and exclusion criteria, and data were extracted on study characteristics, implementation details, outcomes, and key findings. Six studies met the inclusion criteria, spanning various healthcare settings, including hospitals, clinics, and laboratories. The studies reported positive outcomes associated with implementing the 5S methodology, such as improved workplace organization and cleanliness, increased utilization of healthcare services, enhanced staff satisfaction and motivation, and reduced waste and non-conformities. Critical success factors included commitment from top management, staff involvement, continuous monitoring, and adequate training. However, challenges were noted, including limited resources, small sample sizes, and difficulty assessing long-term sustainability. The implementation of the 5S methodology in healthcare settings can lead to improved organization, efficiency, and quality. However, successful implementation requires addressing critical factors such as leadership commitment, staff engagement, continuous monitoring, and training. Future research should focus on larger-scale implementation studies, long-term assessments, quantitative and qualitative evaluations, and cost-effectiveness analyses to strengthen the evidence base and inform best practices.
5S 方法源于精益生产原则,已在医疗环境中采用,以改善组织、效率和质量。本系统评价旨在综合有关医疗保健中 5S 方法实施情况、其影响以及影响成功实施的因素的文献。在 PubMed、谷歌学术和考克兰数据库中进行了全面的文献检索,以查找有关医疗环境中 5S 方法实施的原始研究。根据纳入和排除标准对研究进行筛选,并提取有关研究特征、实施细节、结果和主要发现的数据。六项研究符合纳入标准,涵盖各种医疗环境,包括医院、诊所和实验室。这些研究报告了与实施 5S 方法相关的积极结果,如改善工作场所的组织和清洁度、提高医疗服务利用率、增强员工满意度和积极性以及减少浪费和不符合项。关键成功因素包括高层管理人员的承诺、员工参与、持续监测和充分培训。然而,也指出了一些挑战,包括资源有限、样本量小以及难以评估长期可持续性。在医疗环境中实施 5S 方法可以带来组织、效率和质量的改善。然而,成功实施需要解决领导承诺、员工参与、持续监测和培训等关键因素。未来的研究应侧重于大规模实施研究、长期评估、定量和定性评估以及成本效益分析,以加强证据基础并为最佳实践提供信息。