Proposition d’une méthode lean pour l’amélioration des processus métiers : application au processus de prise en charge médicamenteuse à l’hôpital

Abstract : Hospitals are facing strong economic constraints and increasing requirements in terms of quality and safety of care. Medication management, a complex and multi-professional process with major economic and social issues, is also subject to these constraints. To address these difficulties, a solution could be to reorganize processes and relocate resources through the use of industrial engineering Business Process Improvement approaches. Lean is a Business Process Improvement approach developed in the 90s by researchers of the Massachusetts Institute of Technology. It aims at maximizing the value for the patient while minimizing waste and seeking operational excellence through continuous improvement. Many encouraging results related to the use of this approach in hospitals have been reported. However, a thorough analysis of the literature showed that none of the Lean approaches described in the literature was structured to provide sufficient methodological to perform a Lean journey aiming at improving business process in hospitals. This is why we propose a Lean method to improve business processes in hospitals based on a triangulation between literature data, semi-structured interviews and a case study. This method was tested and validated in the Antoine Béclère hospital where quality, safety and efficiency of the medication management process in a medicine unit were improved.
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Niccolo Curatolo. Proposition d’une méthode lean pour l’amélioration des processus métiers : application au processus de prise en charge médicamenteuse à l’hôpital. Génie des procédés. Ecole nationale supérieure d'arts et métiers - ENSAM, 2014. Français. ⟨NNT : 2014ENAM0035⟩. ⟨tel-01127366⟩

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