Journal Article

Does lean management improve patient safety culture? An extensive evaluation of safety culture in a radiotherapy institute.

Simons PAM, Houben R, Vlayen A, et al. European journal of oncology nursing : the official journal of European Oncology Nursing Society. 2015;19:29-37.

Lean, a work system improvement method drawn from engineering, is being increasingly used in health systems, but there is little evidence about how it affects patient safety. This study found that health care staff reported more positive safety culture after undertaking lean activities compared to their reported safety culture before participating, suggesting that efforts to improve health system efficiency may foster patient safety culture.