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Olsson, O. & Aronsson, H. (2015). Managing a variable acute patient flow: categorising the strategies. Supply chain management, 20(2), 113-127
Open this publication in new window or tab >>Managing a variable acute patient flow: categorising the strategies
2015 (English)In: Supply chain management, ISSN 1359-8546, E-ISSN 1758-6852, Vol. 20, no 2, p. 113-127Article in journal (Refereed) Published
Abstract [en]

This study aims filling some of that gap by applying the concepts of lean and agile in a study in a health care setting, something that has been sparsely explored, even though there are examples (e.g. Aronsson et al., 2011; Rahimnia and Moghadasian, 2010). Although lean has been applied successfully in the private sector, limited research has evaluated whether the lean approach transfers successfully to the public sector and what impact the approach has on for example costs, productivity and quality of service (Radnor et al., 2006). With a lean approach the focus is on continually eliminating waste and thereby reducing the resources used to produce a given set of goods, with the ambition being to achieve a streamlined flow of production (Womack et al., 1990).

Place, publisher, year, edition, pages
Emerald Group Publishing Limited, 2015
National Category
Transport Systems and Logistics
Identifiers
urn:nbn:se:liu:diva-111588 (URN)10.1108/SCM-06-2014-0203 (DOI)000352720600001 ()
Note

On the day of the defence date the status of this article was Manuscript.

Available from: 2014-10-27 Created: 2014-10-27 Last updated: 2017-12-05
Aronsson, H. (2013). Logistiskt angreppsätt ger effektivare vårdenheter. Aktuella byggen (1), 8-9
Open this publication in new window or tab >>Logistiskt angreppsätt ger effektivare vårdenheter
2013 (Swedish)In: Aktuella byggen, ISSN 1401-4149, no 1, p. 8-9Article in journal (Other (popular science, discussion, etc.)) Published
Place, publisher, year, edition, pages
Conventus, 2013
National Category
Business Administration
Identifiers
urn:nbn:se:liu:diva-90025 (URN)
Available from: 2013-03-15 Created: 2013-03-15 Last updated: 2013-03-25
Oskarsson, B., Aronsson, H. & Ekdahl, B. (2013). Modern logistik: för ökad lönsamhet (4ed.). Stockholm: Liber
Open this publication in new window or tab >>Modern logistik: för ökad lönsamhet
2013 (Swedish)Book (Other academic)
Abstract [sv]

Modern logistik har blivit mycket uppskattad för att den är skriven med ett enkelt språk och har många illustrerande figurer och exempel. Den pedagogiska tanken utgår från att logistiken ska förbättras, genom att förbättra leveransservicen till kunderna och minska kostnaderna för logistikaktiviteterna.

Till denna upplaga har del 3 omarbetats helt, och de två första delarna har justerats för att ytterligare öka tydligheten och läsbarheten.

Del 1 Logistiksystemet ger en övergripande förståelse för hur flödena i företagets olika delar samverkar.

Del 2 Logistikens verktyg presenterar olika verktyg och metoder för att analysera och förbättra logistiken.

Del 3 Logistik i ett vidare perspektiv beskriver Supply Chain Management, det vill säga hur företag kan skapa gemensamma logistiklösningar, samt logistikens koppling till ett hållbart samhälle, inköps betydelse för logistiken och hur logistik kan användas i nya sammanhang, till exempel inom sjukvården.

 

 

Place, publisher, year, edition, pages
Stockholm: Liber, 2013. p. 392 Edition: 4
Keywords
Business logistics, Logistik
National Category
Economics and Business
Identifiers
urn:nbn:se:liu:diva-97290 (URN)978-91-47-11126-8 (ISBN)91-47-06489-7 (ISBN)
Available from: 2013-09-06 Created: 2013-09-06 Last updated: 2014-11-10Bibliographically approved
Olsson, O., Wiger, M. & Aronsson, H. (2012). Developments in the field of healthcarelogistics and SCM: A patient flow focus.
Open this publication in new window or tab >>Developments in the field of healthcarelogistics and SCM: A patient flow focus
2012 (English)Manuscript (preprint) (Other academic)
Abstract [en]

Purpose

During the last years, attention for healthcare logistics and SCM has begun. This is a novel topic, with a lack of literature reviews on research related to this field. Therefore, the aim of this paper is to provide guidance in how to develop healthcare logistics and SCM research related to patient flows.

Design/methodology/approach

This paper adopted an exploratory literature review, focusing on patient flow issues, through a scanning of logistics and SCM journals. The identified articles references as well as the papers that had referred to the papers were also included in the review.

Findings

The field of healthcare logistics and SCM is still in its infancy, with few papers published. The papers with a supply chain or network as unit of analysis are mostly conceptual and the case studies mainly descriptive studies on a single healthcare unit. Some major challenges for future research is how to manage a complex service context, how to create flexibility in healthcare provision and coordinate multiple healthcare actors.

Research limitations/implications

The findings should be considered as conceptual, and provides a basis for further empirical and theoretical based research.

Practical implications

The results provide a basis for healthcare organizations and their managers, to build upon in their continuing efforts to develop more efficient patient flows.

Original/value

This literature review responds to the absence of an overview on research in healthcare logistics and SCM. It contributes to both logistics and SCM literature by identifying some important challenges and gaps for future research.

Keywords
Healthcare, Logistics, Supply Chain Management, Patient flow, Literature review
National Category
Transport Systems and Logistics
Identifiers
urn:nbn:se:liu:diva-111587 (URN)
Available from: 2014-10-27 Created: 2014-10-27 Last updated: 2014-10-27Bibliographically approved
Wiger, M. & Aronsson, H. (2012). Healthcare logistics - a patient flow focus: What has been done?. In: Juuso Töyli, Laura Johansson, Harri Lorentz, Lauri Ojala and Sini Laari (Ed.), NoFoMa Conference: Book of proceedings. Paper presented at NoFoMa Conference 2012, 24th NOFOMA Conference, 7-8 June, Turku, Finland (pp. 827-842). Naantali, Finland
Open this publication in new window or tab >>Healthcare logistics - a patient flow focus: What has been done?
2012 (English)In: NoFoMa Conference: Book of proceedings / [ed] Juuso Töyli, Laura Johansson, Harri Lorentz, Lauri Ojala and Sini Laari, Naantali, Finland, 2012, p. 827-842Conference paper, Published paper (Other academic)
Abstract [en]

Purpose of this paper

During the last years attention for healthcare logistics has increased along with the healthcare sector evolvements towards more process oriented business models. The Supply Chain Management: An International Journal recently published a special issue on supply chain management in health services (Issue 3, 2011). This is though a novel topic, with a lack of literature reviews on research related to this field. Therefore, the purpose of this paper is to present an outline of helthcare logistics and supply chain management research related to patient flows.

Design/methodology/approach

A literature review was conducted on what is written in logistics and supply chain journals focusing on patient flow issues and practical logistics implication in a healthcare context, as a first phase. A second phase was conducted using a “snowball approach” to trace the “first phase” article´s references.

Findings

The field of healthcare logistics is still in its infancy, few articles are published in traditional logistics journals. However, most of the reviewed articles from the first search phase are published during the last years. The second search phase shows that the articles in the reference list were published in a wide range of journals.

Research limitations/implications (if applicable)

This paper is based on theories about patient flows and healthcare organization's capacity to provide service. The findings should be considered as conceptual, and provides a basis for further empirical and theoretical based research.

Practical implications (if applicable)

The results provide a basis for healthcare organizations and their managers, to build upon in their continuing efforts to develop and enhance more efficient patient flows.

Originality/value

This literature review responds to the absence of an overview on research in a healthcare context using theories based in the logistics and a supply chain management field.

 

Place, publisher, year, edition, pages
Naantali, Finland: , 2012
Keywords
Healthcare, Logistics Management, Supply Chain Management, Patient flow
National Category
Engineering and Technology
Identifiers
urn:nbn:se:liu:diva-80584 (URN)978-952-249-204-3 (ISBN)
Conference
NoFoMa Conference 2012, 24th NOFOMA Conference, 7-8 June, Turku, Finland
Available from: 2012-08-27 Created: 2012-08-27 Last updated: 2012-09-04
Mazzocato, P., Holden, R. J., Brommels, M., Aronsson, H., Backman, U., Elg, M. & Thor, J. (2012). How does lean work in emergency care? A case study of a lean-inspired intervention at the Astrid Lindgren Childrens hospital, Stockholm, Sweden. BMC Health Services Research, 12(28)
Open this publication in new window or tab >>How does lean work in emergency care? A case study of a lean-inspired intervention at the Astrid Lindgren Childrens hospital, Stockholm, Sweden
Show others...
2012 (English)In: BMC Health Services Research, ISSN 1472-6963, E-ISSN 1472-6963, Vol. 12, no 28Article in journal (Refereed) Published
Abstract [en]

Background: There is growing interest in applying lean thinking in healthcare, yet, there is still limited knowledge of how and why lean interventions succeed (or fail). To address this gap, this in-depth case study examines a lean-inspired intervention in a Swedish pediatric Accident and Emergency department. less thanbrgreater than less thanbrgreater thanMethods: We used a mixed methods explanatory single case study design. Hospital performance data were analyzed using analysis of variance (ANOVA) and statistical process control techniques to assess changes in performance one year before and two years after the intervention. We collected qualitative data through non-participant observations, semi-structured interviews, and internal documents to describe the process and content of the lean intervention. We then analyzed empirical findings using four theoretical lean principles (Spear and Bowen 1999) to understand how and why the intervention worked in its local context as well as to identify its strengths and weaknesses. less thanbrgreater than less thanbrgreater thanResults: Improvements in waiting and lead times (19-24%) were achieved and sustained in the two years following lean-inspired changes to employee roles, staffing and scheduling, communication and coordination, expertise, workspace layout, and problem solving. These changes resulted in improvement because they: (a) standardized work and reduced ambiguity, (b) connected people who were dependent on one another, (c) enhanced seamless, uninterrupted flow through the process, and (d) empowered staff to investigate problems and to develop countermeasures using a "scientific method". Contextual factors that may explain why not even greater improvement was achieved included: a mismatch between job tasks, licensing constraints, and competence; a perception of being monitored, and discomfort with inter-professional collaboration. less thanbrgreater than less thanbrgreater thanConclusions: Drawing on Spear and Bowens theoretical propositions, this study explains how a package of lean-like changes translated into better care process management. It adds new knowledge regarding how lean principles can be beneficially applied in healthcare and identifies changes to professional roles as a potential challenge when introducing lean thinking there. This knowledge may enable health care organizations and managers in other settings to configure their own lean program and to better understand the reasons behind leans success (or failure).

Place, publisher, year, edition, pages
BioMed Central, 2012
National Category
Engineering and Technology
Identifiers
urn:nbn:se:liu:diva-76540 (URN)10.1186/1472-6963-12-28 (DOI)000301444400001 ()
Note
Funding Agencies|Swedish Vinnvard program||Available from: 2012-04-12 Created: 2012-04-11 Last updated: 2017-12-07
Ellström, D., Rehme, J., Björklund, M. & Aronsson, H. (2012). Logistics cost management models and their usability for purchasing. Journal of Modern Accounting and Auditing, 8(7), 1066-1073
Open this publication in new window or tab >>Logistics cost management models and their usability for purchasing
2012 (English)In: Journal of Modern Accounting and Auditing, ISSN 1548-6583, Vol. 8, no 7, p. 1066-1073Article in journal (Refereed) Published
Place, publisher, year, edition, pages
David Publishing Company, 2012
Keywords
cost management, supply chain, accounting, purchasing
National Category
Social Sciences Business Administration
Identifiers
urn:nbn:se:liu:diva-84719 (URN)
Available from: 2012-10-18 Created: 2012-10-18 Last updated: 2019-05-09
Olsson, O. & Aronsson, H. (2012). Logistikhandbok för hälso- och sjukvården. Linköping: Linköping University Electronic Press
Open this publication in new window or tab >>Logistikhandbok för hälso- och sjukvården
2012 (Swedish)Report (Other academic)
Abstract [sv]

Denna logistikhandbok syftar till att vara ett verktyg och stöd i arbetet med att utveckla verksamheten mot effektivare flöden av patienter. Handboken redogör för logistiska metoder och teorier anpassade till en sjukvårdkontext. Logistikhandboken består av tre kapitel:

  • Kartläggning – Tar upp olika metoder för att kartlägga patientflöden och informationsflöden för att få en överblick för hur verksamheten bedrivs. Det beskrivs också när respektive metod är lämplig att använda samt vilken/vilka analyser som kan utföras med hjälp av metoden. Att utföra en kartläggning är en bra start i förändringsarbete eftersom det skapar en gemensam bild över utgångsläget för de involverade.
  • Variation – Är något som förekommer på många ställen inom halso‐ och sjukvården samt kraftigt påverkar verksamheten, varför det är viktiga att förstå och hantera variation för att bättre kunna planera sin verksamhet. Kapitlet tar upp olika typer av variation samt hur man kan minska den variation som uppstår på grund av det sätt som arbete bedrivs.
  • Lean – Ett populärt förbättringskoncept inom halso- och sjukvården. Handboken tar upp de grundläggande principerna anpassat till en sjukvårdskontext, med syftet att utgöra en introduktion för sjukvårdspersonal.

Logistikhandboken har utarbetats genom ett samarbete mellan Hässleholms sjukhusorganisation samt logistikavdelningen på Linköpings universitet. Det övergripande innehållet har gemensamt bestämts varpå Olle Olsson och Håkan Aronsson sammanställt materialet nedan.

Place, publisher, year, edition, pages
Linköping: Linköping University Electronic Press, 2012. p. 23
Series
LIU-IEI-R ; 189
Keywords
sjukvårdslogistik, patientflöde
National Category
Transport Systems and Logistics
Identifiers
urn:nbn:se:liu:diva-98254 (URN)LIU-­IEI‐R-­‐13/00189—SE (ISRN)
Available from: 2013-10-04 Created: 2013-10-04 Last updated: 2013-10-07Bibliographically approved
Olsson, O., Aronsson, H. & Sandberg, E. (2012). Managing a variable acute patient flow: planning and decision-making.
Open this publication in new window or tab >>Managing a variable acute patient flow: planning and decision-making
2012 (English)Manuscript (preprint) (Other academic)
Abstract [en]

This paper focuses on the management of variability in the acute patient flow, which is another factor that complicates the organisational structure of a hospital. There is a high degree of variability in healthcare (Ronen and Pliskin, 2006), in particular when it comes to acute patients where the patient inflow fluctuates concerning time, health issues and response to treatment. Healthcare resources are also often used inappropriately and not adapted to the variations that exist (Walley et al., 2006). Variation is hence created by internal behaviours in healthcare systems such as discontinuous scheduling, variable capacity to discharge and by splitting demand into subgroups (Allder et al., 2011).

National Category
Transport Systems and Logistics
Identifiers
urn:nbn:se:liu:diva-111589 (URN)
Available from: 2014-10-27 Created: 2014-10-27 Last updated: 2014-10-27Bibliographically approved
Olsson, O. & Aronsson, H. (2012). Understanding the impact of variation on healthcare systems. In: : . Paper presented at The 4th Production and Operations Management World Conference, July 2-4, Amsterdam, the Netherlands.
Open this publication in new window or tab >>Understanding the impact of variation on healthcare systems
2012 (English)Conference paper, Oral presentation only (Other academic)
Abstract [en]

The variation associated with demand and supply of services strongly contributes to operating difficulties in healthcare. Understanding variability helps healthcare providers to more accurately model and address opportunities for improvement. This study uses discrete event simulation to investigate what consequences that alteration in patient inflow, available resources, treatment times and duration of activities at an emergency department and inpatient department has on bed occupancy and length of stay. It is concluded that the variables are intimately related and that the departments are sensitive to changes due to a considerable variation in patient inflow and treatment times.

Keywords
Healthcare, Simulation, Variation
National Category
Transport Systems and Logistics
Identifiers
urn:nbn:se:liu:diva-111586 (URN)
Conference
The 4th Production and Operations Management World Conference, July 2-4, Amsterdam, the Netherlands
Available from: 2014-10-27 Created: 2014-10-27 Last updated: 2014-10-27
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-4020-4943

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