Blar i forfatter "Andersen, Hege"

Viser treff 1-3 av 3

    • Enablers for change. A mixed-methods study of Lean-based quality improvement in hospitals 

      Andersen, Hege (Doctoral thesis; Doktorgradsavhandling, 2016-03-15)
      17 quality improvement interventions based on Lean thinking constituted the point of departure for this thesis. How can we understand, and explain, that some Lean interventions succeed while others do not, within one hospital? New insight can reduce the quality chasm in health care, by shedding light on enablers for quality improvement. Enablers for Lean interventions were identified through a ...

    • Lean thinking in hospitals: is there a cure for the absence of evidence? A systematic review of reviews 

      Andersen, Hege; Røvik, Kjell Arne; Ingebrigtsen, Tor (Journal article; Tidsskriftartikkel; Peer reviewed, 2014)
      Objective: Lean interventions aim to improve quality of healthcare by reducing waste and facilitate flow in work processes. There is conflicting evidence on the outcomes of lean thinking, with quantitative and qualitative studies often contradicting each other. We suggest that reviewing the literature within the approach of a new contextual framework can deepen our understanding of lean as a ...

    • Lost in Translation: a case-study of the travel of lean thinking in a hospital. 

      Røvik, Kjell Arne; Andersen, Hege (Journal article; Tidsskriftartikkel; Peer reviewed, 2015-09-21)
      Background: Lean thinking as a quality improvement approach is introduced in hospitals worldwide, although evidence for its impact is scarce. Lean initiatives are social, complex and context-dependent. This calls for a shift from cause–effect to conditional attributions to understand how lean works. In this study, we bring attention to the transformative power of local translation, which creates ...