Motivation as a factor for assessing the implementation of lean manufacturing principles in a clinical diagnostic laboratory
- Authors: Lambakahar M.G.1,2, Gneusheva A.A.3,4, Kraynov E.A.4
-
Affiliations:
- Russian Medical Academy of Continuous Professional Education
- Russian Presidential Academy Of National Economy And Public Administration
- Volgograd State Medical University
- Hospital No. 22
- Issue: Vol 69, No 10 (2024)
- Pages: 314-320
- Section: Original Study Articles
- Published: 28.02.2025
- URL: https://kld-journal.fedlab.ru/0869-2084/article/view/653488
- DOI: https://doi.org/10.17816/cld653488
- ID: 653488
Cite item
Abstract
Background: Currently, lean manufacturing is one of the most in-demand topics among Russian production management, including in the field of medical management. Laboratory work is a business process that can be optimized. To objectify the effects of changes, it is advisable to conduct comprehensive assessments, including through auditing.
Aim: The study of the motivation of the staff of the clinical diagnostic laboratory by conducting an audit before the introduction of a culture of lean manufacturing.
Materials and methods: The audit was conducted using two checklists from METLER TOLEDO, developed for medical laboratories: “The 5S list of questions for evaluating the organization of laboratory jobs” and “8 typical types of laboratory losses.” A total of 37 employees were interviewed: 35 women (94.5%) and 2 men (5.5%); the average age was 41±12 years (M±σ), the average work experience was 14.6±9.3 years. Among them are doctors (7 people, 19%), laboratory assistants (24 people, 65%) and nurses (6 people, 16%).
Results: An analysis of the audit data obtained indicates the following features: insufficient knowledge and principles of implementing lean technologies in the workplace are more noted among laboratory assistants than among doctors; the total distribution of points in the clinic indicates a wider spread of points across all points on the checklist, which indicates a lack of standardization and knowledge of this among employees. At the same time, in a 24-hour hospital, scores are distributed almost evenly, which indicates a more standardized workplace organization in a 24-hour hospital, which may be due to shift work, a higher level of responsibility awareness, and the availability of standard procedures.
Conclusion: In the future, it is possible to use the considered checklists, taking into account the experience of employees working in the inpatient department of the laboratory, as a reference for employees of the polyclinic department.
Full Text

About the authors
Maria G. Lambakahar
Russian Medical Academy of Continuous Professional Education; Russian Presidential Academy Of National Economy And Public Administration
Email: lambakam@yandex.ru
ORCID iD: 0009-0003-9534-2520
MD, Cand. Sci. (Medicine), Assistant Professor
Russian Federation, Moscow; MoscowAleksandra A. Gneusheva
Volgograd State Medical University; Hospital No. 22
Author for correspondence.
Email: alexa-1808@yandex.ru
ORCID iD: 0000-0003-4249-8225
SPIN-code: 2564-1651
Cand. Sci. (Medicine)
Russian Federation, Volgograd; VolgogradEvgeniy A. Kraynov
Hospital No. 22
Email: e.kraynov@mail.ru
ORCID iD: 0000-0001-9907-0305
SPIN-code: 8691-4762
MD, Cand. Sci. (Medicine)
Russian Federation, VolgogradReferences
- Kalnitskaya IV, Danilov AN. Management solutions for model of organization management. Omsk Scientific Bulletin. 2014(3): 45–47. (In Russ.) EDN: RMMYDW
- Vaikok MA. Approaches to the definition of the concept of «Business processes». Economics and management: analysis of trends and development prospects. 2014(10):202–207. (In Russ.) EDN: RVHGXZ
- Sveschinsky ML, Goldberg AS. Assessments of laboratory centralization projects in the russian regions (pilot study). Manager Zdravoochranenia. 2018(5):20–30. (In Russ.) EDN: XSVTTV
- Ayalew F, Kibwana S, Shawula S, et al. Understanding job satisfaction and motivation among nurses in public health facilities of Ethiopia: a cross-sectional study. BMC Nurs. 2019;18(46). doi: 10.1186/s12912-019-0373-8
- Starkov EA, Korotaeva TV. Characteristics and interrelation of the main theories of motivation. Skiff. Questions of student science. 2023(1):560–564. (In Russ.) EDN: JCQRWH
- Karaferis D, Aletras V, Raikou M, Niakas D. Factors Influencing Motivation and Work Engagement of Healthcare Professionals. Mater Sociomed. 2022;34(3):216–224. doi: 10.5455/msm.2022.34.216-224
- Khmel YuS, Golderova AS. Evaluating the implementation of lean technology principles in clinical diagnostic laboratory. Vestnik of North-Eastern Federal University. Medical Sciences. 2021;(2):68–75. (In Russ.) doi: 10.25587/SVFU.2021.23.2.009
Supplementary files
