Motivation as a factor for assessing the implementation of lean manufacturing principles in a clinical diagnostic laboratory

Cover Page


Cite item

Full Text

Open Access Open Access
Restricted Access Access granted
Restricted Access Subscription or Fee Access

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

Restricted Access

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; Moscow

Aleksandra 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; Volgograd

Evgeniy 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, Volgograd

References

  1. Kalnitskaya IV, Danilov AN. Management solutions for model of organization management. Omsk Scientific Bulletin. 2014(3): 45–47. (In Russ.) EDN: RMMYDW
  2. 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
  3. 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
  4. 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
  5. 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
  6. 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
  7. 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

Supplementary Files
Action
1. JATS XML
2. Fig. 1. Checklist 1, 2, comparison of laboratory departments.

Download (97KB)
3. Fig. 2. Checklist 1, 2, comparison depending on the position.

Download (102KB)
4. Fig. 3. Correlation analysis of age values and total scores according to the «5S System».

Download (50KB)

Copyright (c) 2025 Lambakahar M.G., Gneusheva A.A., Kraynov E.A.

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
Регистрационный номер и дата принятия решения о регистрации СМИ:  ПИ № ФС 77 - 86785 от 05.02.2024 (ранее — ПИ № ФС 77 - 59057 от 22.08.2014).