TY  - JOUR
AB  - Purpose– The purpose of this paper is to investigate the impact of layout configurations in a hospital on the implementation of lean management initiatives, to include different units of care. The research concentrated on the impact, the physical distance between dependent units could have on staff perception, use of staff time, time spent in the system by patients, and performance.Design/methodology/approach– The research examined the relationship between clinical units allocated within Northampton General Hospital and their internal providers. In addition, an adapted version of the SERVPERF questionnaire was used to measure the quality perception of staff.Findings– The transit distances from each clinical unit to their internal providers have: a negative relationship with the staff quality provision of care; a positive relationship with the time the patient spends in the system; and no discernable direct correlation with performance.Practical implications– These findings will help hospital managers to understand the impact of the layout of a hospital on the implementation of service improvement activities, and will assist them in planning improved relocation of clinical units. This facilitates future service improvements whilst optimising the use of available and constrained resources within the present hospital facilities.Originality/value– The ideas and results presented in this study are original and valuable to the study of hospital layouts, services improvements and the implementation of lean operation initiatives and quality improvement programmes in hospitals. The study also successfully tested the application of SERVPERF in a hospital setting.
VL  - 2
IS  - 3
SN  - 2040-4166
DO  - 10.1108/20401461111157204
UR  - https://doi.org/10.1108/20401461111157204
AU  - Soriano‐Meier Horacio
AU  - Forrester Paul L.
AU  - Markose Sibi
AU  - Arturo Garza‐Reyes Jose
PY  - 2011
Y1  - 2011/01/01
TI  - The role of the physical layout in the implementation of lean management initiatives
T2  - International Journal of Lean Six Sigma
PB  - Emerald Group Publishing Limited
SP  - 254
EP  - 269
Y2  - 2024/04/25
ER  -