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Waste in health information systems: a systematic review

Nadia Awang Kalong (Faculty of Information Science and Technology, Universiti Kebangsaan Malaysia, Bangi, Malaysia)
Maryati Yusof (Faculty of Information Science and Technology, Universiti Kebangsaan Malaysia, Bangi, Malaysia)

International Journal of Health Care Quality Assurance

ISSN: 0952-6862

Article publication date: 8 May 2017

Abstract

Purpose

The purpose of this paper is to discuss a systematic review on waste identification related to health information systems (HIS) in Lean transformation.

Design/methodology/approach

A systematic review was conducted on 19 studies to evaluate Lean transformation and tools used to remove waste related to HIS in clinical settings.

Findings

Ten waste categories were identified, along with their relationships and applications of Lean tool types related to HIS. Different Lean tools were used at the early and final stages of Lean transformation; the tool selection depended on the waste characteristic. Nine studies reported a positive impact from Lean transformation in improving daily work processes. The selection of Lean tools should be made based on the timing, purpose and characteristics of waste to be removed.

Research limitations/implications

Overview of waste and its category within HIS and its analysis from socio-technical perspectives enabled the identification of its root cause in a holistic and rigorous manner.

Practical implications

Understanding waste types, their root cause and review of Lean tools could subsequently lead to the identification of mitigation approach to prevent future error occurrence.

Originality/value

Specific waste models for HIS settings are yet to be developed. Hence, the identification of the waste categories could guide future implementation of Lean transformations in HIS settings.

Keywords

Acknowledgements

The authors gratefully acknowledge the funding received from both the Public Service Department of Malaysia and the Ministry of Higher Education Malaysia for the Exploratory Research Grant Scheme ERGS/1/2011/STG/UKM/02/46 that helped sponsor this study.

Citation

Awang Kalong, N. and Yusof, M. (2017), "Waste in health information systems: a systematic review", International Journal of Health Care Quality Assurance, Vol. 30 No. 4, pp. 341-357. https://doi.org/10.1108/IJHCQA-06-2016-0082

Publisher

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Emerald Publishing Limited

Copyright © 2017, Emerald Publishing Limited