Lean and clinical risk management: an integrated implementation framework
Year: 2026
Type: article
Abstract: Purpose This study explores how the integration of lean management (LM) and clinical risk management (CRM) approaches enhances patient safety and operational efficiency by providing an integrated implementation framework. Design/methodology/approach An empirical case study was conducted in a large academic hospital in Northern Italy, focussing on the hospital dietary process. A multiple–data-sources approach was employed for data collection, including participatory observations, surveys, structured interviews and secondary data. Findings The integrated lean-clinical risk management approach increased incident reporting from 7 cases in 2020 to 30 in 2023, reflecting enhanced staff awareness and adverse event reduction. Diet prescriptions documented within 24 h rose from 71% to 99%, while kitchen order variations dropped from 52% to 2%. Patient satisfaction ratings increased by 11 percentage points. Operator time for diet management decreased significantly, from 750 to 47 h monthly. Practical implications The study provides an integrated framework to support healthcare managers in integrating risk management and lean methodologies to boost clinical safety and process efficiency. Originality/value The study fills a literature gap by providing empirical evidence of LM and CRM integration, offering actionable insights for sustainable healthcare quality improvement.
Authors: Giulia Goretti, Martina Pisarra, Riccardo Speciale, Martina Lauria, Patrizia Meroni
Institutions: IRCCS Humanitas Research Hospital, University of Milan
Language: English
Subfield: Health Information Management
Field: Health Professions
Domain: Health Sciences
Open Access status: hybrid
OpenAlex ID: W7165041616