This paper addresses the dynamics and mechanisms underpinning the trajectories and outcomes of process innovation. It deploys actor-network theory to explore the role of emergent stakeholder dynamics and networks in shaping the trajectory and outcomes of a project to implement Lean thinking (Lean) in a theatres unit of a UK National Health Service hospital. It traces the process of network form...

OBJECTIVES To evaluate whether four types of low-cost interventions in the working environment can promote the small everyday lifestyle adaptations that can halt the epidemics of obesity and hypertension when maintained long term. DESIGN A single-blind uninterrupted time-series intervention study consisting of four study periods: run-in (2 weeks), baseline (2 weeks), intervention (2 weeks), a...

Introduction. Old hospitals may promote inefficient patient care processes and safety. A new, functionally planned hospital presents a chance to create an environment that supports streamlined, patient-centered healthcare processes and adapts to users' needs. This study depicts the phases of a facility planning project for pregnant women and newborn care processes (beginning of life process) at...

BACKGROUND Prolonged waiting time is a source of patient dissatisfaction with health care and is negatively associated with patient satisfaction. Prolonged waiting times in many district hospitals result in many dissatisfied patients, overworked and frustrated staff, and poor quality of care because of the perceived increased workload. AIM The aim of the study was to determine the impact of L...