IMPROVING THE ACTIVITIES OF THE EMERGENCY DEPARTMENT: THE USE OF MODERN ORGANIZATIONAL TECHNOLOGIES

DOI: 10.22138/2500-0918-2025-22-4-446-456 (In Russ)

А.D. Bazhukina, A.A. Kurmangulov, N.S. Brynza, V.V. Kostikov

Federal State Budgetary Educational Institution of Higher Education
«Tyumen State Medical University» of the Ministry of Healthcare of the Russian Federation,
Tyumen, Russian Federation

Abstract. The healthcare system of the Russian Federation is currently facing numerous challenges, the most critical of which is the need for continuous improvement in the quality of medical services, process optimization, and cost reduction. Under conditions of limited resources and growing patient expectations, medical organizations are compelled to seek new approaches to operational management. One such approach is the application of Lean production principles.
The purpose of the work was to analyze the experience of implementing Lean tools and methods in hospital admission departments across the Russian Federation. Material and Methods. The study was conducted as a four-stage literature review based on PRISMA Group guidelines. A total of 20 publications from 2019 to 2024 were included in the contextual-semantic analysis. A one-factor regression analysis was used to assess the dynamics of publication activity. Stratification and latent semantic analysis allowed the identification of the main thematic research areas. Results and Discussion. The analysis revealed four key directions for improving the functioning of hospital admission departments using Lean methods: organizational and simulation modeling, project-based approaches, standardization, and strategic planning. The implementation of measures in these areas has been shown to reduce patient waiting and stay times, ease the burden on staff, and improve the quality of medical care. A trend was noted toward hybrid application of traditional Lean methods and tools with innovative practices for enhancing the operations of admission departments. Conclusion. Lean production principles play a critical role in improving the efficiency and quality of hospital admission department operations. The adaptation and integration of new solutions simultaneously create both risks and opportunities for enhancing healthcare accessibility and promoting patient-centered care. However, further research is necessary to address unresolved issues.

Keywords: emergency department, inpatient facility, emergency medical care, lean technologies, 5S, value stream mapping, time tracking

There is no conflict of interest.
Contact details of the corresponding author:
Anna D. Bazhukina
Anna.grappe@mail.ru
Recieved 30.05.2025
For citation: Bazhukina A.D., Kurmangulov A.A., Brynza N.S., Kostikov V.V. Improving the activities of the emergency department: the use of modern organizational technologies [Online] Vestn. Ural. Med. Akad. Nauki. = Journal of Ural Medical Academic Science. 2025, Vol. 22, no. 4, pp. 446–456. DOI: 10.22138/2500-0918-2025-22-4-446-456 (In Russ)

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Authors
Anna D. Bazhukina
Assistant at the Department of Public Health and Healthcare, specialist at the Center for Lean
Technologies in Healthcare
Anna.grappe@mail.ru
ORCID: 0000-0001-7306-0977
SPIN: 9965-6006

Albert A. Kurmangulov
Doctor of Medical Sciences, Associate Professor, Associate Professor of the Department of Public Health and Public Health, Head of the Training Center for Lean Technologies in Healthcare
kurmangulovaa@tyumsmu.ru
ORCID: 0000-0003-0850-3422
SPIN: 1443-3497

Natalia S. Brynza
Doctor of Medical Sciences, Head of the Department of Public Health and Healthcare
BrynzaNS@tyumsmu.ru
ORCID: 0000-0001-5985-1780
SPIN: 8404-2042

Viktor V. Kostikov
Resident at the Department of Public Health and Healthcare
KostikovVV@tyumsmu.ru
ORCID: 0009-0003-8249-8913

Tyumen State Medical University of the Ministry of Health of the Russian Federation
Tyumen, Russian Federation