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University of Gothenburg

Sustainable patient flows at hospitals - a Multicenter Study

This is a Nordic multicenter study of tools and processes that may facilitate the development of more sustainable patient flows; i.e. flows considering both competitive performance and working conditions in a long-term perspective.


A tool has now been developed: ”Ergonomic Value Stream Mapping (ErgoVSM). Tool and User Guide”. Nordic Council of Ministers, ANP 2016:731, 36 pp., ISBN 978-92-893-4572-9 (PRINT), ISBN 978-92-893-4573-6 (PDF), 2016

Winkel J., Edwards K, Birgisdóttir Dröfn B, Gunnarsdóttir S. Facilitating and inhibiting factors in change processes based on the lean tool ‘value stream mapping’: an exploratory case study at hospital wards. International Journal of Human Factors and Ergonomics. Int. J. Human Factors and Ergonomics, Vol. 3, Nos. 3/4, 2015, 291-302

In addition, several abstracts and presentations at international scientific meetings.