• Miao-Miao Zhang, Xiao-Chun Yu, Feng-Li Lu, and Ke-Ke Lu.
• Department of Emergency, The Fifth People's Hospital of Yuhang District, Hangzhou, Zhejiang, 311100, People's Republic of China.
• Patient Prefer Adher. 2021 Jan 1; 15: 1207-1212.

ObjectiveThis study aimed to explore the application effect of lean management in rabies vaccination.MethodsLean management in rabies vaccination was implemented from July 2020. A total of 2306 patients vaccinated from January to June 2020 were enrolled as routine management group, and 2718 patients vaccinated from July to November 2020 were enrolled as lean management group. The relationship between potential factors and rabies vaccination with 1:1 propensity score matching (PSM) was analysed. The compliance, waiting time for vaccination, and satisfaction of patients of routine and lean management group were statistically analyzed. The changes in the three indicators before and after the implementation and their application effects were compared.ResultsCompliance rate in lean management group (98.72%) was significantly higher than that in routine management group (93.87%) (χ 2=32.902, P<0.001). The waiting time for vaccination was also significantly shortened (t = 9.209, P < 0.001), and the satisfaction of patients significantly improved (X 2 = 39.611, P < 0.001).ConclusionImplementing lean management in all aspects of rabies vaccination can significantly improve patient compliance and work efficiency of nursing staff and improve the patient medical experience.© 2021 Zhang et al.

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