{"id":"https://openalex.org/W4295776650","doi":"https://doi.org/10.21608/ejhc.2020.257884","title":"Impact of Lean Strategy Utilization Training program on Quality of Environmental and occupational safety.","display_name":"Impact of Lean Strategy Utilization Training program on Quality of Environmental and occupational safety.","publication_year":2020,"publication_date":"2020-03-01","ids":{"openalex":"https://openalex.org/W4295776650","doi":"https://doi.org/10.21608/ejhc.2020.257884"},"language":"en","primary_location":{"id":"doi:10.21608/ejhc.2020.257884","doi":"https://doi.org/10.21608/ejhc.2020.257884","is_oa":true,"landing_page_url":"https://doi.org/10.21608/ejhc.2020.257884","pdf_url":null,"source":{"id":"https://openalex.org/S4210226691","display_name":"Egyptian Journal of Health Care","issn_l":"1687-9546","issn":["1687-9546","3009-6766"],"is_oa":true,"is_in_doaj":true,"is_core":false,"listed_in":["doaj"],"host_organization":"https://openalex.org/P4323237894","host_organization_name":"Egypts Presidential Specialized Council for Education and Scientific Research","host_organization_lineage":["https://openalex.org/P4323237894"],"host_organization_lineage_names":["Egypts Presidential Specialized Council for Education and Scientific Research"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Egyptian Journal of Health Care","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://doi.org/10.21608/ejhc.2020.257884","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5112900419","display_name":"Mayada Hassan Saad Elzohairy","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I169744251","display_name":"Damanhour University","ror":"https://ror.org/03svthf85","country_code":"EG","type":"education","lineage":["https://openalex.org/I169744251"]}],"countries":["EG"],"is_corresponding":false,"raw_author_name":"Mayada Hassan Elzohairy","raw_affiliation_strings":["Lecturer of Nursing Administration Department, Faculty of Nursing, Damanhour University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Lecturer of Nursing Administration Department, Faculty of Nursing, Damanhour University","institution_ids":["https://openalex.org/I169744251"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5024484049","display_name":"Elham Youssef Elhanafy","orcid":"https://orcid.org/0000-0002-3176-3225","observed_orcids":["https://orcid.org/0000-0002-3176-3225"]},"institutions":[{"id":"https://openalex.org/I169744251","display_name":"Damanhour University","ror":"https://ror.org/03svthf85","country_code":"EG","type":"education","lineage":["https://openalex.org/I169744251"]}],"countries":["EG"],"is_corresponding":false,"raw_author_name":"Elham Youssef Elhanafy","raw_affiliation_strings":["Assistant Professor of Nursing Administration Department, Faculty of Nursing, Damanhour University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Assistant Professor of Nursing Administration Department, Faculty of Nursing, Damanhour University","institution_ids":["https://openalex.org/I169744251"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5041562535","display_name":"Wafaa Hassan Mostafa","orcid":"https://orcid.org/0000-0002-6751-276X","observed_orcids":["https://orcid.org/0000-0002-6751-276X"]},"institutions":[{"id":"https://openalex.org/I169744251","display_name":"Damanhour University","ror":"https://ror.org/03svthf85","country_code":"EG","type":"education","lineage":["https://openalex.org/I169744251"]}],"countries":["EG"],"is_corresponding":false,"raw_author_name":"Wafaa Hassan Mostafa","raw_affiliation_strings":["Lecturer of Nursing Administration Department, Faculty of Nursing, Damanhour University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Lecturer of Nursing Administration Department, Faculty of Nursing, Damanhour University","institution_ids":["https://openalex.org/I169744251"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I169744251"],"apc_list":null,"apc_paid":null,"fwci":0.1821,"has_fulltext":false,"cited_by_count":1,"citation_normalized_percentile":{"value":0.52538487,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":93},"biblio":{"volume":"11","issue":"1","first_page":"1236","last_page":"1252"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12871","display_name":"Healthcare Quality and Management","score":0.9082000255584717,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T12871","display_name":"Healthcare Quality and Management","score":0.9082000255584717,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10164","display_name":"Quality and Supply Management","score":0.02160000056028366,"subfield":{"id":"https://openalex.org/subfields/1404","display_name":"Management Information Systems"},"field":{"id":"https://openalex.org/fields/14","display_name":"Business, Management and Accounting"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10508","display_name":"Patient Safety and Medication Errors","score":0.01209999993443489,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/lean-strategy","display_name":"lean strategy","score":0.6729999780654907},{"id":"https://openalex.org/keywords/occupational-safety","display_name":"occupational safety","score":0.8190000057220459},{"id":"https://openalex.org/keywords/environmental-safety","display_name":"environmental safety","score":0.9269999861717224},{"id":"https://openalex.org/keywords/occupational-hazards","display_name":"occupational hazards","score":0.8240000009536743},{"id":"https://openalex.org/keywords/drug-administration","display_name":"medication administration","score":0.5889999866485596},{"id":"https://openalex.org/keywords/nurses","display_name":"nurses","score":0.6150000095367432},{"id":"https://openalex.org/keywords/hospital-wards","display_name":"hospital wards","score":0.7239999771118164},{"id":"https://openalex.org/keywords/value-stream-mapping","display_name":"value stream mapping","score":0.7789999842643738},{"id":"https://openalex.org/keywords/quality-of-care","display_name":"quality of care","score":0.8690000176429749},{"id":"https://openalex.org/keywords/continuous-quality-improvement","display_name":"continuous quality improvement","score":0.8169999718666077}],"concepts":[{"id":"https://openalex.org/C2779530757","wikidata":"https://www.wikidata.org/wiki/Q1207505","display_name":"Quality (philosophy)","level":2,"score":0.6274856328964233},{"id":"https://openalex.org/C70798638","wikidata":"https://www.wikidata.org/wiki/Q4575211","display_name":"Environmental quality","level":2,"score":0.47484615445137024},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.46468472480773926},{"id":"https://openalex.org/C21547014","wikidata":"https://www.wikidata.org/wiki/Q1423657","display_name":"Operations management","level":1,"score":0.4244592785835266},{"id":"https://openalex.org/C39432304","wikidata":"https://www.wikidata.org/wiki/Q188847","display_name":"Environmental science","level":0,"score":0.3534504175186157},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.3272707462310791},{"id":"https://openalex.org/C127413603","wikidata":"https://www.wikidata.org/wiki/Q11023","display_name":"Engineering","level":0,"score":0.275683730840683},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.15044108033180237},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.06529873609542847},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0},{"id":"https://openalex.org/C138885662","wikidata":"https://www.wikidata.org/wiki/Q5891","display_name":"Philosophy","level":0,"score":0.0},{"id":"https://openalex.org/C111472728","wikidata":"https://www.wikidata.org/wiki/Q9471","display_name":"Epistemology","level":1,"score":0.0}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.21608/ejhc.2020.257884","doi":"https://doi.org/10.21608/ejhc.2020.257884","is_oa":true,"landing_page_url":"https://doi.org/10.21608/ejhc.2020.257884","pdf_url":null,"source":{"id":"https://openalex.org/S4210226691","display_name":"Egyptian Journal of Health Care","issn_l":"1687-9546","issn":["1687-9546","3009-6766"],"is_oa":true,"is_in_doaj":true,"is_core":false,"listed_in":["doaj"],"host_organization":"https://openalex.org/P4323237894","host_organization_name":"Egypts Presidential Specialized Council for Education and Scientific Research","host_organization_lineage":["https://openalex.org/P4323237894"],"host_organization_lineage_names":["Egypts Presidential Specialized Council for Education and Scientific Research"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Egyptian Journal of Health Care","raw_type":"journal-article"},{"id":"pmh:oai:doaj.org/article:699fdb1688b743cbbc2a64e9186667b7","doi":null,"is_oa":true,"landing_page_url":"https://doaj.org/article/699fdb1688b743cbbc2a64e9186667b7","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Egyptian Journal of Health Care, Vol 11, Iss 1, Pp 1236-1252 (2020)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.21608/ejhc.2020.257884","doi":"https://doi.org/10.21608/ejhc.2020.257884","is_oa":true,"landing_page_url":"https://doi.org/10.21608/ejhc.2020.257884","pdf_url":null,"source":{"id":"https://openalex.org/S4210226691","display_name":"Egyptian Journal of Health Care","issn_l":"1687-9546","issn":["1687-9546","3009-6766"],"is_oa":true,"is_in_doaj":true,"is_core":false,"listed_in":["doaj"],"host_organization":"https://openalex.org/P4323237894","host_organization_name":"Egypts Presidential Specialized Council for Education and Scientific Research","host_organization_lineage":["https://openalex.org/P4323237894"],"host_organization_lineage_names":["Egypts Presidential Specialized Council for Education and Scientific Research"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Egyptian Journal of Health Care","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":0.9537000060081482,"id":"https://metadata.un.org/sdg/3"},{"display_name":"Decent work and economic growth","score":0.7825999855995178,"id":"https://metadata.un.org/sdg/8"}],"study_designs":[{"display_name":"Clinical Trial","id":"https://openalex.org/study-designs/clinical-trial"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W4417532441","https://openalex.org/W2944474226","https://openalex.org/W4320488029","https://openalex.org/W6995520222","https://openalex.org/W3104504876","https://openalex.org/W7028173421","https://openalex.org/W2076418892","https://openalex.org/W7019738270","https://openalex.org/W4401850301","https://openalex.org/W6894011669"],"abstract_inverted_index":{"Background:":[0],"There":[1,137,158,177,200],"is":[2],"a":[3,40,139,160,179,219,237],"great":[4],"concern":[5],"about":[6],"overlooking":[7],"occupational,":[8],"health":[9],"and":[10,28,50,72,81,94,121,124,128,148,152,174,189,195,224,274,279,284],"safety":[11,154,191],"issues":[12],"while":[13],"lean":[14,41,144,170,209,258,263,282],"implementation":[15,248,260],"at":[16,63,98,172],"the":[17,37,77,90,99,250,254,266],"workplace":[18],"due":[19],"to":[20,213,227,281,288],"its":[21],"valuable":[22],"effect":[23],"on":[24,46],"improving":[25],"operational":[26],"processes":[27],"reducing":[29],"negative":[30,182],"outcomes.":[31],"The":[32,59],"study":[33,60,166,205],"aim:":[34],"To":[35],"determine":[36],"impact":[38],"of":[39,48,101,150,155,187,192,242,249],"strategies":[42,171,210,259],"utilization":[43,145],"training":[44,146],"program":[45,147],"quality":[47,149,186,241,290],"environmental":[49,151,188],"occupational":[51,153,190,197,228],"safety.":[52],"Research":[53],"design:":[54],"Quasi-experimental":[55],"research":[56],"design.":[57],"Setting:":[58],"was":[61,138,159,178,201,218,236],"conducted":[62],"all":[64,82],"El-":[65],"Mansoura":[66],"University":[67],"Hospital":[68],"inpatient":[69],"(medical,":[70],"surgical,":[71],"emergency)":[73],"units.":[74],"Subjects:":[75],"All":[76],"head":[78],"nurses":[79,84,194],"(N=22),":[80],"staff":[83,156,193,286],"(N=172)":[85],"who":[86,95],"were":[87,96,107],"working":[88],"in":[89,204,222,240,265],"previously":[91],"mentioned":[92],"units":[93],"available":[97],"time":[100,223],"data":[102,110],"collection.":[103],"Tools:":[104],"Three":[105],"tools":[106],"used":[108],"for":[109,257],"collection,":[111],"Tool":[112,118,130],"(1):":[113],"Lean":[114],"Knowledge":[115],"Assessment":[116],"Questionnaire.":[117],"(2):":[119],"Environmental":[120],"Occupational":[122],"Health":[123],"Safety":[125],"Observation":[126],"Checklist,":[127],"finally":[129],"(3):":[131],"Value":[132],"Stream":[133],"Map":[134],"(VSM).":[135],"Results:":[136],"statistically":[140,162],"significant":[141,163,181],"relation":[142],"between":[143,165,184],"nurses.":[157],"highly":[161,180],"difference":[164],"subjects`":[167,206],"knowledge":[168,207],"regarding":[169,208],"pre":[173],"post":[175,247],"program.":[176,215,251],"correlation":[183],"total":[185,196],"hazards.":[198],"Conclusion:":[199],"an":[202],"improvement":[203],"post-program":[211,233],"compared":[212],"pre-":[214],"Also,":[216],"there":[217,235],"marked":[220,238],"decrease":[221],"frequencies":[225],"exposure":[226],"hazards":[229],"during":[230,244],"medication":[231,245],"administration":[232,246],"while,":[234],"increase":[239],"care":[243],"Recommendations:":[252],"Improve":[253],"organizational":[255],"readiness":[256],"through:":[261],"introduce":[262],"approach":[264],"healthcare":[267],"settings":[268],"plans":[269],"as":[270,272],"well":[271],"vision,":[273],"enhance":[275],"leadership":[276],"behaviors,":[277],"abilities":[278],"commitment":[280],"principles":[283],"encourage":[285],"contributions":[287],"continuous":[289],"improvement.":[291]},"counts_by_year":[{"year":2023,"cited_by_count":1}],"updated_date":"2026-09-26T08:19:03.415552","created_date":"2022-09-15T00:00:00"}