journal article·2025-06-13Open access

Lean Management Framework in Healthcare: Insights and Achievements on Hazardous Medical Waste

Adela Dana Ciobanu, Alexandru Ozunu, Maria Tănase, Adrian Gligor, Cristina Veres

Applied Sciences· Volume 15· Issue 12

Abstract

Hazardous medical waste (HMW) presents significant environmental and public health challenges, particularly in the context of rising healthcare demands and the global push for sustainable resource management. This study investigates the evolution of HMW management through a bibliometric and thematic analysis of 1703 articles published between 2020 and 2025, retrieved from the Web of Science database. Using VOSviewer, co-occurrence mapping and term clustering reveal six major conceptual domains, including thermal treatment technologies, operational optimization, environmental indicators, and behavioral dimensions. This study adds value by applying a dual bibliometric–thematic lens to provide new insights into the operational, technological, and sustainability dimensions of HMW. The analysis identifies a gradual shift from traditional disposal methods to circular models focused on resource valorization through pyrolysis, gasification, and sterilization. Lean management principles—such as process efficiency, waste minimization, and the promotion of recovery and reuse—emerge as complementary to circular economy goals. Additional visualizations outline international collaboration trends, highlighting established research hubs and emerging contributors. The findings emphasize the role of data-driven decision tools, sustainability assessment methods, and cross-sectoral integration in enhancing medical waste systems.
Source: crossref · Quality: baseline

Research context

OpenAlex topics: Healthcare and Environmental Waste Management

SciVX discovery tags are terminology-based. OpenAlex topics are source-provided classifications.

Affiliations

Doctoral School of Environmental Science, Faculty of Environmental Science and Engineering, Babeș-Bolyai University, Fantanele Street, 30, 400294 Cluj-Napoca, Romania

Department of Environmental Science and Engineering, Babeș-Bolyai University, Fantanele Street, 30, 400294 Cluj-Napoca, Romania

Mechanical Engineering Department, Petroleum-Gas University of Ploiesti, 100680 Ploiesti, Romania

Department of Electrical Engineering and Information Technology, George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Targu-Mures, Nicolae Iorga Street, 1, 540088 Targu-Mures, Romania

Department of Industrial Engineering and Management, George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Targu-Mures, Nicolae Iorga Street, 1, 540088 Targu-Mures, Romania

Doctoral School of Letters, Humanities and Applied Sciences, George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Targu Mures, Gheorghe Marinescu Street, 38, 540142 Targu Mures, Romania

School of Advanced Studies of the Romanian Academy, Calea Victoriei, 125, 010071 Bucharest, Romania

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