Journal title MISSION
Author/s Andrea Paolo Corbetta, Elisa Banelli, Serena De Cristofaro, Isabella Mani, Ester Bianchi, Marta Vaiarini, Simonetta Rovaris, Alessandra Pagani, Cristina Caldara, Simonetta Cesa, Marco Riglietta
Publishing Year 2026 Issue 2025/73
Language Italian Pages 7 P. 8-14 File size 0 KB
DOI 10.3280/mis73-2026oa21076
DOI is like a bar code for intellectual property: to have more infomation
click here
FrancoAngeli is member of Publishers International Linking Association, Inc (PILA), a not-for-profit association which run the CrossRef service enabling links to and from online scholarly content.
Introduction. The introduction of methadone tablets at the Addiction Service (SerD) of ASST PG23 represented a major therapeutic innovation in the management of opioid use disorder, requiring a reorganization based on Lean Management principles. The aim of this case report is to describe the transition to the new formulation, analyzing its organizational impact with specific attention to the strategic role of nurses.
Methods. The process was structured into three phases: definition of the intervention scope and context analysis; process mapping to identify critical issues and improvement areas; application of Lean principles followed by the standardization of drug management protocols. Nurses played a key role, overseeing the phases from a planning, organizational, and operational perspective, in synergy with the multidisciplinary team.
Results. The transition reduced preparation and administration times. Logistical management was optimized (storage capacity ↑71%, orders ↓46%), ensuring adequate stock levels, absence of waste, traceability, and appropriateness. Adherence to treatment was high, with a gradual increase in treated patients (23 in 2023, 54 in 2024, 90 by mid-2025).
Conclusions. The transition represented a significant organizational change, effectively supported by the application of Lean principles. Nursing leadership was crucial to structure and consolidate the change, ensuring continuity and quality of the therapeutic pathway.
Keywords: Lean Methodology;Methadone tablets;Addiction Service;Nursing leadership;Healthcare process organization
Andrea Paolo Corbetta, Elisa Banelli, Serena De Cristofaro, Isabella Mani, Ester Bianchi, Marta Vaiarini, Simonetta Rovaris, Alessandra Pagani, Cristina Caldara, Simonetta Cesa, Marco Riglietta, La metodologia Lean nella transizione al metadone compresse: il ruolo dell’infermiere nell’esperienza del Ser.D. presso l’ASST Papa Giovanni XXIII - Bergamo in "MISSION" 73/2025, pp 8-14, DOI: 10.3280/mis73-2026oa21076