Sustainable Lean Implementation: An Assessment Tool

2015 ◽  
pp. 1249-1264 ◽  
Author(s):  
Timo Schröders ◽  
Virgilio Cruz-Machado
Keyword(s):  
Assessment Tool ◽  
Lean Implementation

scholarly journals Development of Lean Assessment Tools Dimensions and Indicators For SMEs in Indonesia

2021 ◽  
Vol 5 (1) ◽  
pp. 21-29
Author(s):  
David Dwi Harjanto ◽  
Putu Dana Karningsih
Keyword(s):  
Lean Manufacturing ◽  
Manufacturing Industry ◽  
Assessment Tool ◽  
Assessment Tools ◽  
Lean Implementation ◽  
Lean Assessment ◽  
The World ◽  
Small Industry ◽  
The Difference

In advance, the lean concept was used and applicated for big manufacturing industry. However, the lean concept used widely for all kinds of industry in the world. The improvement practice as lean and JIT also used for small industry (SMEs) in any countries which have implemented lean. The SMEs which have implemented lean showed any improvement, as the increasing of efficiency and flexibility, clear of communication and close with the Customers so the response and feedback are quicker and the costs are lower. The lean assessment tools used to value the effectiveness and the efficiency from lean implementation in the certain industry. The development of lean assessment tool for SMEs done by considering the difference between SMEs characteristic with industry a big scale. Have been many studies development of lean assessment to measure lean implementation in manufacturing industry and service generally without considered the size of his industry. However there are just a few development of lean assessment tools study that specific to measure the implementation lean manufacturing on SMEs. Therefore, this study aims to collect and compare the dimensions and indicators of the Lean Assessment Tool from several countries that are suitable for use in manufacture SMEs in Indonesia.

A neuro-fuzzy hybrid model for assessing leanness of manufacturing systems

2019 ◽  
Vol 10 (1) ◽  
pp. 473-499
Author(s):  
Saleeshya P.G. ◽  
Binu M.
Keyword(s):  
Hybrid Model ◽  
Manufacturing Systems ◽  
Manufacturing Industry ◽  
Assessment Tool ◽  
Assessment Model ◽  
Strategic Decision ◽  
Lean Implementation ◽  
Content Type ◽  
Neuro Fuzzy

Purpose Lean implementation is a strategic decision. The capacity of organisation to be “Lean” can be identified before lean implementation by assessing leanness of an organisation. This study aims to attempt developing a holistic leanness assessment tool for assessing organisational leanness. Design/methodology/approach A neuro-fuzzy leanness assessment model for assessing the leanness of a manufacturing system is presented. The model is validated academically and industrially by conducting a case study. Findings Neuro-fuzzy hybridisation helped assess the leanness accurately. Fuzzy logic helped to perform the leanness assessment more realistically by accounting ambiguity and vagueness in organisational functioning and decision-making processes. Neural network increased the learning capacity of assessment model and increased the accuracy of leanness index. Research limitations/implications The industrial case study in the paper shows the results in telecom equipment manufacturing industry. This may not represent entire manufacturing sector. The generic nature of the model developed in this research ensures its wide applicability. Practical implications The neuro-fuzzy hybrid model for assessing leanness helps to identify the potential of an organisation to become “Lean”. The organisational leanness index developed by the study helps to monitor the effectiveness and impact of lean implementation programmes. Originality/value The leanness assessment models available in literature lack depth and coverage of leanness parameters. The model developed in this research assesses leanness of an organisation by accounting for leanness aspects of inventory management, industrial scheduling, organisational flexibility, ergonomics, product, process, management, workforce, supplier relationship and customer relationship with the help of neuro-fuzzy hybrid modelling.

scholarly journals ANÁLISE MATEMÁTICA PARA DIAGNÓSTICO DO GRAU DE IMPLEMENTAÇÃO DA CONSTRUÇÃO ENXUTA [ Mathematical analysis for the diagnosis of the Lean Construction implementation stage ]

2018 ◽  
Vol 14 (2) ◽  
Author(s):  
Tatiana Gondim do Amaral ◽  
Letícia Guimarães Oka ◽  
Carlos Augusto Bouhid de Camargo Filho
Keyword(s):  
Evaluation Method ◽  
Assessment Tool ◽  
Fuzzy Inference ◽  
Lean Construction ◽  
Inference System ◽  
Lean Implementation ◽  
Construction Companies ◽  
Initial Stage ◽  
Efficient Mechanisms ◽  
Implementation Stage

RESUMO:  A Lean Construction é uma filosofia que vem crescendo nos diversos meios de construção do Brasil e do mundo. Apesar de a maioria das empresas construtoras ainda estarem em processo inicial de implementação dessas práticas e ferramentas, é fundamental que sejam elaborados mecanismos eficazes na avaliação desse processo, como é o caso do Lean Construction Assessment Tool (LCAT). Esse método de avaliação é utilizado nesse trabalho para avaliar o grau de implementação enxuta em seis empresas construtoras em Goiânia. A partir dos dados obtidos, foi realizado o cálculo do grau de implementação Lean utilizando médias aritméticas, médias ponderadas por especialistas e médias baseadas no Sistema de Inferência Fuzzy. O trabalho tem como objetivo principal analisar os resultados advindos do diagnóstico Lean da aplicação da ferramenta, avaliando as potencialidades de cada média utilizada. Busca-se ainda avaliar o processo de gestão da produção das empresas pesquisadas, destacando falhas no sistema e como esse poderia ser melhorado. As médias obtidas apresentaram pequenas variações, como rapidez de obtenção, interferência de outras variáveis no processo e análise de especialistas, sendo possível concluir sobre as diferentes potencialidades no emprego de cada uma. A partir desse estudo foi possível estabelecer um diagnóstico a partir da interação entre meio acadêmica e ambiente profissional.ABSTRACT: The Lean Construction is a filosofy which is growing in the diverse communication’s means in Brazil and around the world. Although most of the construction companies are in the initial stage of these practices and tools implementation, the development of efficient mechanisms to evaluate this process is vital, such as the Lean Construction Assessment Tool (LCAT). This evaluation method is utilized in this research to evaluate the lean implementation stage in six construction companies in Goiânia. From the obtained data, the lean implementation stage was calculated using arithmetic averages, weighted averages and averages based in the Fuzzy Inference System. This work has as main goal to analyze the results from the Lean Diagnosis obtained using the tool and evaluate the potentialities that each average owns. It’s also a goal to evaluate the management process in the studied companies, highlighting failures in the system and how they can be improved. The averages obtained present small variations, such as speed of procurement, other variables interferences and the specialists’ analysis, being possible to conclude about different potentialities in each’s use. From this study, it was possible to establish a diagnosis based in the interaction between the academic and professional environment.

Age Norms for Auditory-Perceptual Neurophonetic Parameters: A Prerequisite for the Assessment of Childhood Dysarthria

2020 ◽  
Vol 63 (4) ◽  
pp. 1071-1082
Author(s):  
Theresa Schölderle ◽  
Elisabet Haas ◽  
Wolfram Ziegler
Keyword(s):  
Assessment Tool ◽  
Developmental Trajectories ◽  
Voice Quality ◽  
Typically Developing ◽  
Typically Developing Children ◽  
Age Norms ◽  
Elementary School Age ◽  
Speech Characteristics ◽  
Substantial Progress ◽  
Computer Based

Purpose The aim of this study was to collect auditory-perceptual data on established symptom categories of dysarthria from typically developing children between 3 and 9 years of age, for the purpose of creating age norms for dysarthria assessment. Method One hundred forty-four typically developing children (3;0–9;11 [years;months], 72 girls and 72 boys) participated. We used a computer-based game specifically designed for this study to elicit sentence repetitions and spontaneous speech samples. Speech recordings were analyzed using the auditory-perceptual criteria of the Bogenhausen Dysarthria Scales, a standardized German assessment tool for dysarthria in adults. The Bogenhausen Dysarthria Scales (scales and features) cover clinically relevant dimensions of speech and allow for an evaluation of well-established symptom categories of dysarthria. Results The typically developing children exhibited a number of speech characteristics overlapping with established symptom categories of dysarthria (e.g., breathy voice, frequent inspirations, reduced articulatory precision, decreased articulation rate). Substantial progress was observed between 3 and 9 years of age, but with different developmental trajectories across different dimensions. In several areas (e.g., respiration, voice quality), 9-year-olds still presented with salient developmental speech characteristics, while in other dimensions (e.g., prosodic modulation), features typically associated with dysarthria occurred only exceptionally, even in the 3-year-olds. Conclusions The acquisition of speech motor functions is a prolonged process not yet completed with 9 years. Various developmental influences (e.g., anatomic–physiological changes) shape children's speech specifically. Our findings are a first step toward establishing auditory-perceptual norms for dysarthria in children of kindergarten and elementary school age. Supplemental Material https://doi.org/10.23641/asha.12133380

Exploring the Validity and Operational Impact of Using Allied Health Assistants to Conduct Dysphagia Screening for Low-Risk Patients Within the Acute Hospital Setting

2020 ◽  
Vol 29 (4) ◽  
pp. 1944-1955 ◽  
Author(s):  
Maria Schwarz ◽  
Elizabeth C. Ward ◽  
Petrea Cornwell ◽  
Anne Coccetti ◽  
Pamela D'Netto ◽  
...  
Keyword(s):  
At Risk ◽  
Allied Health ◽  
Assessment Tool ◽  
Hospital Setting ◽  
Low Risk ◽  
False Negatives ◽  
Exact Agreement ◽  
Risk Patients ◽  
Impact Phase ◽  
Operational Impact

Purpose The purpose of this study was to examine (a) the agreement between allied health assistants (AHAs) and speech-language pathologists (SLPs) when completing dysphagia screening for low-risk referrals and at-risk patients under a delegation model and (b) the operational impact of this delegation model. Method All AHAs worked in the adult acute inpatient settings across three hospitals and completed training and competency evaluation prior to conducting independent screening. Screening (pass/fail) was based on results from pre-screening exclusionary questions in combination with a water swallow test and the Eating Assessment Tool. To examine the agreement of AHAs' decision making with SLPs, AHAs ( n = 7) and SLPs ( n = 8) conducted an independent, simultaneous dysphagia screening on 51 adult inpatients classified as low-risk/at-risk referrals. To examine operational impact, AHAs independently completed screening on 48 low-risk/at-risk patients, with subsequent clinical swallow evaluation conducted by an SLP with patients who failed screening. Results Exact agreement between AHAs and SLPs on overall pass/fail screening criteria for the first 51 patients was 100%. Exact agreement for the two tools was 100% for the Eating Assessment Tool and 96% for the water swallow test. In the operational impact phase ( n = 48), 58% of patients failed AHA screening, with only 10% false positives on subjective SLP assessment and nil identified false negatives. Conclusion AHAs demonstrated the ability to reliably conduct dysphagia screening on a cohort of low-risk patients, with a low rate of false negatives. Data support high level of agreement and positive operational impact of using trained AHAs to perform dysphagia screening in low-risk patients.

Measuring “Language Access Profiles” in Deaf and Hard-of-Hearing Children With the DHH Language Exposure Assessment Tool

2020 ◽  
pp. 1-25
Author(s):  
Matthew L. Hall ◽  
Stephanie De Anda
Keyword(s):  
Cluster Analysis ◽  
Exposure Assessment ◽  
Hard Of Hearing ◽  
Assessment Tool ◽  
Communication Mode ◽  
Developmental Potential ◽  
Language Access ◽  
Retest Reliability ◽  
Language Exposure ◽  
Test Retest Reliability

Purpose The purposes of this study were (a) to introduce “language access profiles” as a viable alternative construct to “communication mode” for describing experience with language input during early childhood for deaf and hard-of-hearing (DHH) children; (b) to describe the development of a new tool for measuring DHH children's language access profiles during infancy and toddlerhood; and (c) to evaluate the novelty, reliability, and validity of this tool. Method We adapted an existing retrospective parent report measure of early language experience (the Language Exposure Assessment Tool) to make it suitable for use with DHH populations. We administered the adapted instrument (DHH Language Exposure Assessment Tool [D-LEAT]) to the caregivers of 105 DHH children aged 12 years and younger. To measure convergent validity, we also administered another novel instrument: the Language Access Profile Tool. To measure test–retest reliability, half of the participants were interviewed again after 1 month. We identified groups of children with similar language access profiles by using hierarchical cluster analysis. Results The D-LEAT revealed DHH children's diverse experiences with access to language during infancy and toddlerhood. Cluster analysis groupings were markedly different from those derived from more traditional grouping rules (e.g., communication modes). Test–retest reliability was good, especially for the same-interviewer condition. Content, convergent, and face validity were strong. Conclusions To optimize DHH children's developmental potential, stakeholders who work at the individual and population levels would benefit from replacing communication mode with language access profiles. The D-LEAT is the first tool that aims to measure this novel construct. Despite limitations that future work aims to address, the present results demonstrate that the D-LEAT represents progress over the status quo.

Osteoporosis Guidelines Add Risk Assessment Tool

2008 ◽  
Vol 41 (10) ◽  
pp. 1-4
Author(s):  
SHERRY BOSCHERT
Keyword(s):  
Risk Assessment ◽  
Assessment Tool ◽  
Risk Assessment Tool

The association between dietary inflammatory index and risk of central obesity in adults: An updated systematic review and meta-analysis

2020 ◽  
Vol 90 (5-6) ◽  
pp. 535-552 ◽  
Author(s):  
Mahdieh Abbasalizad Farhangi ◽  
Mahdi Vajdi
Keyword(s):  
Systematic Review ◽  
Observational Studies ◽  
Central Obesity ◽  
Assessment Tool ◽  
Weighted Mean Difference ◽  
Meta Analysis ◽  
Dietary Factors ◽  
Cross Sectional ◽  
Inflammatory Status ◽  
Obesity Indices

Abstract. Backgrounds: Central obesity, as a pivotal component of metabolic syndrome is associated with numerous co-morbidities. Dietary factors influence central obesity by increased inflammatory status. However, recent studies didn’t evaluate the association between central obesity and dietary inflammation index (DII®) that give score to dietary factors according to their inflammatory potential. In the current systematic review and meta-analysis, we summarized the studies that investigated the association between DII® with central obesity indices in the general populations. Methods: In a systematic search from PubMed, SCOPUS, Web of Sciences and Cochrane electronic databases, we collected relevant studies written in English and published until 30 October 2019. The population of included studies were apparently healthy subjects or individuals with obesity or obesity-related diseases. Observational studies that evaluated the association between DII® and indices of central obesity including WC or WHR were included. Results: Totally thirty-two studies were included; thirty studies were cross-sectional and two were cohort studies with 103071 participants. Meta-analysis of observational studies showed that higher DII® scores were associated with 1.81 cm increase in WC (Pooled weighted mean difference (WMD) = 1.813; CI: 0.785–2.841; p = 0.001). Also, a non-significant increase in the odds of having higher WC (OR = 1.162; CI: 0.95–1.43; p = 0.154) in the highest DII category was also observed. In subgroup analysis, the continent, dietary assessment tool and gender were the heterogeneity sources. Conclusion: The findings proposed that adherence to diets with high DII® scores was associated with increased WC. Further studies with interventional designs are necessary to elucidate the causality inference between DII® and central obesity indices.

CODEM Instrument

GeroPsych ◽  
2014 ◽  
Vol 27 (1) ◽  
pp. 23-31 ◽  
Author(s):  
Anne Kuemmel (This author contributed eq ◽  
Julia Haberstroh (This author contributed ◽  
Johannes Pantel
Keyword(s):  
Convergent Validity ◽  
Interrater Reliability ◽  
Discriminant Validity ◽  
Assessment Tool ◽  
Intraclass Correlation ◽  
Well Being ◽  
Communication Behavior ◽  
People With Dementia ◽  
Pearson's R ◽  
Pearson’S R

Communication and communication behaviors in situational contexts are essential conditions for well-being and quality of life in people with dementia. Measuring methods, however, are limited. The CODEM instrument, a standardized observational communication behavior assessment tool, was developed and evaluated on the basis of the current state of research in dementia care and social-communicative behavior. Initially, interrater reliability was examined by means of videoratings (N = 10 people with dementia). Thereupon, six caregivers in six German nursing homes observed 69 residents suffering from dementia and used CODEM to rate their communication behavior. The interrater reliability of CODEM was excellent (mean κ = .79; intraclass correlation = .91). Statistical analysis indicated that CODEM had excellent internal consistency (Cronbach’s α = .95). CODEM also showed excellent convergent validity (Pearson’s R = .88) as well as discriminant validity (Pearson’s R = .63). Confirmatory factor analysis verified the two-factor solution of verbal/content aspects and nonverbal/relationship aspects. With regard to the severity of the disease, the content and relational aspects of communication exhibited different trends. CODEM proved to be a reliable, valid, and sensitive assessment tool for examining communication behavior in the field of dementia. CODEM also provides researchers a feasible examination tool for measuring effects of psychosocial intervention studies that strive to improve communication behavior and well-being in dementia.

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