Book Review We All Fall Down: Goldratt's Theory of Constraints for Healthcare Systems By Julie Wright and Russ King. 353 pp. Great Barrington, Mass., North River Press, 2006. $27.50. 0-88427-181-1

2006 ◽  
Vol 355 (2) ◽  
pp. 218-219 ◽  
Author(s):  
Stephen G. Pauker
Keyword(s):  
Healthcare Systems ◽  
Theory Of Constraints

Success Stories (DRAFT)

2018 ◽  
Author(s):  
Boaz Ronen ◽  
Joseph S Pliskin ◽  
Shimeon Pass
Keyword(s):  
United States ◽  
Emergency Department ◽  
United Kingdom ◽  
Emergency Room ◽  
The United States ◽  
Healthcare Systems ◽  
Theory Of Constraints ◽  
Wait Times ◽  
Success Stories ◽  
Specific Contribution

This chapter describes some success stories that show how the tools, methods, and philosophies were used in a variety of healthcare systems. The cases presented here include successful implementations in the United States, United Kingdom, and Israel. Each story highlights the objectives and the results of the organization. Objectives include reducing emergency room wait times, reducing delayed admissions, improving emergency department and operating room throughput, improving quality and customer satisfaction. Although the cases use a variety of methods, approaches include eliminating dummy constraints, using specific contribution for prioritization, and working with complete kits, focusing on the theory of constraints, and reducing work in progress.

Constraint Management in a Bottleneck Environment (DRAFT)

2018 ◽  
Author(s):  
Boaz Ronen ◽  
Joseph S Pliskin ◽  
Shimeon Pass
Keyword(s):  
Waiting Times ◽  
Healthcare Systems ◽  
Operating Rooms ◽  
Theory Of Constraints ◽  
Clinical Quality ◽  
Constraint Management ◽  
System Constraint

This chapter introduces steps 4 through 7 of the theory of constraints—that, respectively, decide how to exploit and utilize the constraint, subordinate the system to the constraint, elevate and break the constraint, and do not let inertia become the system constraint. The chapter shows how to achieve more using the existing resources by focusing on the bottleneck. For example, reducing waste (“garbage time”) of the bottleneck can quite quickly increase the system’s throughput. The subordination of the rest of the system to the bottleneck is then discussed. For this purpose, the scheduling mechanism of drum–buffer–rope can be implemented in some areas of healthcare systems, like operating rooms, leading to increased throughput and reduction of waiting times as well as improved clinical quality.

Toward Identifying Mild Cognitive Impairment in Hispanic and African American Adults

2017 ◽  
Vol 2 (2) ◽  
pp. 110-116
Author(s):  
Valarie B. Fleming ◽  
Joyce L. Harris
Keyword(s):  
Older Adults ◽  
African American ◽  
Cognitive Impairment ◽  
Mild Cognitive Impairment ◽  
Healthcare Access ◽  
Communication Disorders ◽  
Healthcare Systems ◽  
Prevention Education ◽  
Education Management ◽  
African American Adults

Across the breadth of acquired neurogenic communication disorders, mild cognitive impairment (MCI) may go undetected, underreported, and untreated. In addition to stigma and distrust of healthcare systems, other barriers contribute to decreased identification, healthcare access, and service utilization for Hispanic and African American adults with MCI. Speech-language pathologists (SLPs) have significant roles in prevention, education, management, and support of older adults, the population must susceptible to MCI.

Book Review

1999 ◽  
Vol 16 (1) ◽  
pp. 71
Author(s):  
A. M. Heagerty

Book review

2000 ◽  
Vol 27 (1) ◽  
pp. 230-231
Author(s):  
Fabrice Renaud
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