scholarly journals Lost in translation: a case-study of the travel of lean thinking in a hospital

2015 ◽  
Vol 15 (1) ◽  
Author(s):  
Hege Andersen ◽  
Kjell Arne Røvik
Author(s):  
Bernardo Villarreal ◽  
Jose Arturo Garza-Reyes ◽  
Vikas Kumar ◽  
Ming K. Lim
Keyword(s):  

Author(s):  
Federico Barnabè ◽  
Maria Cleofe Giorgino ◽  
Jacopo Guercini ◽  
Caterina Bianciardi ◽  
Vincenzo Mezzatesta

Purpose This paper aims to stimulate interest in the potentials of serious games within organizations. Through the examination of a case study, emphasis is given to serious games designed for health care (HC) organizations that are adopting lean thinking principles and tools. Design/methodology/approach The paper discusses how serious games can be designed and implemented in practice by describing a case study based on a HC organization. The program, now in its second year, has been used extensively to train HC professionals. Findings The article is based on the authors’ firsthand experience with serious games and the outcome of several projects carried out in the HC setting under analysis. Serious games were found to be powerful training and management development tools as well as engaging environments for professionals. Specifically, The Lean Healthcare Lab supported professionals in their use and implementation of several Lean principles and techniques. Research limitations/implications The article suggests the opportunity to evaluate the effectiveness of serious games also to improve team performance and develop leadership skills. Practical implications Serious games have an enormous potential in sustaining processes of both individual and organizational learning, as well as facilitating improved teamwork. Moreover, serious games are very effective educational tools when compared to more conventional programs. Originality/value The approach described in this study can be used to design and implement serious games in any type of organization, in particular, those employing highly skilled professionals. Additionally, this article highlights how serious games can provide learners with a simulated close-to-reality environment where they are challenged to develop policies and use a variety of Lean and management tools.


2014 ◽  
Vol 32 (1) ◽  
pp. 28-47 ◽  
Author(s):  
Tuuli Jylhä ◽  
Seppo Junnila

Purpose – Although great emphasis has been given to the added value of real estate, the current studies miss the phase when the actual value is created, i.e., the production phase of real-estate services. Therefore, the purpose of this paper is to evaluate the current state of value creation of the commercial real-estate services from a lean thinking perspective. Design/methodology/approach – Value creation is studied in four Finnish cases through 122 interviews and eight workshops. Findings – Cross-case analysis identified six sources of waste resulting as poor value creation: sub-process optimisation instead of optimising the entire process, the price minimisation instead of cost minimisation, difficulties responding to customer value, overloaded employees, inability to make improvements, and poorly managed information. Research limitations/implications – Although the findings are grounded on a solid data collection and analysis, the case study nature of the research and the Finnish case study settings create limitations for the generalisation of the findings. Practical implications – Service providers and other process owners can use the findings to improve their value creation and increase the productivity of their service processes. Originality/value – This is one of the first research studies that utilise lean thinking in commercial service processes in the real-estate sector and thus provides new insight into how to increase productivity through waste minimisation.


2015 ◽  
Vol 1 (1) ◽  
pp. 1-8
Author(s):  
Carlos Frederico Pinto ◽  
Stela Maris Coelho ◽  
Evelin Araujo Marotta ◽  
Sheila Vianna Reis ◽  
Robisom Damasceno Calado ◽  
...  

Unbalanced treatment scheduling and overcrowding is a common problem for cancer centers in Brazil, with huge access restrictions due to system inefficiencies and poor assistance design. The purpose of this report is to show how lean thinking can be applied to healthcare by using lean methods and production leveling. The case study / report presented was adopted in order to describe the approach, techniques and findings of this project, as part of a lean initiative. Lean Value Stream Mapping tools and leveling tools improved unit performance by increasing unit capacity freeing treatment slots by leveling and decrease of waiting time for cancer treatment .The process redesign also eliminated unnecessary movement and overtime.


2018 ◽  
Author(s):  
Mohammad afsharniya

Present objective of the study the effects of pure thinking on the management of the supply chain housing construction projects Foundation in Gulistan province. Research methodology used in this study, descriptive and of solidarity. All statistical community managers and experts active construction projects in the time of the study can be - that their number is estimated at 370 people. The number of 189 people. For the sample was selected. In this study sampling method is random. Gathering information tool that it was standard questionnaires to confirm the validity of experts and professors expert. For reliability questionnaire Cronbach's and other related indicators used their results confirm that represents the reliability of the questionnaire. The questionnaire using factor analysis was confirmed by LISREL software. Research hypotheses were examined using multivariate regression. Research results showed that pure thinking on the management of the supply chain construction projects in the Gulistan province. It also intended to determine the value, making the uninterrupted pursuit of perfection and impact. Pure and fairly new management to reducing time, cost and waste and raising the quality of the pure of construction, and its interaction with supply chain management in order to achieve their objectives and principles.


2020 ◽  
Author(s):  
Kyriakos Georgiou ◽  
Zbigniew Chamski ◽  
Andres Amaya Garcia ◽  
David May ◽  
Kerstin Eder

Abstract Existing iterative compilation and machine learning-based optimization techniques have been proven very successful in achieving better optimizations than the standard optimization levels of a compiler. However, they were not engineered to support the tuning of a compiler’s optimizer as part of the compiler’s daily development cycle. In this paper, we first establish the required properties that a technique must exhibit to enable such tuning. We then introduce an enhancement to the classic nightly routine testing of compilers, which exhibits all the required properties and thus is capable of driving the improvement and tuning of the compiler’s common optimizer. This is achieved by leveraging resource usage and compilation information collected while systematically exploiting prefixes of the transformations applied at standard optimization levels. Experimental evaluation using the LLVM v6.0.1 compiler demonstrated that the new approach was able to reveal hidden cross-architecture and architecture-dependent potential optimizations on two popular processors: the Intel i5-6300U and the Arm Cortex-A53-based Broadcom BCM2837 used in the Raspberry Pi 3B+. As a case study, we demonstrate how the insights from our approach enabled us to identify and remove a significant shortcoming of the CFG simplification pass of the LLVM v6.0.1 compiler.


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