Assessment of levels of navigation systems of medical organizations from the position of lean production

Purpose of the study. To evaluate the level of detail, the amount of visualized data and the levels of navigation systems of primary medical organizations.Materials and methods. The object of this study was 33 primary care medical organizations located on the territory of 7 constituent entities of the Russian Federation. The subject of the study was all the internal and external navigation elements of the MO. The assessment was based on the ALIDS checklist (version 1.0) of 72 indicators, united by five characteristics in general characteristics: architectural-planning and design solutions, transmitted information, levels and navigation elements. The “Levels” block was represented by 19 parameters with a separate assessment of the internal level (9 indicators), the intermediate level (5 indicators) and the external level (5 indicators) of navigation. For each criterion, a nominal dichotomous point score was set with the possibility, if necessary (doubt, clarification, question, etc.) of indicating an expert comment.Results. A full-time study of the navigation systems of 33 primary medical organizations found that the levels of intermediate and external visualization are not used enough. Unlike architectural and planning solutions, various levels of navigation are maximally represented in medical institutions of the Tyumen and Kaliningrad regions, Krasnoyarsk Territory. The lack of an external level of navigation contributes to the main losses of lean production: unnecessary movement, unnecessary transportation and expectations from patients and visitors. Among the objects of internal navigation, cabinets and safety signs are most often placed on the navigation elements. The maximum percentage of compliance among the intermediate navigation category has been established for the main entrances for visitors, including entrances for patients with limited mobility.Conclusion. The navigation system of a medical organization is an important part of the visualization system and one of the criteria for the quality of space. The qualimetry of navigation systems not only of medical organizations, but also of any other buildings and premises, is currently not conclusively presented. Using the author's ALIDS method of audit of navigation systems allows us to give a quantitative and qualitative assessment of the navigation elements used in medical institutions. While improving the navigation systems of existing medical organizations and designing/building new ones, especially with complex mixed or section planning, in order to reduce the main losses of lean manufacturing, it is necessary to create the most detailed and understandable general navigation schemes.

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Analysis of architectural and planning solutions for visualization systems of medical organizations

Уральский медицинский журнал ◽

10.52420/2071-5943-2021-20-4-60-66 ◽

2021 ◽

Vol 20 (4) ◽

pp. 60-66

Author(s):

A. A. Kurmangulov ◽

N. S. Brynza ◽

Yu. S. Reshetnikova

Keyword(s):

Health Care ◽

Primary Health Care ◽

Medical Personnel ◽

Medical Organization ◽

Visualization System ◽

Security Breaches ◽

Visual Elements ◽

Primary Health ◽

Visualization Systems ◽

Architectural Planning

Introduction. Currently, visualization is recognized as one of the main criteria for the quality of space of the new model of a medical organization providing primary health care. Purpose of the study to establish the features of architectural and planning solutions for visualization systems of medical organizations providing primary health care. Materials and methods. The object of the study was the visualization systems of 94 medical organizations from seven constituent entities of the Russian Federation, in which all available internal and external visual elements were studied in person. As a basis for assessing visualization systems, the author's checklist was taken according to the ALIDS method of 50 indicators, united by common characteristics in five blocks: architectural planning and design solutions, transmitted information, levels and methods of visualization. The block «Architectural and planning solutions» was represented by 10 parameters. A nominal dichotomous score was assigned for each criterion. Results. The general architectural and planning solutions of visualization systems of medical organizations providing primary health care are at a satisfactory level (6,3±1,8 points). The greatest correspondence among the architectural and planning solutions of visualization systems of medical organizations was found in the characteristics of safety (93%), cleanliness (88%) and ergonomics of the location (79%) of elements, the least — in the presence of general infographic schemes (9%) and routing (3%). The level of architectural and planning solutions for visualization systems of medical organizations correlates with the complexity of the architectural plan of buildings (r=–0,423; p<0,05) and the patients' assessment of the comfort of the conditions for providing services (r=0,345; p<0,01). Discussion. Improving visualization systems by improving the architectural and planning solutions of elements can lead to a significant reduction in the main and additional types of losses in lean production both on the part of patients and on the part of medical personnel. Conclusion. One of the main problems of organizing visualization systems in medical organizations is the lack of common maps with buildings, signs of entrances and other objects of the adjacent territory. The absence of a positioning sign on most schemes leads to a longer orientation in space, and in the case of placing the elements of the visualization system at the decision-making points, the intersection of patient flows and an increase in the risk of security breaches.

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Robust management tools for a person-centered medical organization

10.33920/med-03-2005-03 ◽

2020 ◽

pp. 17-34

Author(s):

Vitaliy Berdutin

Keyword(s):

Human Factor ◽

Interpersonal Relations ◽

Medical Organization ◽

Management Tools ◽

Constant Attention ◽

Medical Institutions ◽

Basic Concepts ◽

Medical Teams ◽

Cultural Reality ◽

Person Centered Approach

Modern social and cultural reality forces the heads of medical institutions to pay increased attention to the human factor, rethinking such basic concepts as «management» and «organization». It is important to cultivate the most comfortable person-centered work environment in medical teams. The main goal of this article was to demonstrate the feasibility of using robust management to maintain the constant attention of the medical administration on the interpersonal relations of employees. The article contains a brief description of robust management tools, a description of the person-centered approach, as well as examples of the use of robust regulators and socionic profiling estimators. The potential of robust management is not revealed when the management simply declares its merits, but when the entire medical team wants and can use it, actively involved in achieving the desired result.

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Kameraunterstützte Verschwendungsreduktion*/Computer-vision supported waste reduction in lean production

wt Werkstattstechnik online ◽

10.37544/1436-4980-2017-09-10 ◽

2017 ◽

Vol 107 (09) ◽

pp. 572-577

Author(s):

B. Prof. Lorenz ◽

I. Kaltenmark

Keyword(s):

Computer Vision ◽

Lean Manufacturing ◽

Lean Production ◽

Low Cost ◽

Industrie 4.0 ◽

Waste Reduction ◽

Camera System ◽

New Developments ◽

Neue Entwicklungen

In modernen Produktionen ist Lean Manufacturing einer der wichtigsten Treiber für Produktivitätssteigerungen. Durch neue Entwicklungen im Bereich Industrie 4.0 können Impulse im Lean Manufacturing gegeben werden. An der OTH Regensburg wird getestet, wie kostengünstige Kamerasysteme helfen können, Verschwendungen sichtbar zu machen und zu minimieren. Es zeigt sich, dass auch mit geringen Investitionskosten neue Potentiale zur Verschwendungsreduktion aufgedeckt werden können.   In modern production lean manufacturing is one of the most effective drivers for productivity. Due to new developments in the Industrie 4.0-campaign new impulses can be given into lean manufacturing. Experiments at OTH Regensburg indicate that a low-cost camera system can help to make waste visible and minimize it. This shows that with low invest costs, new potentials for waste reduction can be revealed.

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Neue Fertigungssteuerung in der Ingenieurkeramik*/New approach to manufacturing control in engineering ceramics

wt Werkstattstechnik online ◽

10.37544/1436-4980-2015-03-33 ◽

2015 ◽

Vol 105 (03) ◽

pp. 109-114

Author(s):

U. Bracht ◽

F. Arzberger ◽

F. Schulenburg

Keyword(s):

Lean Manufacturing ◽

Lean Production ◽

Control Unit ◽

Manufacturing Processes ◽

Small Companies ◽

Complex Environment ◽

New Approach ◽

Manufacturing Control ◽

Volume Production ◽

Low Volume

Auch kleinere Unternehmen mit komplexen Herstellungsprozessen müssen heute in der Kleinserie die Effizienz und Geschwindigkeit in der Produktion erhöhen. Zentraler Bestandteil ist dabei eine schlanke Fertigungssteuerung in einem ganzheitlichen Produktionssystem. Der Fachbeitrag zeigt, wie auch bei hoher Komplexität wesentliche Ansätze der „Lean Production“ genutzt werden, um die Produktion von Ingenieurkeramiken durch die intelligente Vernetzung bereichsspezifischer Methoden zu optimieren.   Today, even small companies with complex manufacturing processes in low-volume production have to improve efficiency and speed in manufacturing. A core aspect is lean manufacturing control within an overall production system. This article shows how the main approaches of Lean Production can be applied even to a highly complex environment. The intelligent integration of specific methods for each control unit helps to enhance the production of ceramics.

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Analysis of the existing system of personal development of the head nurse

Medsestra (Nurse) ◽

10.33920/med-05-2012-02 ◽

2020 ◽

pp. 16-25

Author(s):

Larisa Karaseva

Keyword(s):

Medical Care ◽

Russian Federation ◽

Personal Development ◽

Lean Production ◽

Quality And Safety ◽

Medical Organization ◽

Head Nurse ◽

The Russian Federation ◽

Role Of Nursing

The article presents the stages of implementation of the principles of lean production in the healthcare of the Russian Federation, outlines the goals and prospects of projects to optimize the quality and safety of medical care, emphasizes the role of nursing specialists in improving the ideology of a patient-oriented medical organization.

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Arthur Conan Doyle and Medical London: Reading the Topography of Round the Red Lamp

Victoriographies ◽

10.3366/vic.2021.0435 ◽

2021 ◽

Vol 11 (3) ◽

pp. 295-313

Author(s):

Roger Luckhurst

Keyword(s):

General Practitioner ◽

Full Time ◽

Medical Institutions ◽

Short Period ◽

Arthur Conan Doyle ◽

Set Up

This essay explores the short period of time that Arthur Conan Doyle spent between March and June 1891 when he moved his family into rooms in Bloomsbury and took a consulting room near Harley Street in an attempt to set up as an eye specialist. This last attempt to move up the professional hierarchy from general practitioner to specialist tends to be seen as a final impulsive move before Conan Doyle decided to become a full-time writer in June 1891. The essay aims to elaborate a little on the medical contexts for Conan Doyle’s brief spell in London, and particularly to track the medical topography in which he placed himself, situated between the radical, reformist Bloomsbury medical institutions and the fame and riches of the society doctors of Harley Street. These ambivalences are tracked in the medical fiction he published in Round the Red Lamp, his peculiar collection of medical tales and doctoring in 1894.

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CONCEPT OF THE SYSTEM OF MARINE MOBILE MEDICAL COMPLEXES

Marine Medicine ◽

10.22328/2413-5747-2020-6-1-24-32 ◽

2020 ◽

Vol 6 (1) ◽

pp. 24-32

Author(s):

A. A. Bogdanov ◽

A. V. Chernykh

Keyword(s):

Medical Care ◽

High Speed ◽

Full Time ◽

Medical Support ◽

Medical Institutions ◽

Medical Facilities ◽

Patient Load ◽

Hospital Ships ◽

Emergency Medical Assistance

The modern strategy for the development of health care includes as one of the priorities maximum approach of medical services to the consumer. To solve this problem in the conditions of the Navy, it is advisable to create mobile medical complexes placed on specially equipped vessels. For the full and operational medical support of the fleet forces in specified areas of the world’s ocean at different distances from the main base sites, a system of marine mobile medical complexes should be created. In peacetime the system should include hospital ships, multipurpose vessels with a hospital on board, mobile polyclinic mobile complexes and high-speed ambulance boats. During the period of danger, the possibility should be provided for the rapid re-equipment of hospital and multifunctional vessels, as well as polyclinic complexes with an increase in evacuation capacity and an increase in the volume of medical care. For medical support of an amphibious assault operation on universal amphibious ships, a quick re-equipment of the premises specially allocated during the design process to medical facilities for emergency medical assistance and evacuation of the wounded to coastal medical institutions should be provided. In wartime, for the provision of medical care and evacuation of the wounded, vessels of various purposes must be used, the projects of which contain the capabilities and algorithms for their quick conversion into sanitary transports. Variants of the main tactical and technical characteristics of vessels of various classes intended for medical support of the fleet forces are proposed. A significant problem in the operation of medical vessels is their low patient load in the inter-transit period, which leads to the disqualification of full-time medical staff and reduces the quality of the maintenance of the vessel. When forming the operational-tactical model of operation of medical vessels, special attention should be paid to the staffing algorithms and ensuring that the courts are always ready to perform their tasks.

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Strategic Groups and Competitive Priorities in Lean Production Environments: Challenges of Production Management

Produto & Produção ◽

10.22456/1983-8026.71315 ◽

2018 ◽

Vol 18 (2) ◽

Author(s):

Orlando Roque Da Silva ◽

Delvio Venanzi ◽

Haroldo Lhou Haegawa ◽

Diogo Faustino

Keyword(s):

Lean Manufacturing ◽

Production Management ◽

Lean Production ◽

Manufacturing Companies ◽

Strategic Groups ◽

Strategic Orientations ◽

Production Environments ◽

Auto Parts ◽

Production Practices ◽

The Relationship

This paper explores how the choices and implementation of lean production practices are influenced by performance goals prioritized by firms in the context of operations strategy. We analyzed a set of fifty-six companies in the auto parts industry in Campinas and Jundiai region, divided into four strategic groups. These groups of firms that adopt similar strategic orientations were used to investigate the relationship between implementation of lean manufacturing practices and choice of performance objectives. The results suggest that consideration of strategic groups can improve the understanding of how performance objectives can define lean manufacturing practices adopted by manufacturing companies.

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Motivation as key factor of deploying lean technologies in medical institutions (an analytic review)

Kuban Scientific Medical Bulletin ◽

10.25207/1608-6228-2020-27-4-134-148 ◽

2020 ◽

Vol 27 (4) ◽

pp. 134-148

Author(s):

E. A. Perevezentsev ◽

V. M. Levanov

Keyword(s):

Management System ◽

Lean Production ◽

Medical Personnel ◽

Medical Institution ◽

Production Flow ◽

Management Culture ◽

Medical Institutions ◽

Analytic Review ◽

Key Factor ◽

Positive Motivation

Aim. To assess the importance, role, methods and conditions for creating and sustaining positive motivation of medical personnel in deploying a modern management system based on lean production to optimise the production ﬂow in medical institutions, improve quality, availability and efﬁciency of public medical care.Materials and methods. The authors employed historical, bibliometric and statistical methods to analyse domestic and foreign scientiﬁc archives on lean production, motivation and motivational risks as key factors in implementing lean technologies in medical institutions.Results. Implementation of lean production (LP) as a manufacturing management system is among key conditions for creating a new model of the medical institution. Principles of LP are applied at three interfaces: with patients, personnel and resources. Positive motivation of employees is prerequisite for accomplishing a project, which requires supervisors to know and leverage the basics of motivational management. Creation of a motivating environment for various categories of employees in developing a LP system requires taking into account the type and management culture level of a medical institution.Conclusion. In order to create and sustain motivation for realising creative potential of the team, it is necessary to account for the motivation risks, develop and implement a motivation system differentially by employee categories and project stages. Effective motivational measures are necessarily based on a system of material and non-material incentives with clear and achievable criteria, amounts and forms valued by employees and rooted in medical and economic feedback of implementing the LP principles.

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FEATURES OF THE LEAN PRODUCTION IMPLEMENTATION AT THE ENTERPRISES OF UKRAINE’S DAIRY INDUSTRY

Three Seas Economic Journal ◽

10.30525/2661-5150/2021-2-8 ◽

2021 ◽

Vol 2 (2) ◽

pp. 48-53

Author(s):

Mariia Foshchii ◽

Natalia Krasnokutska

Keyword(s):

Detailed Analysis ◽

Lean Manufacturing ◽

Lean Production ◽

Rapid Assessment ◽

Dairy Industry ◽

Short Period ◽

Analysis And Synthesis ◽

Production Concept ◽

Definition Of ◽

Safe Working

The purpose of the paper is to study the features of the lean production implementation in the dairy industry of Ukraine. Methodology. To achieve the purpose and solve the tasks set in the paper, a system of general and special research methods was used, namely methods of scientific knowledge (scientific abstraction, analysis and synthesis, deduction, generalization) to study the theoretical principles of the lean production implementation in Ukraine’s enterprises, and questionnaire to assess the lean production implementation’s effectiveness in the enterprises of Ukraine’s dairy industry. Results of the survey examine the theoretical and methodological foundations of the “lean production” concept: taking into account all the definitions mentioned above, the following author’s definition of lean production is put forward: lean production is a system of the enterprise, which is constantly improving, aimed at building all processes in a continuous flow of value creation by preventing and eliminating all types of losses, involving staff in teamwork based on project approaches and maintaining safe working conditions in order to create attractive value for the consumer. Methodological support for rapid assessment of the lean production implementation’s effectiveness on the basis of employee surveys has been developed and the efficiency of the lean production implementation at the enterprises of Ukraine’s dairy industry has been assessed. It is concluded about the lack of effectiveness of implementing lean production at three enterprises of Ukraine’s dairy industry. This is due to the short period of the lean production implementation, as Enterprise 1 only started implementation at the end of 2020. Based on the survey and questionnaire of employees and managers of Ukraine’s dairy industry, the main stereotypes related to the implementation of lean production are identified and refuted, and the reasons for the slow and inefficient implementation of lean production are identified. Lean manufacturing cannot be implemented once and for all, it must be done constantly, because lean manufacturing is a tool for gaining a competitive advantage. Scientific novelty: methodological support for rapid assessment of the lean production implementation’s effectiveness has been further developed, which, unlike others, takes into account the peculiarities of the dairy industry and allows to determine problems and prospects for enterprise development on the basis of a questionnaire. A promising direction of research is a more detailed analysis of the “lean production polygon”, which is based on the survey. A more detailed analysis of the underlying three pentagons will reveal problems in the three subsystems of lean production.

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