scholarly journals Implementing Lean Management Techniques at a Radiation Oncology Department

2018 ◽  
Vol 18 (3) ◽  
pp. 362
Author(s):  
Mustafa M. Al-Balushi ◽  
Zahid Al-Mandhari

Objectives: Lean management (LM) principles were first developed by a Japanese manufacturing company to maximise value and minimise waste in the automotive industry. However, these principles can also be applied in the healthcare sector. This study aimed to illustrate the process of implementing LM principles in a radiation oncology department to streamline workflow and identify and reduce waste. Methods: This study took place in the Department of Radiation Oncology, Royal Hospital, Muscat, Oman, in December 2016. A value stream map (VSM) was created for the chain of processes followed in the department. A waste analysis was conducted to determine which processes did not add value for the patient or healthcare provider. Results: Based on the VSM analysis, only six out of 13 steps were found to be of value. Necessary and unnecessary non-value-adding activities were identified. Sources of waste included parking and registration. In addition, variabilities in workload were noted. Conclusion: Overall, LM principles improve workflow, reduce waste and enhance patient and staff satisfaction. In the current study, the application of LM principles helped to improve value in a radiation oncology department.Keywords: Health Services Administration; Healthcare Quality Assurance; Total Quality Management; Organization and Administration; Efficiency; Oman.

2012 ◽  
Vol 4 (4) ◽  
pp. 306-310
Author(s):  
Vidmantas Gramauskas

The paper considers Lean philosophy ‘Just in Time’, a value stream map and total quality management principles applying them to the construction. In order to follow these principles, a case study was performed, thus observing and recording the process of laying concrete in three houses where a lower ground floor was casted employing fiber concrete. The collected data were required to fragment the process of laying concrete into smaller operations and examine each operation independently. The examination of operations was introduced in certain units of measurement – time, the number of workers, cubic meters of concrete used, space area, etc. This information helped with distinguishing useful operations from useless actions bringing no value to the product. The previously mentioned methods can be applied to useless operations to reduce their duration or even eliminate them. The main problem is the process of laying concrete splitting it into smaller operations, operation analysis and adaptation of Lean principles. The implementation of Lean system can reduce waste and increase the value of the final product. Santrauka Straipsnyje supažindinama su Lean metodika, „kaip tik laiku“, vertės srauto žemėlapio ir visuotinės kokybės valdymo principais ir jų pritaikymu statyboje. Siekiant pritaikyti šiuos principus atliktas tyrimas stebint ir fiksuojant betonavimo procesą trijuose namuose, kai buvo betonuojamos cokolinių aukštų grindys fibrobetonu. Iš surinktų duomenų betonavimo procesą galima išskaidyti į atskiras operacijas ir nagrinėti kiekvieną atskirai. Tiriant operacijas buvo taikyti tam tikri matavimo vienetai – laikas, darbuotojų skaičius, kubiniai metrai betono, patalpų kvadratūra. Šie duomenys padėjo išskirti naudingas operacijas nuo vertės nekuriančių. Vertės nekuriančioms operacijoms galima pritaikyti anksčiau minėtus principus ir sumažinti jų trukmę arba visiškai panaikinti. Svarbiausia problema yra betonavimo proceso išskaidymas į operacijas, tų operacijų analizė ir Lean principų joms pritaikymas. Įdiegus Lean sistemą galima išvengti atliekų ir padidinti galutinio produkto vertę.


This project. is about in-depth focus on equipment power analysis and effective reduction in Utility and Quality Cost. A Value Stream Map has been developed and analyzed to identify critical focus areas in Utilities, Process and Line. The most significant key input variables have been identified and those are Boiler, Old-Utilities, New-Utilities, Process Area & Cooling Towers, which are prioritized based upon their relationship with the key output metric. Key input, process, and output metrics have been identified. As a part of Root cause analysis, Power consumption is high due to Running of 2 compressors, yolk chiller, raw water pump, cooling tower pumps & fan and new refrigeration for cooling tower pump. Potential implementation solutions are to be developed, evaluated, and optimized based upon their effectiveness impacting the key output, robustness to variation and ease of implementation. The final improvement solution has been incorporated into the process organization and the improvement gains of 3 – 25 KWH are being expected.


2020 ◽  
Vol 12 (15) ◽  
pp. 6053
Author(s):  
Vanessa Rodríguez Cornejo ◽  
Ángel Cervera Paz ◽  
Luis López Molina ◽  
Víctor Pérez-Fernández

This paper studies the relationship between Lean paradigms and the Physical Internet (PI). Lean thinking is a philosophy that allows one to obtain the right amount of the right items in the right place at the right time; it seeks to minimize waste and is flexible to change. In fact, applying Lean not only helps to reduce costs, but it also adds value and improves results across the supply chain. By using a value stream map, we can map the process from the supply chain to the customer, while trying not to add value activities. Such activities include excessive production, overstorage, waiting times poorly adjusted to needs, defects and rejects that require reprocessing, and, finally, unnecessary transport and movements. Storage, waiting times, and unnecessary transport and movements are at the core of the PI. A value stream map can also help to identify empty transport and unnecessary CO2 emissions. This study analyzes value stream mapping as a tool that can enable the objectives of the different Alliance for Logistics Innovation through Collaboration (ALICE) roadmaps for logistics innovation to be achieved, and can also allow PI principles to be reached on the established dates.


2021 ◽  
Vol 343 ◽  
pp. 02011
Author(s):  
Lucian-Petru Păvăloi ◽  
Florin Negoescu

The scope of this paper is to critically analyze and optimize the solutions available from a Lean Management point of view, for the testing & validation department of an automotive factory. The paper will start with an analysis of the basic principles of Lean Management and how this can be applied successfully, followed by a Value Stream Mapping critical analysis of the status at a given time and the action taken with the scope of optimizing the process, concluding with an updated analysis of the new Value Steam Map, showcasing the advantages and the improvements achieved.


Author(s):  
Agnieszka Zdęba-Mozoła ◽  
Anna Rybarczyk-Szwajkowska ◽  
Tomasz Czapla ◽  
Michał Marczak ◽  
Remigiusz Kozłowski

At the beginning of the 21st century, Lean Management (LM) tools were introduced into the healthcare sector around the world. In Poland, there are still few LM implementations, and they are not of a comprehensive nature. The aim of this article is to present the application of the LM concept in a hospital in Poland as a tool for the identification and analysis of waste and its impact on the process of organizing the provision of medical services on the example of improvements in the process of patient admission. In the period from 1 July 2019 to 31 December 2019, a project of LM implementation was carried out at the Provincial Specialist Hospital in Wroclaw. The project was based on the method of value-stream mapping and 5Why. Standardized interviews (before and after the project) were conducted with people from the hospital management and middle-level managers. The implementation of LM tools resulted in the identification of a number of wastes, which have been divided into groups. The most important waste was paper medical documentation. Its change to an electronic form allowed for a better use of human capital resources; savings included 2.3 nursing positions and 1.09 medical staff positions.


Author(s):  
Hien Ton Nguyen Trong ◽  
Gareth Jones

<p><strong>Abstract: </strong>Value stream mapping (VSM) is a tool often applied in organisations working with lean in order to visualise and analyse production processes. By creating a value stream map, organisation can identify its main criticalities, look at both information &amp; material flow mapping in order to enhance lean manufacturing. Hence, the purpose of this work was to develop a value stream mapping for ETP Ion Detect Company (ETP) to demonstrate the possibilities of seeing sources of waste, shortening the lead-time, and reducing work-in-process inventory with the value stream mapping application.</p><p><strong>Key words</strong>: lean production, value stream mapping, current state map, future state map</p>


Author(s):  
Rapinder Sawhney ◽  
Soundararajan Kannan ◽  
Xueping Li

Author(s):  
Marco Vieri ◽  
Daniele Sarri ◽  
Stefania Lombardo ◽  
Marco Rimediotti ◽  
Riccardo Lisci ◽  
...  

Lean “slim” is a management method that increases efficency of the process analizing sequence, times and infrastructures to create more value with less work. Pillars of Lean production are multiple optimizing actions: 5S (sort, set-up, shine, standardize, sustain), Seven Waste Identification, Value Stream Mapping, Total Productive Mainteinance, error proofing, FastChangeovers, CI Blitz. Born in Toyota following the evolution of Scientific Method of Management, Taylorism and Total Quality is the actual efficiental method in the productive process. It is a new born method in farming but already used in agro-industry process like winery. It is a partecipative, continuous improvement action that is based on human involvement and structural optimization.


2020 ◽  
Vol 208 ◽  
pp. 03029
Author(s):  
Irina Kolchurina ◽  
Olga Prihodko ◽  
Tatyana Volkova ◽  
Kira Ponomareva

The tough regulatory requirements of the Central Bank of Russia, competition with transnational banks and a reduction in the volume of issued loans made it necessary to develop measures aimed to increase the efficiency of a regional commercial bank. In this regard, search for new management methods, implementation of analysis tools and improvement of a financial organization activity are relevant. The article proposes to optimize business the processes of the management system of the regional commercial bank by using lean manufacturing tools. The advantages and usefulness of a value stream map for business processes analysis and optimization are considered and substantiated. The tool was implemented in relation to the business process of the commercial bank «Lending to individuals». The time of operations and interoperation intervals was determined, risk analysis was made, and measures were proposed to improve the process. The economic efficiency of corrective measures was calculated.


2015 ◽  
Author(s):  
Damir Kolich ◽  
Richard L. Storch ◽  
Niksa Fafandjel

Value stream mapping is used to analyze and improve the production flow in many industries, which includes the airplane and automobile industries worldwide. The shipbuilding industry has adopted lean manufacturing techniques. However, the amount of value stream mapping application in the shipbuidling industry is still relatively sparse due to the large variety of interim products and ship types. The aim of this paper is to analyze the interim products of a typical sized commercial shipyard with a product mix of chemical tankers and asphalt barges to demonstrate how a lean transformation can be performed using a shipyard value stream mapping methodology. The case study maps the typcial panel assembly lines of the shipyard and demonstrates the differences between the ship type interim products and using the lean manufacturing methodology developed by the authors to demonstrate how to define and adjust the production facilities using both lean and group technology techniques to create an improved production line which is demonstrated through a future improved value stream map. The main criteria for analyzing and comparing production improvement is through man-hours and duration time. The future value stream map has improvements of up to 50 percent, which demonstrates the importance of adopting a value stream mapping methodology for shipyards aiming to improve world competivity by decreasing production costs, while maintaining and/or improving quality of the ship buidling blocks.


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