scholarly journals Reduction of Wastes and Costs Through the Modified Kanban System in Unit Storerooms of HGH: A Value-for-Money Quality Improvement Initiative

2021 ◽  
Author(s):  
KENNETH JUN LOGRONO ◽  
BELAL SALEM ZU'BI
Keyword(s):  
Supply Chain ◽  
Quality Improvement ◽  
User Satisfaction ◽  
Point Of Care ◽  
Quality Improvement Initiative ◽  
Value For Money ◽  
End User ◽  
A Value ◽  
Kanban System ◽  
New Evidence

Abstract Most public health sectors in many countries were heavily burdened both financially and operationally as a result of the pandemic's new changes. Organizations have been pushed to develop innovative solutions to balance expenses and revenues through value-for-money initiatives as a result of erratic economic conditions.Purchasing and supply distribution to the point of care account for approximately 30–40% of the hospital's operating budget. The demand-based ordering system, also known as the par system, has inherently resulted in increased waste due to obvious estimations for the quantity of items. Increased waste and costs have become a widespread issue in the healthcare supply chain, which was identified as a priority for improvement.The project is aimed to reduce the costs by 50% by implementing the Kanban system in the unit storeroom of medical units within three months. The IHI Model of Improvement was undertaken to go through the implementation of the project. Several quality improvement tools were used to test different ideas of change and measurement of improvements were also made.Following the adoption of the modified Kanban System, the costs of consumable item supply decreased by 69% from 16,000 QAR to 5,000 QAR. The percentage of wastes has reduced significantly to 0% while limiting the percentage of out stocking to a median of 1%.Kanban as a lean method, reduces wastes by controlling the flow of consumables within a supply chain. Eliminating or reducing waste is a cornerstone of lean management. The project’s new evidence demonstrated significant and sustainable cost saving strategy by reducing waste and pre-quantifying items based on their usage and flow. The Kanban system ultimately improved nurses’ productivity, streamlined the unit’s stock supply, promoted value improvement, and helped increased end-user satisfaction.

scholarly journals Reduction of Wastes and Costs Through the Modified Kanban System in Unit Storerooms of HGH: A Value-for-Money Quality Improvement Initiative

2021 ◽  
Author(s):  
KENNETH JUN LOGRONO ◽  
BELAL SALEM ZU'BI
Keyword(s):  
Supply Chain ◽  
Quality Improvement ◽  
User Satisfaction ◽  
Point Of Care ◽  
Quality Improvement Initiative ◽  
Value For Money ◽  
End User ◽  
A Value ◽  
Kanban System ◽  
New Evidence

Abstract Most public health sectors in many countries were heavily burdened both financially and operationally as a result of the pandemic's new changes. Organizations have been pushed to develop innovative solutions to balance expenses and revenues through value-for-money initiatives as a result of erratic economic conditions. Purchasing and supply distribution to the point of care account for approximately 30–40% of the hospital's operating budget. The demand-based ordering system, also known as the par system, has inherently resulted in increased waste due to obvious estimations for the quantity of items. Increased waste and costs have become a widespread issue in the healthcare supply chain, which was identified as a priority for improvement. The project is aimed to reduce the costs by 50% by implementing the Kanban system in the unit storeroom of medical units within three months. The IHI Model of Improvement was undertaken to go through the implementation of the project. Several quality improvement tools were used to test different ideas of change and measurement of improvements were also made. Following the adoption of the modified Kanban System, the costs of consumable item supply decreased by 69% from 16,000 QAR to 5,000 QAR. The percentage of wastes has reduced significantly to 0% while limiting the percentage of out stocking to a median of 1%. Kanban as a lean method, reduces wastes by controlling the flow of consumables within a supply chain. Eliminating or reducing waste is a cornerstone of lean management. The project’s new evidence demonstrated significant and sustainable cost saving strategy by reducing waste and pre-quantifying items based on their usage and flow. The Kanban system ultimately improved nurses’ productivity, streamlined the unit’s stock supply, promoted value improvement, and helped increased end-user satisfaction.

scholarly journals Analisis Sistem Informasi Union Catalogue Perpustakaan UIN Raden Fatah Palembang dengan Pendekatan EUCS

2018 ◽  
Vol 18 (2) ◽  
pp. 182-187
Author(s):  
Rusmiatiningsih
Keyword(s):  
User Satisfaction ◽  
Information Needs ◽  
Total Sample ◽  
Academic Community ◽  
End User ◽  
Average Value ◽  
A Value ◽  
Level Of Satisfaction ◽  
High Level ◽  
End User Computing

The Library of UIN Raden Fatah Palembang is one of the university libraries that uses a system automation and union catalog system to meet the information needs of the academic community. This study aims to determine the level of satisfaction of users in utilizing union catalog using the End User Computing Catalog Satisfaction (EUCS) approach. This study uses a quantitative method with a total sample of 100 visitors to the Palembang Raden Fatah UIN Library. From the calculation of the mean and grand mean it was found that the subvariable content obtained a high score of 3.98, the subvariable accuracy obtained a high score of 3.97. In the subvariabel the format obtained a high score of 4.09. punctuality earned a high score of 4.01. The grand mean catalog satisfaction variable together with the End User Computing Satisfaction approach, obtained a value of 4.03 from the average value of 5 satisfaction subvariables. With a value of 4.01 which indicates that user satisfaction is at a high level.   Keywords: author guidelines, Pustaka Budaya, article template

scholarly journals IMPLEMENTATION AND EVALUATION OF A DKA ORDER SET IN A PEDIATRIC TERTIARY CARE HOSPITAL: A QUALITY IMPROVEMENT INITIATIVE

2018 ◽  
Vol 23 (suppl_1) ◽  
pp. e11-e11
Author(s):  
Kayla Flood ◽  
Munier Nour ◽  
Vicki Cattell ◽  
Tayna Holt ◽  
Blair Seifert ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Tertiary Care ◽  
Evaluation Process ◽  
Quality Improvement Initiative ◽  
Care Hospital ◽  
End User ◽  
Paediatric Patients ◽  
Tertiary Center ◽  
The Impact ◽  
Order Set

Abstract BACKGROUND Diabetic ketoacidosis (DKA) is a common clinical presentation in new and previously diagnosed paediatric patients with type 1 diabetes. In contrast to other Canadian tertiary paediatric hospitals, our center lacked a physician-endorsed evidence-informed care pathway for management of DKA. In the absence of a standardized approach to DKA, variability in patient management and outcomes were observed. This project was a quality improvement initiative that sought to develop and pilot a paediatric DKA order set. OBJECTIVES Our primary aim was to attain broad clinical uptake of the order set at our tertiary care center over a 12-month period. Secondary aims included improved standard-of-care DKA management: appropriate fluid bolus volume and maintenance rates; initial potassium management; and timely dextrose supplementation. DESIGN/METHODS A paediatric multidisciplinary collaborative was created to examine evidence for the development and implementation of a DKA order set. Implementation of the order set involved department wide education, targeted end-user education, and quarterly end-user review. A modified plan-do-study-act (PDSA) cycle guided by end-user feedback and early clinical outcomes allowed progressive order set modifications. RESULTS A retrospective chart review of fifty paediatric patients presenting to our center between April 2014 and September 2016 (pre-implementation) was compared to thirty paediatric patients presenting in DKA during the post-implementation phase (September 2016 – September 2017). There were no statistically significant differences in demographic and clinical characteristics between the groups. We achieved 83% uptake of the order set for patients presenting to our tertiary center and 67% uptake for patients transferred from peripheral centers. Improvements in DKA management included: appropriate intravenous (IV) maintenance fluid rates (20% vs. 48.3%, p=0.008), earlier administration of potassium to IV fluids (66% vs. 93.1%, p=0.006); appropriate potassium chloride dosing (40 mmol/L) to IV fluid (40% vs. 79.3%, p=0.0007) and earlier addition of IV dextrose (67.4% vs. 93.1%, p=0.009). No differences in moderate to severe hypokalemia (< 3.0 mmol/L), hypoglycemia (<4.0 mmol/L) or clinically suspected cerebral edema occurred. CONCLUSION Implementation of a DKA order set in a tertiary hospital required identification of key stakeholders, formation of a multidisciplinary team, and the development of an evaluation process. There was an observed increase in physician order set uptake and DKA management practice improvements. Future goals involve expanding the implementation and evaluation process to regional and remote centers and analyzing the impact on resource utilization.

scholarly journals Application of System-Dynamic Modeling to Improve Distribution Logistics Processes in the Supply Chain

2020 ◽  
Vol 22 (3) ◽  
pp. 29-39
Author(s):  
Galimkair Mutanov ◽  
Sayabek Ziyadin ◽  
Askhat Serikbekuly
Keyword(s):  
Supply Chain ◽  
System Dynamics ◽  
Dynamic Modeling ◽  
User Satisfaction ◽  
Business Processes ◽  
System Dynamic ◽  
System Dynamics Modeling ◽  
Dynamics Modeling ◽  
End User ◽  
Distribution Logistics

This article presents an approach of improve logistics processes with the system dynamics modeling of two different processes scenarios. System dynamics is used, not only as a causal loop diagram, but calculated measures of end-user satisfaction indicators were provided by experts, as well. Literature review of fundamental definitions and recent ideas in subject of supply chain management (SCM), system dynamics (SD), business processes model and notation (BPMN) and distribution logistics for dozens of major sources, has been made. In the work, methods of expert interviews, content analysis of recent publications, system-dynamic modeling and business process modeling, were used. Developed BPMN-models of distribution logistics business processes are given in Appendices #1 and #2.

scholarly journals EVALUASI TINGKAT KEPUASAN PENGGUNA TERHADAP SISTEM INFORMASI WEB TEKNIK.UMPO.AC.ID MENGGUNAKAN METODE EUCS

KOMPUTEK ◽  
2019 ◽  
Vol 3 (2) ◽  
pp. 64
Author(s):  
Vandu Yogi Saputra ◽  
Dwiyono Ariyadi ◽  
Aslan Alwi
Keyword(s):  
Information System ◽  
User Satisfaction ◽  
Ease Of Use ◽  
Dominant Factor ◽  
End User ◽  
Display Format ◽  
A Value ◽  
Content Variable ◽  
End User Computing

The existence of an information system can make it easier to provide information and services. The Faculty of Engineering of Muhammadiyah University Ponorogo itself has an information system in the form of a website which is used almost every day by students. teknik.umpo.ac.id is a web address that is owned by the faculty of engineering, sometimes students have a lot of complaints about the information and services provided in it, whether the information is less up to date or even the appearance is a bit confusing when opened via a smartphone. The author aims to evaluate the information system to improve services to students. One method for measuring satisfaction is EUCS or End User Computing Satisfaction. Content variable in Content value gets 42.5% percentage which is included in the category of Disagree, Accuracy (Accuracy) of 62.6% percentage of which is in the category of Agree, Display (Format) with 65.73% of the percentage that is included in the Agree category . Ease of Use (user convenience) with a percentage of 77% included in the Agree category. On time (Timeliness) with a percentage rate of 29% which is included in the category of Disagree. The dominant factor in creating user satisfaction in the EUCS method on the technical website.umpo.ac.id is the variable that has the highest mean (mean), namely the ease of use variable which reaches a value of 77%, while the variable which has the lowest mean (mean), which is the Timeliness variable with a percentage of 29%.

Implementing pregnancy screening prior to chemotherapy: A quality improvement initiative.

2017 ◽  
Vol 35 (15_suppl) ◽  
pp. e18274-e18274
Author(s):  
Brittany Kayla Rogers ◽  
Andrew Kolarich ◽  
Merry Jennifer Markham
Keyword(s):  
Quality Improvement ◽  
Radiation Oncology ◽  
Medical Oncology ◽  
Point Of Care ◽  
Surgical Oncology ◽  
Tubal Ligation ◽  
Quality Improvement Initiative ◽  
Screening Rate ◽  
Childbearing Potential ◽  
Treatment Start

e18274 Background: ASCO’s QOPI sets standards for excellence in oncologic care. One standard is screening appropriate female patients for pregnancy prior to chemotherapy. No guidelines exist regarding screening protocols or timing. Prior data collection at our institution from 2012-2014 revealed that 35% of women of childbearing potential were screened prior to chemo, with medical oncology performing only 7% of screening. Less than half (48%) of those tests were ordered within 14 days prior to treatment start. Methods: A quality improvement (QI) intervention was implemented at UF Health outpatient infusion center on 8/15/16 based on the above data. A checkbox was added to the pre-chemo checklist used by infusion nurses. For eligible patients (women ages 18-55 without prior tubal ligation or hysterectomy), a point of care pregnancy test, included in standing orders, was recommended. We reviewed data for women who received outpatient chemo during 9/16-11/16 to determine rates of pregnancy screening (PS) after intervention. Results: 49 women, ages 18-55, of childbearing potential were identified and presented for 174 chemo cycles from 9/1/16 to 11/30/16. Of these, 15 (30.6%) received PS before chemo. Fifty pregnancy tests were ordered during this period; all were negative. Of the 50 tests, 42 (84%) were ordered by medical oncology, 3 (6%) by a surgical oncology, 3 (6%) by radiation oncology, and 1 (2%) by emergency medicine. Of the PS tests ordered by medical oncology, 64.2% were within 14 days of chemotherapy. Conclusions: In three months of QI intervention, PS prior to chemo increased from 7% to 30.6%. Screening was 13% in women older than 45, but higher in women age 25-34 (60%) and 35-44 (67%). Although the screening rate improved, it remains below our goal of 80%. Possible explanations for low rates are inclusion of postmenopausal women and those older than 50. Excluding these patients could reduce screening burden while identifying appropriate patients. [Table: see text]

Creating Value in the Coal Delivery Chain to a Captive Power Plant

2018 ◽  
Vol 140 (12) ◽  
Author(s):  
Dave Osborne ◽  
Dan Eyre
Keyword(s):  
Supply Chain ◽  
Power Plant ◽  
Plant Performance ◽  
Evaluation Tool ◽  
End User ◽  
Plant Improvement ◽  
Coal Beneficiation ◽  
A Value ◽  
Supply Chain Costs ◽  
Monitoring Performance

Integration of a supply chain involves the design, planning, execution, control, and monitoring of delivery chain activities for creating net value. This includes building appropriate infrastructure, leveraging logistics, synchronizing supply with demand, and continually measuring/monitoring performance. The combination of advanced mining and beneficiation technologies and power plant improvement processes when integrated within a “whole-of-supply chain” promises great potential for creating step changes in the way that coal is delivered to its end user. When the supply chain involves a direct mine-to-power plant, the benefits may initially seem limited, but the adoption of a value-in-use model to determine costs incurred along the chain can show how changes in mining, beneficiation, and supply impact on power plant performance and, ultimately, total-supply chain costs. Uniper Technologies' proprietary Fuel Evaluation Tool as described in the paper is an expert value-in-use model, which combined with coal beneficiation modeling and expertise from Somerset International can show the potential improvements achievable by adopting a “whole-of-supply-chain” approach.

Sign in / Sign up

Export Citation Format

Share Document