Improving the Quality of Inpatient Services with Lean Service and Six Sigma Methods at Eshmun Hospital

Hospitals play an important role in the life of the nation and state, because every country has an obligation to meet all the physical and spiritual health needs of every citizen. The main focus of Eshmun Hospital is the accuracy of doctors in diagnosing diseases, responsive patient care, hospital security, hospital access roads, completeness of facilities, and medicines. The research method used in this research is six sigma, pareto diagram, failure mode effect analysis (FMEA), fishbone diagram, and value stream mapping. The conclusions obtained from this research are after repairs are made to the inpatient service activities of the hospital. Eshmun eats service activities which were originally 15 activities reduced to 11 activities, this can save time in carrying out services. Activities that are non-value add are very detrimental, including: the data collection service process is still done manually, patients are still waiting to receive treatment, there are some doctors who are not professional. The main cause of waste is usually caused by hospitals not keeping up with the times, human resources that are not optimal.

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PERBAIKAN KUALITAS PROSES PRODUKSI DENGAN PENDEKATAN LEAN-SIGMA DI PT. AUTOKORINDO PRATAMA, GRESIK

Jurnal IPTEK ◽

10.31284/j.iptek.2016.v20i2.21 ◽

2016 ◽

Vol 20 (2) ◽

pp. 1

Author(s):

Ni Luh Putu Hariastuti ◽

Rony Nur Cahya

Keyword(s):

Failure Mode ◽

Six Sigma ◽

Value Stream Mapping ◽

Effect Analysis ◽

Pareto Chart ◽

Value Stream ◽

Fishbone Diagram

PT. Autokorindo Pratama Gresik adalah sebagai salah satu produsen velg truck dan bus di Indonesia. Penelitian ini menitiberatkan pada penggabungan konsep lean manufactur dan konsep six sigma yaitu lean sigma untuk memperbaiki kualitas. Tools lean sigma yang dipakai pada penelitian ini adalah Value Stream Mapping, pareto chart, fishbone diagram, dan Failure Mode and Effect Analysis. Dari hasil penelitian diperoleh waste terkritis yaitu waste defect, waste motion, dan transportation dan waste waiting pada proses produksi disc, rim, ring, assy, dan paint. Dalam penelitian ini jenis waste defect tertinggi adalah dimensi part tidak sesuai pada proses expanding yang terdapat pada proses produksi rim dengan jumlah defect 1900 unit. Dan waste transportation adalah jarak antara proses assy dengan proses paint sejauh 100 m. Dengan perbaikan ini diharapkan dapat menyelesaikan masalah yang berkaitan dengan meminimalisasi terjadinya waste defect, waiting, motion, dan transportation. Kata Kunci : Waste, Lean Sigma,Value Stream Mapping, Pareto Chart, Fishbone Diagram, dan Failure Mode and Effect Analysis.

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Implementation of Lean Six Sigma in an Effort to Reduce the Failure of the Pipe Quality Load Test

Procedia of Engineering and Life Science ◽

10.21070/pels.v1i2.933 ◽

2021 ◽

Vol 1 (2) ◽

Author(s):

Mochamad Waras ◽

Wiwik Sulistyowati

Keyword(s):

Six Sigma ◽

Impact Test ◽

Lean Six Sigma ◽

Load Test ◽

Work Processes ◽

Effect Analysis ◽

Root Cause ◽

Fishbone Diagram ◽

Sense Of Satisfaction ◽

The Impact

PT WTUR is a manufacturing whose production is PVC pipe. As a measure to improve quality and optimize work processes in the quality control department. The research aims to minimize the occurrence of impact test failures and provide recommendations for improvement so as to guarantee product quality and generate a sense of satisfaction obtained from consumers. The method used in this research is the lean six sigma method. The purpose of using the lean six sigma method is to reduce waste and determine the causes of the failure of the impact test results. In applying the lean six sigma method, the analysis method is used to determine the causative factors of the root cause using the fishbone diagram and root cause analysis (RCA) and to find out the steps for improvement in reducing the occurrence of load test failures on pipe quality using the failure mode and effect analysis (FMEA).

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APLIKASI LEAN SIX-SIGMA UNTUK MENGURANGI PEMBOROSAN DI BAGIAN PACKAGING SEMEN

JISI: Jurnal Integrasi Sistem Industri ◽

10.24853/jisi.7.2.143-153 ◽

2020 ◽

Vol 7 (2) ◽

pp. 143

Author(s):

Reni Dwi Astuti ◽

Lathifurahman Lathifurahman

Keyword(s):

Failure Mode ◽

Six Sigma ◽

Lean Manufacturing ◽

Fish Bone ◽

Lean Six Sigma ◽

Value Stream Mapping ◽

Effect Analysis ◽

Value Stream ◽

Transportation Motion

Hasil observasi di PT. Holcim Indonesia Tbk, pabrik Cilacap, didapati banyaknya pemborosan di bagian pengepakan semen, termasuk banyaknya produk cacat kemasan, sehingga banyak semen tercecer dan harus mengulangi proses pengepakan. Penelitian ini dilakukan untuk mengidentifikasi pemborosan selama proses pengepakan menggunakan pendekatan lean manufacturing dengan value stream mapping. Sementara tingkat kualitas dianalisis dengan metode six-sigma. Penyebab kecacatan produk dianalisis dengan fish-bone diagram. Failure Mode and Effect Analysis (FMEA) digunakan untuk merancang ususlan perbaikan. Pemborosan yang teridentifikasi meliputi : transportation, motion, waiting, over processing, dan defect. Usulan perbaikan untuk mengurangi pemborosan yaitu dengan penggabungan stasiun penimbangan dan stasiun pemeriksaan, sehingga memberikan estimasi peningkatan process cycle effisiensi dari 39,1% menjadi 46,69. Sedangkan upaya untuk mengurangi cacat produk dilakukan dengan perawatan preventif mesin packer.

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Six Sigma as a method of improving the quality of service process

Production Engineering Archives ◽

10.30657/pea.2018.19.03 ◽

2018 ◽

Vol 19 (19) ◽

pp. 10-15 ◽

Cited By ~ 1

Author(s):

Kamila Kowalik

Keyword(s):

Six Sigma ◽

Service Process ◽

Value Stream Mapping ◽

Pareto Chart ◽

Value Stream ◽

Sigma Level ◽

Fishbone Diagram ◽

Mapping Process ◽

The Impact

Abstract The objective of the analysis conducted and described in this paper has been to present the practical application of the Six Sigma method based on the DMAIC cycle in improving the quality of the service process. The first part of the article contains the theoretical framework of six sigma and the issue of using its tools in the aspect of services. Afterwards, there has been calculated the initial sigma value which indicated the need for improvement. Measurement phase has been developed by the value stream mapping, process FMEA and customer survey which results have been analyzed in Pareto chart and fishbone diagram. Improve phase includes the Impact&Effort Matrix and target sigma level that can be achieved as a result of failures reducing and service quality improvement.

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Peningkatan Produktivitas Leaf Spring Jenis Minicup Tipe MMS 2230 dengan Mengurangi Pemborosan Proses Produksi Melalui Penerapan Metode Lean Manufacturing

Jurnal Rekayasa Sistem Industri ◽

10.26593/jrsi.v10i1.3813.89-100 ◽

2021 ◽

Vol 10 (1) ◽

pp. 89-100

Author(s):

Suparno Suparno ◽

Agus Selamet Susanto

Keyword(s):

Lean Manufacturing ◽

Value Stream Mapping ◽

Leaf Spring ◽

Effect Analysis ◽

Productivity Level ◽

Value Stream ◽

Mode Effect ◽

Mapping Analysis ◽

Fishbone Diagram ◽

Failure Mode Effect Analysis

PT. Indospring is a manufacturing company that produces various springs for an automotive. Among those various springs, MSM 2230 type is the most produced spring at the company. The big problem in producing the spring was related with the high waste that had impact on the low productivity. The purpose of study was to analyze the waste by using the concept of lean manufacturing particularly to identify and eliminate nonvalue added activities. The study found that there were various wastes which waiting and excessive transportation were two dominant wastes with the contribution to total of wastes at 28.96% and 18.52% respectively. The appropriate tool for further analysis on wastes was selected by using value stream mapping analysis (VALSAT), and process activity mapping (PAM) was the best tool for analyzing wastes more profoundly. The use of PAM and other tools of fishbone diagram and failure mode effect analysis (FMEA) provided important information for improvement. The implementation of improvement displayed potential increase of productivity level by reducing the processing time of the spring from 113,926.83 minutes to 75,960 minutes

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Analisis Pengurangan Non-Value Added Activities dengan Metode Lean Six Sigma

Jurnal Kajian Manajemen dan Wirausaha ◽

10.24036/jkmw0284940 ◽

2020 ◽

Vol 2 (2) ◽

pp. 63

Author(s):

Iis Azelya ◽

Gesit Thabrani

Keyword(s):

Six Sigma ◽

Value Added ◽

Medical Personnel ◽

Lean Six Sigma ◽

Value Stream Mapping ◽

Contributing Factors ◽

Value Stream ◽

Outpatient Unit ◽

Fishbone Diagram ◽

Time Required

Purpose - This study was conducted with the intention to find out what is included as non-value added activity that is happened in patient’s flow and how to reduce it using lean six sigma method in outpatient department of regional public hospital of Kerinci M.H A Thalib.Methodology - This research uses lean six sigma method with analysis tools in the form of value stream mapping and fishbone diagrams in order to reduce the activities identified as non value added in the outpatient units of the M. H A Thalib general hospital in Kerinci Regency.Finding - The results of the study showed that the lead time required in the flow of patients in this outpatient unit is 7300.27 seconds with a percentage of Process Cycle Efficiency is only 12.22%, and contributing factors such as databases that are not used effectively, delays in medical personnel, lack of infrastructure, and so on. Keywords: Lean Six Sigma, Value Stream Mapping, Fishbone Diagram, DMAIC, Health Service, Reduce, Non-Value Added Activity

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Kajian Metode Root Cause Analysis yang Digunakan dalam Manajemen Risiko di Industri Farmasi

Majalah Farmasetika ◽

10.24198/mfarmasetika.v6i4.35053 ◽

2021 ◽

Vol 6 (4) ◽

pp. 310

Author(s):

Nurike Susendi ◽

Adrian Suparman ◽

Iyan Sopyan

Keyword(s):

Failure Mode ◽

Drug Administration ◽

Six Sigma ◽

Quality By Design ◽

Root Cause Analysis ◽

Effect Analysis ◽

Cause Analysis ◽

Pareto Analysis ◽

Root Cause ◽

Fishbone Diagram

Untuk meningkatkan pengembangan produk, efisiensi proses produksi dan strategi pengendalian, Food and Drug Administration (FDA) mendorong penerapan Quality by Design (QBD) sebagai pendekatan ilmiah yang berbasis pada penerapan mutu risiko dalam pengembangan produk obat. Manajemen risiko bertujuan untuk menganalisis sebuah sistem terhadap potensi penyimpangan yang terjadi untuk mencegah masalah yang lebih serius. Artikel ini bertujuan untuk memberikan pengetahuan mengenai metode root cause analysis yang dapat digunakan dalam manajemen risiko mutu terhadap masalah yang terjadi di industri farmasi. Dalam mereview artikel ini jurnal yang didapat dari berbagai sumber secara daring melalui berbagai jurnal nasional dan internasional yang diakses dari situs Google scholar, Elsevier dan PubMed. Hasil dari review artikel metode analisis akar penyebab, seperti Pareto Analysis, Fishbone Diagram, 5Whys, Failure Mode and Effect Analysis, Brainstorming dan Six Sigma, dapat digunakan untuk menemukan akar penyebab suatu masalah dengan perbedaan masing-masing metode dari segi tahapan, analisis dan penilaian risiko. Dari review yang dibuat, dapat disimpulkan bahwa keenam metode root cause analysis yang diketahui memiliki perbedaan serta kelebihan dan kekurangan masing-masing metode, sehingga dalam penggunaannya dapat disesuaikan dengan kebutuhan suatu masalah yang terjadi di industri farmasi melalui kriteria kelebihan dan kekurangan metode tersebut.

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Integration of value stream map and strategic layout planning into DMAIC approach to improve carpeting process

Journal of Industrial Engineering and Management ◽

10.3926/jiem.2040 ◽

2017 ◽

Vol 10 (1) ◽

pp. 74 ◽

Cited By ~ 7

Author(s):

Ayman Nagi ◽

Safwan Altarazi

Keyword(s):

Six Sigma ◽

Control Charts ◽

Process Capability ◽

Poor Quality ◽

Value Stream Mapping ◽

Effect Analysis ◽

Pareto Analysis ◽

Value Stream ◽

Sigma Level ◽

Strategic Layout

Purpose: This paper presents an implementation of the Six Sigma DMAIC approach implementing lean tools and facilities layout techniques to reduce the occurrence of different types of nonconformities in the carpeting process. Such carpeting process can be found in several industries such as construction, aviation, and automotive.Design/methodology/approach: The improvement process was built through a sequential implementation of appropriate interconnected tools at each phase of the DMAIC approach. Utilized tools included: Pareto analysis, control charts, Ishikawa chart, 5-whys, failure mode and effect analysis, process capability ratio, value stream mapping, and strategic layout planning.Findings: The carpeting process capability, quality of the product, customer satisfaction, and cost of poor quality were significantly improved. Explicitly, the sigma level was improved from 2.297 to 2.886 and the defects per million opportunities (DPMO) was reduced from 21615 to 3905.Originality/value: This paper has approved the capability of the Six Sigma DMAIC approach to analyze, investigate, and remove the root causes of the carpeting (preparation-installation) process nonconformities .

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Perbaikan Kualitas Produk Batu Bata Merah Dengan Metode Six Sigma-Dmaic (Studi Kasus Cv. Ghatan Fatahillah Karawang)

UNISTEK ◽

10.33592/unistek.v8i1.1073 ◽

2021 ◽

Vol 8 (1) ◽

pp. 6-10

Author(s):

Egar Naufal Ari Satya ◽

Wahyudin Wahyudin

Keyword(s):

Quality Control ◽

Customer Satisfaction ◽

Six Sigma ◽

Quality Standards ◽

Research Results ◽

Machine Performance ◽

Fishbone Diagram ◽

And Control ◽

Dmaic Method

Abstrak. Dunia industri yang semakin berkembang akan mengakibatkan banyaknya persaingan. Perus-ahaan yang dapat bersaing adalah perusahaan yang dapat menjaga kualitas produknya dengan baik sehingga dapat memenuhi kepuasan konsumen. Maka dari itu diperlukan pengendalian kualitas. Penelitian ini difokuskan pada penurunan cacat pada produk batu bata merah di CV. Ghatan Fatahillah dengan metode Six Sigma-DMAIC (Define, Measure, Analyze, Improve, dan Control). Dari hasil penelitian didapatkan DPMO sebesar 36.212 dengan nilai sigma 3,29. Jenis cacat yang paling sering terjadi pada batu bata merah yaitu pecah/patah yaitu sebesar 4.327 atau 59,81% dari total keseluruhan produk yang cacat. Hasil dari tahap analyze dengan fishbone diagram, ditetapkan penyebab dari pecah/cacat, yaitu: pekerja kurang paham standar kualitas, tidak adanya pemeriksaan produk, pekerja kurang paham prosedur kerja, kinerja mesin tidak stabil, pekerja kurang teliti, jumlah penggilingan tidak menentu, dan komposisi batu bata tidak menentu. Maka perlu dilakukan usulan perbaikan agar dapat mengurangi jumlah produk yang cacat pada batu bata merah. Kata kunci: DMAIC, DPMO, Pengendalian Kualitas, Six Sigma Abstract. The growing industrial world will result in a lot of competition. Companies that can compete are companies that can maintain the quality of their products well so that they can meet customer satisfaction. Therefore, quality control is needed. This research is focused on reducing defects in red brick products at CV. Ghatan Fatahillah with the Six Sigma-DMAIC method (Define, Measure, Analyze, Improve, and Control). From the research results obtained DPMO of 36,212 with a sigma value of 3.29. The type of defect that most often occurs in red bricks is broken / broken, which is 4,327 or 59.81% of the total defective products. The results of the Analyze stage with the fishbone diagram showed that the causes of breakage / defects were determined, namely: workers do not understand quality standards, lack of product inspection, workers do not understand work procedures, unstable machine performance, workers are not careful, the number of mills is erratic, and composition erratic bricks. So it is necessary to make improvement proposals in order to reduce the number of defective products in red bricks. Keywords: DMAIC, DPMO, Quality Control, Six Sigma

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How to Improve Remanufacturing?—A Systematic Analysis of Practices and Theories

Journal of Manufacturing Science and Engineering ◽

10.1115/1.4041746 ◽

2018 ◽

Vol 141 (2) ◽

Cited By ~ 5

Author(s):

Tomohiko Sakao ◽

Erik Sundin

Keyword(s):

Customer Value ◽

Success Factors ◽

Theory And Practice ◽

Systematic Analysis ◽

Effect Analysis ◽

Product Service ◽

Fishbone Diagram ◽

Cause And Effect Analysis ◽

The Right ◽

A Company

Remanufacturing has gained attention from industry, but the literature lacks the scientific comprehension to realize efficient remanufacturing. This hinders a company from commencing or improving remanufacturing efficiently. To fill this gap, the paper proposes a set of practical success factors for remanufacturing. To do so, it analyzes remanufacturing practices in industry through interviews with staff from remanufacturing companies with long experience. The practical success factors are found to be (1) addressing product and component value, (2) having a customer-oriented operation, (3) having an efficient core acquisition, (4) obtaining the correct information, and (5) having the right staff competence. Next, the paper further analyzes remanufacturing processes theoretically with both cause and effect analysis and means-ends analysis. Since the factors show that, among other things, the product/service system (PSS) is highly relevant to remanufacturing in multiple ways, theories on the PSS are partly utilized. As a result, the distinctive nature of remanufacturing underlying in the processes is found to have high variability, high uncertainty and, thus, also complexity. The obtained insights from practice and theory are found to support each other. In addition, a fishbone diagram for remanufacturing is proposed based on the analysis, including seven m's, adding two new m's (marketing and maintenance) on top of the traditional five m's (measurement, material, human, method, and machine) in order to improve customer value. The major contribution of the paper lies in its insights, which are grounded in both theory and practice.

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