scholarly journals The Role of Value Stream Mapping in Healthcare Services: A Scoping Review

2021 ◽  
Vol 18 (3) ◽  
pp. 951
Author(s):  
Juan A. Marin-Garcia ◽  
Pilar I. Vidal-Carreras ◽  
Julio J. Garcia-Sabater
Keyword(s):  
Scoping Review ◽  
Healthcare Services ◽  
The United States ◽  
Environmental Indicators ◽  
Sustainability Indicators ◽  
Healthcare Sector ◽  
Value Stream Mapping ◽  
Value Stream ◽  
Starting Point

Lean healthcare aims to manage and improve the processes in the healthcare sector by eliminating everything that adds no value by improving quality of services, ensuring patient safety and facilitating health professionals’ work to achieve a flexible and reliable organization. Value Stream Mapping (VSM) is considered the starting point of any lean implementation. Some papers report applications of VSM in healthcare services, but there has been less attention paid to their contribution on sustainability indicators. The purpose of this work is to analyze the role of VSM in this context. To do so, a scoping review of works from recent years (2015 to 2019) was done. The results show that most applications of VSM reported are in the tertiary level of care, and the United States of America (USA) is the country which leads most of the applications published. In relation with the development of VSM, a heterogeneity in the maps and the sustainability indicators is remarkable. Moreover, only operational and social sustainability indicators are commonly included. We can conclude that more standardization is required in the development of the VSM in the healthcare sector, also including the environmental indicators.

scholarly journals Energy Analysis via Value Stream Mapping: A case study of an Automotive Weld Plant

ORiON ◽  
2021 ◽  
Vol 37 (2) ◽  
Author(s):  
Keshav Ramsunder ◽  
Oludolapo Olanrewaju
Keyword(s):  
Lean Manufacturing ◽  
Sustainable Manufacturing ◽  
Environmental Benefits ◽  
Value Stream Mapping ◽  
Measuring Instruments ◽  
Manufacturing Companies ◽  
Step Method ◽  
Empirical Observation ◽  
Value Stream ◽  
Starting Point

Over the past few decades, Lean Manufacturing (LM) has been the pinnacle of strategies applied for cost and waste reduction. However as the search for competitive advantage and production growth continues, there is a growing consciousness towards environmental preservation. With this consideration in mind this research investigates and applies Value Stream Mapping (VSM) techniques to aid in reducing environmental impacts of manufacturing companies. The research is based on empirical observation within the Chassis weld plant of Company X. The observation focuses on the weld operations and utilizes the cross member line of Auxiliary Cross as a point of study. Using various measuring instruments to capture the emissions emitted by the weld and service equipment, data is collected. The data is thereafter visualised via an Environmental Value Stream Map (EVSM) using a 7-step method. It was found that the total lead-time to build an Auxiliary Cross equates to 16.70 minutes and during this process is emitted. It was additionally found that the UPR x LWR stage of the process indicated both the highest cycle time and carbon emissions emitted and provides a starting point for investigation on emission reduction activity. The EVSM aids in the development of a method that allows quick and comprehensive analysis of energy and material flows. The results of this research are important to practitioners and academics as it provides an extension and further capability of Lean Manufacturing tools. Additionally, the EVSM provides a gateway into realising environmental benefits and sustainable manufacturing through Lean Manufacturing.

Netzwerk, Bruderschaft, Zelle Die Rolle von Geschlecht und Gewalt bei der Formierung neuer religionspolitischer Gruppen in ,Okzident' und ,Orient'

2006 ◽  
Vol 58 (2) ◽  
pp. 114-132
Author(s):  
Ulrike Brunotte
Keyword(s):  
United States ◽  
The United States ◽  
Imagined Communities ◽  
European Regions ◽  
Religious Groups ◽  
New Wars ◽  
Starting Point ◽  
And Performance ◽  
Comparative Examination

AbstractTaking as a starting point the reality of a worldwide return of religion in the cultural and political spheres, the article undertakes a comparative examination of the role of gender metaphors and performance in building of new religious groups as "imagined communities". These groups have increasingly taken the form of fundamentalist and Islamist networks, especially in non-European regions including the United States, and in the context of ,,new wars."

Human Nature and Economic Institutions: Instinct Psychology, Behaviorism, and the Development of American Institutionalism

2004 ◽  
Vol 26 (4) ◽  
pp. 445-477 ◽  
Author(s):  
Pier Francesco Asso ◽  
Luca Fiorito
Keyword(s):  
Social Sciences ◽  
United States ◽  
William James ◽  
The United States ◽  
Economic Behavior ◽  
Behavioral Analysis ◽  
Thorstein Veblen ◽  
Starting Point ◽  
The Social

Recent articles have explored from different perspectives the psychological foundations of American institutionalism from its beginning to the interwar years (Hodgson 1999; Lewin 1996; Rutherford 2000a, 2000b; Asso and Fiorito 2003). Other authors had previously dwelled upon the same topic in their writings on the originsand development of the social sciences in the United States (Curti 1980; Degler 1991; Ross 1991). All have a common starting point: the emergence during the second half of the nineteenth century of instinct-based theories of human agency. Although various thinkers had already acknowledged the role of impulses and proclivities, it was not until Darwin's introduction of biological explanations into behavioral analysis that instincts entered the rhetoric of the social sciences in a systematic way (Hodgson 1999; Degler 1991). William James, William McDougall, and C. Lloyd Morgan gave instinct theory its greatest refinement, soon stimulating its adoption by those economists who were looking for a viable alternative to hedonism. At the beginning of the century, early institutionalists like Thorstein Veblen, Robert F. Hoxie, Wesley C. Mitchell, and Carleton Parker employed instinct theory in their analysis of economic behavior. Their attention wasdrawn by the multiple layers of interaction between instinctive motivation and intentional economic behavior. Debates on the role of instinctsin economicswere not confined to the different souls of American Institutionalism, and many more “orthodox” figures, like Irving Fisher or Frank Taussig, actively participated.

scholarly journals Measuring Progress toward Urban Sustainability: Do Global Measures Work for Arctic Cities?

2020 ◽  
Vol 12 (9) ◽  
pp. 3708 ◽  
Author(s):  
Matthew Berman ◽  
Robert W. Orttung
Keyword(s):  
Urban Sustainability ◽  
Sustainability Indicators ◽  
Indigenous Populations ◽  
The Arctic ◽  
Starting Point ◽  
Depth Analysis ◽  
Underlying Basis ◽  
Characteristic Features ◽  
Sustainability Challenges

The International Organization for Standardization recently responded to a growing global interest in cities by developing an index for measuring urban sustainability (ISO 37120). We address how well this standard applies to Arctic cities, and potential modifications that might improve its performance. After briefly discussing the goals of sustainability indicators, we examine the extent to which Arctic cities’ remote location, cold and changing climate, and thin, largely resource-based economies may create different sustainability challenges. We then critically examine the content of ISO 37120 and the context in which it was created. We place the index within a broader discussion of urban sustainability indicators and examine the extent to which it really addresses sustainability. We then analyze how well the ISO 37120 accounts for the characteristic features of Arctic cities that produce unique sustainability challenges. Our findings show that only half of ISO 37120′s 128 indicators actually measure future-oriented concerns. We suggest that, while the ISO 37120 may be a useful starting point in quantifying Arctic urban sustainability, the index should only be used as a foundation for a more in-depth analysis. To better represent Arctic cities, the ISO 37120 would need to include indicators that situate cities within their regional contexts, addressing both remoteness and the underlying basis of the Arctic city economy. The index should also measure the role of Indigenous populations, and chart the extent to which cities are working to increase levels of sustainability.

scholarly journals Role of Information Technology in Healthcare Services: Visitor's Perception

2018 ◽  
Vol 4 (2) ◽  
pp. 83-93
Author(s):  
Santosh Kumar Sharma ◽  
Anil Kumar
Keyword(s):  
Information Technology ◽  
Empirical Relationship ◽  
Healthcare Services ◽  
Healthcare Sector ◽  
Ageing Population ◽  
Human Beings ◽  
Healthcare Facilities ◽  
Number Of Patients ◽  
Role Of Information

The ageing population, increasing pollution, and lethargic life style of human beings are some of the primary reasons for the growth of healthcare sector. Indian entrepreneurs have observed this growth opportunities and providing healthcare services in multiple ways. However, the literature emphasizes that without integrating information technology in existing healthcare facilities, quality service cannot be rendered to a large number of patients. With this backdrop, the present study is a novel endeavour to explore the role of information technology in Indian healthcare services. It aims to explain the relevance and dimensions of information technology in relation to healthcare services and examines the empirical relationship between identified dimensions and some demographical factors (age, educational qualification, income, and gender).The results of this study can be beneficial to healthcare professionals, service enablers, implementing agencies, and policy makers. Limitations, further research directions and conclusions have been discussed.

scholarly journals Ventanillas de Salud: Defeating challenges in healthcare access for Mexican immigrants in the United States

2020 ◽  
Vol 21 ◽  
Author(s):  
Valeria Marina Valle ◽  
Wilma Laura Gandoy Vázquez ◽  
Karla Angélica Valenzuela Moreno
Keyword(s):  
United States ◽  
Mexican Immigrants ◽  
Healthcare Access ◽  
Healthcare Services ◽  
The United States ◽  
Access To Health Services ◽  
Government Officials ◽  
Access To Health ◽  
Mexican Government

The 2010 Affordable Care Act (ACA) improved access to healthcare in the United States. However, immigrants —especially those undocumented— still faced difficulties, which have increased during the Trump administration. In order to bring access to health services to its nationals, the Mexican government has implemented the Health Windows Program (Ventanillas de Salud, or VDS). The article reviews changes in the U.S. healthcare system from the ACA to date, and assesses the role of VDS. The methodology is qualitative, consisting of a literature review, interviews with community leaders and Mexican government officials, and questionnaires sent to four VDS: Arizona, Florida, Idaho and Texas. Results show that VDS provide reliable and affordable access to basic healthcare services, and detection of chronic and non-communicable diseases, especially within undocumented immigrants. Public policy recommendations are offered based on these findings. Limitations of the study include the data collected, which is non-representative of all VDS.

The Canal in Retrospect—Some Panamanian and Colombian Views

1958 ◽  
Vol 15 (1) ◽  
pp. 23-36
Author(s):  
Frank Otto Gatell
Keyword(s):  
United States ◽  
The United States ◽  
Isthmus Of Panama ◽  
Starting Point ◽  
Changing Attitudes ◽  
The Revolution

The Panamanian Revolution of November 3, 1903, and the establishment of an independent republic under the aegis of the United States are well-known and often related events. Neither the scholar nor the polemicist has been guilty of neglecting this episode in history. The Revolution of 1903 was to Panamá, of course, the starting point of its history as a separate state; to Colombia, possession of the isthmus of Panamá seemed a sine qua non of national existence. Thus it is no surprise that writers in both countries should turn their attention to the circumstances of the separation of Panamá from Colombia. With the passage of over half a century we can assume that Panamanian and Colombian attitudes toward the Revolution, and the role of the United States in it, have undergone changes. It is hoped that by examining some of the books written by Panamanians and Colombians about their countries' histories in general, or the canal and isthmian politics in particular, the evolution of these changed, and still changing, attitudes will be illuminated.

Role of clinical pharmacist in the palliative care of adults and elderly patients with cancer: A scoping review

2022 ◽  
pp. 107815522110734
Author(s):  
Julia Franco ◽  
Rafael N de Souza ◽  
Tácio de M Lima ◽  
Patricia Moriel ◽  
Marília B Visacri
Keyword(s):  
Palliative Care ◽  
Elderly Patients ◽  
Scoping Review ◽  
The United States ◽  
Eligibility Criteria ◽  
Patient Counselling ◽  
Clinical Pharmacists ◽  
Patients With Cancer ◽  
Pharmacist Interventions

Objective: We conducted this scoping review to map and summarize scientific evidence on the role of clinical pharmacists in the palliative care of adults and elderly patients with cancer. Data Sources: A literature search was performed in MEDLINE, PubMed Central, Embase, Web of Science, Scopus, and BVS/BIREME for studies published until November 22nd, 2020. Studies that reported work experiences adopted by clinical pharmacists in the palliative care of adults and elderly patients with cancer were included. Two independent authors performed study selection and data extraction. Any disagreements were resolved by discussion with the third and fourth authors. The pharmacist interventions identified in the included studies were described based on key domains in the DEPICT v.2. Data Summary: A total of 586 records were identified, of which 14 studies fully met the eligibility criteria. Most of them were conducted in the United States of America (n  =  5) and Canada (n  =  5) and described the workplace of the pharmacist in clinic/ambulatory (n  =  10). Clinical pharmacists performed several activities and provided services, highlighting medication review (n  =  12), patient and caregivers education (n  =  12), medication histories and-or medication reconciliation (n  =  6). The pharmacist interventions were mostly conducted for patients/caregivers (n  =  13), by one-on-one contact (n  =  14), and by face-to-face (n  =  13). Pharmacists were responsible mainly for change or suggestion for change in therapy (n  =  12) and patient counselling (n  =  12). Pharmacist interventions were well accepted by the clinical team. Overall, studies showed that pharmacists, within an interdisciplinary team, had significant impacts on measured outcomes. Conclusions: In recent years, there have been advances in the role of the pharmacist in palliative care of patients with cancer and there are great opportunities in this field. They play an important role in managing cancer pain and other symptoms, as well as resolving drug related problems. We encourage more research to be carried out to strengthen this field and to benefit patients with advanced cancer with higher quality of life.

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