scholarly journals The Evolution of Lean Manufacturing: An Investigation into Cross-Industry Applications via Knowledge Transfer

2013 ◽  
Vol 5 (2) ◽  
pp. 100
Author(s):  
Aleesandro Incisa ◽  
Ruggero Moretto
Keyword(s):  
Knowledge Transfer ◽  
Best Practices ◽  
Lean Manufacturing ◽  
Best Practice ◽  
Cost Effective ◽  
Short Term ◽  
Internal Development ◽  
Industry Applications ◽  
Practice Knowledge ◽  
Industry Sectors

Twenty-five years have elapsed since Lean techniques originated from the Automotive sector. From then on, Lean techniques have been adopted and fitted to several purposes and their application now ranges to several industry sectors. Meanwhile, the industry has been evolving so quickly that the ability to demonstrate Lean capabilities has turned into a mere order-qualifier in order for some manufacturers to be able to compete, forcing them to find new ways of facing the increased pace of change. An appealing solution for any firm would be to be able to increase their Lean maturity in the short-term. This research suggests that, as an alternative to a painful and costly internal development of Lean, the desired improvement can be achieved in a fast, efficient and cost-effective way by the direct transfer of existing Lean best practices currently implemented in different fields. Findings include that an optimal best practice knowledge transfer can be performed within four knowledge transfer “circles”, whose implementation is, therefore, highly recommended in order for each of the involved sectors to quickly achieve a fast and effective improvement in Lean maturity.

The politics of generating best practice knowledge: Epistemic practice and rendering space technical in a European Commission working group on education policy

2020 ◽  
pp. 239965442096210
Author(s):  
Natalie Papanastasiou
Keyword(s):  
Best Practices ◽  
Education Policy ◽  
European Commission ◽  
Best Practice ◽  
Political Space ◽  
Epistemic Practice ◽  
Political Discourse Analysis ◽  
The Social ◽  
Practice Knowledge ◽  
The Relationship

This paper seeks to understand how best practice knowledge is constructed and maintained as a hegemonic form of policy knowledge. The paper argues that best practice is based on two claims: firstly, that best practice draws on situated practices of ‘what works’ in specific policy contexts, and secondly, that best practice uses these practices to build universal policy lessons that can be transferred across political space. How do policy actors tasked with generating best practices manage to deal with the challenge of integrating knowledge that is situated in particular places with knowledge that holds true across political space? The paper explores this question through the lens of political discourse analysis and studies the relationship between epistemic practice and the social construction of space. Drawing on observation and interview data, the paper analyses how best practices are generated by a group of education policy experts coordinated by the European Commission. Analysis demonstrates that producing best practices involves ‘rendering space technical’ whereby the complex, relational nature of political space is transformed into a series of ‘contextual variables’ from which universal policy mechanisms can be extracted. This allows for the enactment of an epistemic practice which draws clear distinctions between policy and political space rather than understanding them as co-constitutive – a dualism which is pivotal for upholding the hegemonic status of best practice. By analysing counter-hegemonic moments where the claims of best practice are called into question, the paper also considers alternatives to rendering space technical in policymaking practices.

Usability Engineering: A Consultant's View of Best Practices and Proven Results

2008 ◽  
Vol 16 (2) ◽  
pp. 18-23 ◽  
Author(s):  
R. J. (Bob) Torres ◽  
Michael P. Heck ◽  
James R. Rudd ◽  
John F. (Jeff) Kelley
Keyword(s):  
User Interface ◽  
Best Practices ◽  
Design Process ◽  
User Interfaces ◽  
Best Practice ◽  
Cost Effective ◽  
User Centered Design ◽  
Usability Engineering ◽  
Usability Problems ◽  
Effective Use

( Part 1 of this three-part series on Best Practices appeared in the winter 2007 issue.) The IBM Global Services Usability Engineering National Practice (UENP) group has focused on the application of industry-based, user-centered design (UCD) best practice techniques and principles to solve user interface and usability problems in a variety of industry contexts. UCD techniques and principles have been applied across different industries, application domains, and user interface styles. We have learned valuable lessons with regard to consistent and effective use of a rigorous, proven, and repeatable design process in system and Internet projects. The use of our design process results in cost-effective solutions for satisfied customer users. Although the findings generally apply to many styles of user interfaces and systems, this article shares some of our lessons, experiences, best practices, and results with a focus on recent Web-based projects.

Identification of Current Best Practices for Short-term Medical Mission Trips and Adherence to Current Common Principles and Guidelines

2020 ◽  
Vol 7 (2) ◽  
pp. 67-82
Author(s):  
Susan Andrews
Keyword(s):  
Best Practices ◽  
Global Health ◽  
Language Proficiency ◽  
Survey Methodology ◽  
Healthcare Providers ◽  
Final Analysis ◽  
Short Term ◽  
Convenience Sample ◽  
Operational Practices ◽  
Descriptive Survey

Background:  Recent reviews of published guidelines for conducting short-term medical missions (STMM) identify significant concerns about the lack of adherence and of formal regulations concurrent with the increasing number of individuals and organizations participating in STMM. Method: A descriptive survey methodology was used. A 44-item survey that identifies current practices utilized by healthcare providers (HCP) who have participated in STMM was used based on the literature and prior research, and distributed electronically to HCP participating in STTM to identify current best practices and compare findings with the most recent recommendations for short-term global health activities. A focus on current operational practices was surveyed and analyzed to develop operational recommendations for the ethical and safe care provided during STMM. Results: Eighty-seven surveys were included in the final analysis, with 33% (N=29) serving as coordinators for the trip. The majority of the respondents were female (67%) and the primary roles represented were: MD (N=17; 20%), nurse practitioner (N=20; 23%), and registered nurse (N=18; 21%). A majority (N=48; 67%) traveled to South America or Latin America, with 38% (N=33) having participated in four or more STMM. Language proficiency was reported as deficient (N=35; 40%) along with little or no knowledge of the basic culture (N=39; 45%). Additional data were collected on trip preparation, clinic operations, and outcomes follow up. Conclusions: Using a convenience sample, the results of the survey provide information on the current best practices utilized by HCP who have participated in STMM and compare the findings to assess for adherence with the most recent recommendations for short-term global health activities. There was variation in the degree to which HCP were knowledgeable about specific aspects related to knowledge of local culture, language proficiency, and adherence to recommended practices for STMM. Additional research on STMM is needed, along with further exploration of how evidence based practices for STMM can be implemented to improve access and safety to the care provided while in the host country.

Polytechnic to Business Project (P2B) a Case of Innovation and Knowledge Transference

2019 ◽  
Vol 6 (1) ◽  
pp. 40-49
Author(s):  
Teresa Paiva
Keyword(s):  
Knowledge Transfer ◽  
Best Practices ◽  
Education Institution ◽  
Theoretical Background ◽  
Transfer Model ◽  
Case Study Method ◽  
Multiple Sources ◽  
The Subject ◽  
Manage Innovation

Background: The theoretical background of this article is on the model developed of knowledge transfer between universities and the industry in order to access the best practices and adapt to the study case in question regarding the model of promoting and manage innovation within the universities that best contribute with solution and projects to the business field. Objective: The development of a knowledge transfer model is the main goal of this article, supported in the best practices known and, also, to reflect in the main measurement definitions to evaluate the High Education Institution performance in this area. Methods: The method for this article development is the case study method because it allows the fully understanding of the dynamics present within a single setting, and the subject examined to comprehend what is being done and what the dynamics mean. The case study does not have a data collection method, as it is a research that may rely on multiple sources of evidence and data which should be converged. Results: Since it’s a case study this article present a fully description of the model proposed and implemented for the knowledge transfer process of the institution. Conclusion: Still in a discussion phase, this article presents as conclusions some questions and difficulties that could be pointed out, as well as some good perspectives of performed activity developed.

scholarly journals Fluctuating Asymmetry and Developmental Instability, a Guide to Best Practice

Symmetry ◽  
2020 ◽  
Vol 13 (1) ◽  
pp. 9
Author(s):  
John H. Graham
Keyword(s):  
Measurement Error ◽  
Best Practices ◽  
Environmental Stress ◽  
Fluctuating Asymmetry ◽  
Best Practice ◽  
Developmental Instability ◽  
The Past ◽  
Size Scaling ◽  
Research Designs

Best practices in studies of developmental instability, as measured by fluctuating asymmetry, have developed over the past 60 years. Unfortunately, they are haphazardly applied in many of the papers submitted for review. Most often, research designs suffer from lack of randomization, inadequate replication, poor attention to size scaling, lack of attention to measurement error, and unrecognized mixtures of additive and multiplicative errors. Here, I summarize a set of best practices, especially in studies that examine the effects of environmental stress on fluctuating asymmetry.

scholarly journals Cost-effectiveness of a hybrid emergency room system for severe trauma: a health technology assessment from the perspective of the third-party payer in Japan

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Takahiro Kinoshita ◽  
Kensuke Moriwaki ◽  
Nao Hanaki ◽  
Tetsuhisa Kitamura ◽  
Kazuma Yamakawa ◽  
...  
Keyword(s):  
Cost Effectiveness ◽  
Emergency Room ◽  
Healthcare Costs ◽  
Cost Effective ◽  
Severe Trauma ◽  
Third Party ◽  
Trauma Patients ◽  
Short Term ◽  
The Third

Abstract Background Hybrid emergency room (ER) systems, consisting of an angiography-computed tomography (CT) machine in a trauma resuscitation room, are reported to be effective for reducing death from exsanguination in trauma patients. We aimed to investigate the cost-effectiveness of a hybrid ER system in severe trauma patients without severe traumatic brain injury (TBI). Methods We conducted a cost-utility analysis comparing the hybrid ER system to the conventional ER system from the perspective of the third-party healthcare payer in Japan. A short-term decision tree and a long-term Markov model using a lifetime time horizon were constructed to estimate quality-adjusted life years (QALYs) and associated lifetime healthcare costs. Short-term mortality and healthcare costs were derived from medical records and claims data in a tertiary care hospital with a hybrid ER. Long-term mortality and utilities were extrapolated from the literature. The willingness-to-pay threshold was set at $47,619 per QALY gained and the discount rate was 2%. Deterministic and probabilistic sensitivity analyses were conducted. Results The hybrid ER system was associated with a gain of 1.03 QALYs and an increment of $33,591 lifetime costs compared to the conventional ER system, resulting in an ICER of $32,522 per QALY gained. The ICER was lower than the willingness-to-pay threshold if the odds ratio of 28-day mortality was < 0.66. Probabilistic sensitivity analysis indicated that the hybrid ER system was cost-effective with a 79.3% probability. Conclusion The present study suggested that the hybrid ER system is a likely cost-effective strategy for treating severe trauma patients without severe TBI.

Doing More With Less: Pragmatic Implementation of Vancomycin Area-Under-the-Curve (AUC) Monitoring

2021 ◽  
pp. 089719002110272
Author(s):  
Joanne Huang ◽  
Jeannie D. Chan ◽  
Thu Nguyen ◽  
Rupali Jain ◽  
Zahra Kassamali Escobar
Keyword(s):  
Quality Improvement ◽  
High Risk ◽  
Therapeutic Drug Monitoring ◽  
Paradigm Shift ◽  
Area Under The Curve ◽  
Cost Effective ◽  
Practical Method ◽  
Therapeutic Drug ◽  
Short Term ◽  
Quality Improvement Process

Universal area-under-the-curve (AUC) guided vancomycin therapeutic drug monitoring (TDM) is resource-intensive, cost-prohibitive, and presents a paradigm shift that leaves institutions with the quandary of defining the preferred and most practical method for TDM. We report a step-by-step quality improvement process using 4 plan-do-study-act (PDSA) cycles to provide a framework for development of a hybrid model of trough and AUC-based vancomycin monitoring. We found trough-based monitoring a pragmatic strategy as a first-tier approach when anticipated use is short-term. AUC-guided monitoring was most impactful and cost-effective when reserved for patients with high-risk for nephrotoxicity. We encourage others to consider quality improvement tools to locally adopt AUC-based monitoring.

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