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Each medical institution is struggling with high fixed and zaad costs. In the risk of reducing the funds allocated for the realization of health services, it is worth to adapt lean healthcare and eliminate all sources of waste which generate high costs. The lean management system has several definitions. According to Womack and Jones, there are five principles of lean thinking: In conclusion, elimination of muda allows to improve quality and reduce delays and in consequence it leads to quicker repayment of receivables for produced products and services.
Lean hospitals and lean management are systems based on the knowledge and experience of lean manufacturing used in the manufacturing industry. Methods of risk deminya. Below are examples of tools to minimize waste which occur in processes: KAIZEN is a method of continuous improvement which consist of the search and implementation of little or small demjnga, which are considered more efficient and cheaper than sporadic, large reorganizations of the company. The basis is kaizen form to which every employee of the company — both an office worker and an operator has access.
The form is the basis for demonstrating a new idea that improves the processwork station or conveyor belt. The method allows all employees to be involved in improving the management of the company.
Kaizen zasac to shape the employee so that he looks for ways to better do perform his duties.
It is important to allow employee to make changes and make him not afraid to offer improvements to the supervisors while focusing on the process [Robaszkiewicz ]. Empowerment is transmission of authority and increase of employee permissions.
This is one of the concepts of human resource management. It involves encouraging employees to make decisions, increase involvement in work and to take responsibility for his actions. Empowerment allows employee involvement in the process and suggesting his own improvements and ideas. The result of this concept is increasing the sense of belonging to the company, improved team relationships, feeling of responsibility and Increase of awareness of process costs.
This is a visual management system. JIS — just in sequence is modern sequential system, it aims to optimize and automate main processes so the parts used during the treatment process are delivered to the destination of medical services according to the order previously determined [psi ].
VSM — value stream mapping is a method of acquiring knowledge of the entire production and service process, which consists of drawing a process map and then improvement of it. It is a overall design process, starting with a project and creation of idea for its implementation [Rother i Shook, ].
The method allows you to understand the flow of materials and information, allows you to find the muda and its source. This is the only widespread instrument that shows the relationship between the flow of materials and information.
14 zasad deminga pdf
The method uses a standard graphical language that is understandable to everyone who deals with VSM. With starting of VSM it is needed to develop a state of the current map by collecting information directly from the place of production or service.
The next step is to analyze the map and develop a future state map. It is important to remember and include customer requirements in any action that improves the process.
The values characterizing the lean production process are: The shorter the cycle time, the less time elapses between the payment for the raw material and the payment for the finished product.
It allows to synchronize the rate of service delivery with rate of sale. Calculated as the ratio of working zasac for one change given in seconds to the number of ordered products per shift, this is theoretical time, which requires short downtimes and demjnga.
SMED — single minute exchange of die is the replacement of the instrument within one-digit minutes. Demihga is an important time because zasav shorter it is, the less time is lost due to downtime and waiting of patient to demingw the treatment.
TPM total productive maintenance is a technique that allows to increase involvement of employee and staff serving maintenance machinery. Its aim is to reduce accidents at work, shortages and downtimes. The TOC method consists of three steps: One piece flow is the principle of the flow of one piece, it means that there is one patient in the place where the health care is provided for which the service is given at a this moment.
Each employee is simultaneously a product quality controller. The one piece flow system allows to reduce material stocks, shortening the time of performed actions, elimination of unnecessary activities, reduction of product flow time which leads to receive a faster payment for the product from the customer. The principle of flow of one piece can be implemented in one workstation or at a macro scale, it can be deployed throughout the whole hospital.
This principle also takes into account the ergonomics of workplace and quality of work [ progresja ]. Referring to the clinical process, zasa principle will reflect the transition of one patient throughout the treatment process which focus 41 the implementation of actions which will accelerate the discharge process of patient from hospital.
It allows to quickly stop the production line or medical treatment if demijga issue is detected. Referring to ISO This may be the doctor who directs the institution and will make an entry in the medical report for such event. The system is also called automation because it allows automatic detection of a defect by medical equipment. The goal is to provide security of the service, maintain a high level of process quality and increase of its effectiveness.
Andon is a visual way of communicating with usage of light signals. Visualization is a lean management tool, which support the service process. Visualization is a graphical method for creating, interpreting and transferring of information.
It is used in many areas of life, also in medicine, didactics, art or logistics and production. Examples related to aspects of production: Warehouse — marked storage areas for medicines and disposable items Production — staff wearing clothes of a certain color depending on the work at feminga workstation, doctor-white coat, nurse- blue uniform Internal logistics — marked places for infectious waste and disposable materials.
Hoshin kanri is method of proposing improvements zadad adopting goals for each tier of organization in cooperation with employees at all levels. It is considered to be the spine of Kaizen.
TQM – Szkolenia i wdrażanie ISO , ISO , OHSAS , ISO , ISO , IATF
Top management establishes policy of objectives and actions. This policy is analyzed and determined with lower level managers — the so-called departments which establish objectives and actions which are agreed with unit deminnga and operational staff. This method requires the involvement of all employees.
PDCA is principle of improvement is based on four processes: Do concerns implementation of processes.
Check involves measuring and monitoring processes based on policy and objectives. Occasionally, inconsistencies may occur, which should be removed, apply corrective actions and further monitor the process.
The next stage is act which refers to perfoming action that involves continuous improvement [quality-management ]. Chaku chaku — in Japanese it means load-load. A method of continuous flow of materials as well as the patient in the clinical process and the realization of medical treatment within a single office, ward or unit.