Lean Management Approach Research Articles

Use of Lean Management Methodology to Reduce the Rate of Unfinished Nursing Care in the Emergency Observation Room: A Quality Improvement Project.

The integration of lean management in optimizing nursing workflow necessitates the careful examination of several factors, including nurses' work efficiency, patient experience, and health outcomes. To evaluate the extent of unfinished nursing care and patient satisfaction, we have incorporated the lean management approach into our quality improvement efforts. This proactive measure aims to address potential adverse outcomes, such as subpar inpatient experiences, escalated occurrence of adverse events, and decreased job satisfaction among nursing staff. We utilized the lean management methodology of value stream mapping in a specific facility between February and August 2021, aiming to pinpoint the crucial areas for enhancing nurses' workflow. By employing fishbone diagrams, we thoroughly analyzed the underlying causes, and subsequently employed the Plan-Do-Study-Act model to execute interventions devised based on these identified causes. Interventions included: (1) specifying the time of doctors' conventional rounds; (2) changing unreasonable scheduling; (3) employing 5S management to manage nursing supplies; and (4) eliminating duplicate papers and electronic reports. After implementing these interventions, the rate of unfinished nursing reduced from 73.4% to 39.6%, and that of finished nursing care during the shift increased from 38.6% to 71.4%. Overtime was reduced from 37.2 ± 22.4 minutes to 14.1 ± 3.6 minutes. The total patient satisfaction score for the Patient Satisfaction Questionnaire short-form increased (P < .05). The lean management of quality improvement methodologies provides effective enhancement to the work efficiency of nurses.

Using a lean management approach in acute ischemic stroke management: a systematic review.

Stroke is the second leading cause of death worldwide with an annual mortality rate of 6.55 million, which accounts for 11.6% of the total number of deaths. Early diagnosis is crucial for improving treatment outcomes. Lean management is an approach originating in the car manufacturing process derived from the Toyota Production System, which healthcare providers have recently adapted. The objective is to examine the use of lean practices in managing AIS in hospital settings. A systematic literature search was performed using MEDLINE and SCOPUS databases, including publications from 1st January 2000 to 20th September 2022. A total of 13 studies fulfilled the predefined inclusion criteria. The recombinant tissue plasminogen activator (rtPA) was used in 11 studies, in 2 studies in combination with mechanical thrombectomy (MT). MT alone was used in the other 2 studies. The value stream mapping was used in all included studies to analyze workflow in acute ischemic stroke (AIS) treatment. Outcome measures include mostly door-to-needle (DTN) time for rtPA treatment and door-to-puncture (DTP) time for mechanical thrombectomy. DTN time was assessed in nine studies and reached statistically significant results in five. DTP was examined in three studies; in two, statistically significant decreases in DTP were observed. Lean management can be a useful method for achieving key performance indicators in AIS, consistent with current guidelines. The results of this systematic literature review show that value stream mapping may improve the process of AIS treatment by reducing in-hospital delays. The field of research that focuses on implementing lean management tools in healthcare is increasing, with more publications appearing in recent years.

Implementation Lean Teaching System forMathematics

Mathematic Teaching systems facing many challenges and factors that affect negatively its performance. As lean management approach succeeded in industrial sector, lean methodologies may be helpful in managing math teaching system efficiently and effectively, where improving quality of math teaching services may be achieved through the implementation of lean principles. Therefore teaching systems that are represented by schools, universities, and colleges are a suitable field to apply lean management approach. This study trying to investigate the implementation of some lean principles in managing math teaching systems with high performance. Also, this paper aims to implement a lean mathematical teaching system for high institute students of energy in Kuwait, it is expected that applying lean principles in the education system of math courses will improve the teaching and learning operations, increase the communication between all education system stockholders, improve skills of workers, and decreasing downtime or losses. Many hypotheses are presented and tested here using SPSS program. It was found that the math education system may be become lean-based if it has a multi-functional and flexible staff, continuous development and training for staff, and if there are a student training and qualifying activities, good management system, and continuous curriculum development.

Implementation and execution of integrated point of care testing program in three secondary hospitals across Karachi-a lean management approach

Implementation and execution of integrated point of care testing program in three secondary hospitals across Karachi-a lean management approach

The Impact Of Making Organizational Sense On Lean Management : A Descriptive Analytical Research In The Iraqi Ministry Of Education

The idea of ​​organizational sense industry involves how members of organizations reach to understandings about the environment through different behaviors, and how these understandings represent the basis for the nature of subsequent reactions. The organizational sense industry variable represents the independent variable. The lean management approach has become a comprehensive thought applied in all fields and business activities. In order to achieve the best performance through the best outputs. The research aims to highlight the level of general awareness of the educational administrations regarding the nature of the sense making in the institution of the Iraqi educational sector. The research problem is what is the impact level of organizational sense making on solidifying lean management practices in the Iraqi Ministry of Education? The descriptive analytical approach was used to describe and analyze the main research variables. The research sample consisted of 215 participants in middle and top administrative leaders in the education directorates of the Ministry of Education. A group of statistical methods are used, which are the (Amos.V25) program, and the (SPSS) program. Findings revealed the existence of a weakness in the overall base of organizational cultures for the ministry's education directorates in defining the criteria for understanding what is agreed upon or disagreed upon related to the nature of formal and informal behavior in different performance approaches. Paper type: Research paper.

Improving Care Continuity in Oncology Settings: A Lean Management Approach to Minimize Discharges Without Follow-Up Appointments.

This study aimed to reduce the number of patients discharged without scheduled follow-up appointments by implementing lean management principles. Conducted at the Sultan Qaboos Comprehensive Cancer Center in Muscat, Oman, the research utilized a one-group pretest-posttest quasi-experimental design to evaluate the impact of lean management interventions on the rate of patient discharges without follow-up appointments. Strategies such as the Kaizen principle, Gemba Walks, cross-functional collaboration, standard work procedures, and waste reduction were employed to enhance operational efficiency. Spanning from Quarter 3 of 2022 to Quarter 2 of 2023, the study demonstrated a significant decrease in the percentage of patients discharged without planned follow-up appointments. The rate dropped from 9% in September 2022 to 0% in March 2023, with statistically significant differences observed (X2= 65.05, p value=<.0001). By effectively implementing lean management principles, this research successfully enhanced care continuity for oncology patients after being discharged.

Интеграция теории перспектив Амоса Тверски и Даниэля Канемана в концепцию «Lean Trading»

Integration of Amos Tversky and Daniel Kahneman’s prospect theory into the concept of “Lean Trading” represents an interesting area of research, offering new approaches to trading in financial markets. «Lean Trading» is a trading strategy based on the principles of Lean management approach (taken from production management methodology and focused on minimizing losses and maximizing efficiency). Prospect theory suggests that people make decisions based on their perception of the situation and subjective evaluations, rather than on objective data. Daniel Kahneman and Amos Tversky proposed several key concepts that can be integrated into «Lean Trading» such as «loss aversion», «ambiguity effect» and «status quo bias». These concepts allow for a better understanding of investor behavior and their risk propensity. Integrating prospect theory into the concept of «Lean Trading» can contribute to improving decision-making processes and risk management, leading to increased trading performance in the stock market, where quick and informed decisions need to be made in a rapidly changing market environment.

A Lean Management Framework for Achieving Sustainability Through Reducing Risks During the Design Process

The building sector is a substantial global industry that plays a significant role in the social and economic advancement of nations. The construction industry has been criticized for its unsustainable practices, including waste generation, pollution, and the consumption of non-renewable resources and energy. Due to the dynamic nature of the construction industry and the involvement of multiple parties with diverse goals, knowledge, and skills, the industry is susceptible tovarious risks that can undermine the sustainability of projects. This research aims to develop a Lean Management (LM) framework to deliver sustainable construction projects through reducing risks during the design process. A research methodology consisting of literature review, case studies and survey questionnaire was designed to achieve the research aim. Firstly, literature review was used to investigate the concepts of sustainability, risks in the design process and LM. Secondly, two case studies were presented and analysed to investigate the role of LM in achieving sustainability in construction projects through reducing the risks of the design process. Thirdly, a survey questionnaire was conducted with a representative sample of Architecture Design Firms (ADFs) in Egypt to investigate their perception and application of LM towards delivering sustainable projects by reducing the risks during the design process. A framework is developed to facilitate integrating LM within the design process to reduce risks during the design process as an approach for achieving sustainability goals. The research identifies 18 design risk factors, their causes and impacts on delivering sustainable project. In addition, it correlated LM tools and techniques that could be used to reduce risks during the design process. Case studies showed that ADFs that adopted LM approach succeeded in achieving sustainability objectives and reducing associated risks. Moreover, data analysis of the survey questionnaire helped ranking the presented risks by the ADFs along with investigating their perception towards using LM within the design process. These findings necessitated acting towards developing a framework to reduce these risks towards achieving sustainability objectives in construction projects.

Lean management approach in health sector: MCDM model proposal to prevention of waste

Lean manufacturing in the manufacturing sector corresponds to lean management in the service sector. When health services are considered, it is seen that the concepts that are important in the manufacturing sector have the same importance for health services. Because waste is the main problem of every sector. Lean management approach in the health sector enables improvements by developing solutions to many other problems of healthcare professionals, patients and hospitals, such as reducing transaction costs, ensuring patient safety, and reducing processing times. This study was carried out with the aim of establishing a lean health system by selecting the most appropriate lean management methodology in order to identify and prevent waste in health processes and to increase efficiency and service quality. In the study, the evaluation of lean methodologies that can be applied to prevent waste in health services is considered as a multi-criteria decision-making problem and a model has been proposed. In the proposed model, wastes were determined as research criteria and lean methodologies were determined as research alternatives. The solution phase of the problem was carried out in two stages with multi-criteria decision-making techniques. In the solution phase, the importance weights of 24 decision criteria were calculated with the SWARA method, while 5 alternatives were evaluated based on the decision criteria with the WASPAS method and the most suitable alternative was selected.

The Decision Dilemma: Disinvestment or Turnaround?

The case describes the journey of one of the most ambitious public sector undertakings, Heavy Engineering Corporation Limited (HECL), in the earlier unified state of Bihar, India. Despite being a leading manufacturer and supplier of capital equipment and experiencing growth in the initial years, the company incurred losses for over 17 consecutive years. In the year 2006–2007, the company briefly bounced back to profits, but those revival hopes faded within five years, leaving the company in dire need of an immediate strategic rethink and a complete overhaul. This case specifically focuses on the problems and challenges faced by the cash-strapped public sector enterprise, HECL. It addresses issues such as its negative net worth, the rising wage and incentive bills of its employees, declining product competitiveness at the global level and other persistent financial difficulties and bureaucratic hurdles that created inflexibilities in decision-making. The need for agile and lean management approaches that could increase overall organizational performance, efficiency and value deliverables was also explored.

ANALISIS KOMPLAIN DI UNIT CUSTOMER SERVICE OFFICER RUMAH SAKIT MUHAMMADIYAH LAMONGAN

Introduction: The key to the success of a hospital engaged in the service sector is proven by how the company serves their customers. Every customer must have high expectations for the quality of service. Complaint handling becomes an important channel when the product produced does not match the value expected by the customer because no product, both goods and services, is without weaknesses. Purpose: This study aims to describe and analyze complaints at Hospital of Muhammadiyah Lamongan with a Lean Management approach. Methods: What the researcher uses in analyzing complaints 1) Complaint analysis, 2) Complaint identification with an element of management approach, 3) Determining problem priorities with the USG method and causes of complaint problems using the 5 Why Analysis Form, 5) Problem solving using step 7 recommendation form and action plan. Results: Recap of complaints for January-April 2023 at Hospital of Muhammadiyah Lamongan a total of 54 complaints in the green category with the priority being the problem of unfriendly officers. One of the reasons for this complaint is that the officers did not apply 5s. Conclusion: Not optimal implementation of employee ethics SOP in the hospital, socialization of employee ethics SOP was carried out. With regular dissemination of SOP so that employees understand more about the importance of SOP while working.

Identifying Potential Improvements In Drug Service Processes At Rs X Semarang Pharmacy Installation: Lean Management Approach

Identifying Potential Improvements In Drug Service Processes At Rs X Semarang Pharmacy Installation: Lean Management Approach

Analysis and modeling for calculation the need for x-ray therapy systems in Tajikistan

Objective. To analyze the needs of the Republic of Tajikistan in radiotherapy equipment.Materials and methods. A comprehensive bibliographic and informational search was employed, accompanied by a semantic analysis. Scientific literature and regulatory legal documents were reviewed, and an economic mathematical modeling method was utilized.Results. The demand for radiotherapy devices in Tajikistan can be determined through three models: “by the number of the population served” 12 devices, “by the number of oncological dispensaries in the country” 5 units, “by oncological prevalence” (Lean management approach) one system. The proposed models should be adjusted taking into account the territorial accessibility of the method for the population, current clinical recommendations, as well as the availability of other radiotherapy equipment.Conclusion. X-ray therapy is of particular interest to the organization of oncological care due to the low cost of devices in comparison with other radiotherapy equipment, as well as the low cost of their maintenance, high operational efficiency, and ease of use. Heads of medical institutions need to know different approaches to calculate the needs.

THE APPLICATION OF NEW MEDIA IN BRAND COMMUNICATION: THE IMPACT OF BRAND'S VISUAL IMAGE ON CONSUMER PURCHASE INTENTIONS

The objective of this paper is to investigate whether visual technologies can influence consumer brand purchase intentions by altering the forms of consumer association, attention, and emotion. The research employs traditional quantitative research methods and collected a total of 156 valid questionnaires from Chinese consumers. The study findings indicate that association, attention, and emotion all positively influence consumer purchase intent. These results suggest that brands can enhance their brand communication by investing in visual marketing, thereby winning higher purchase intent from consumers. It confirmed the impact of corporate visual brand communication based on new media forms on Chinese consumers' purchase intentions and established that association, attention, and emotion are the key influencing factors. It enriched the research on brand communication in China and provided a brand communication lean management approach.

Unveiling the Impact of Lean Leadership on Continuous Improvement Maturity: A Scoping Review.

Lean Management (LM) is a process improvement approach with growing interest from healthcare organizations. Obtaining a culture of continuous improvement is a primary objective of LM, and a culture of continuous improvement indicates a mature LM approach, and here leadership plays a central role. However, a comprehensive overview of leadership activities influencing LM maturity is lacking. This study aims to identify leadership activities associated with continuous improvement and, thus, LM, maturity. Following the PRISMA guidelines, a scoping literature review of peer-reviewed articles was conducted in twenty healthcare management journals. The search provided 466 articles published up until 2023. During the selection process, 23 studies were included in the review. The leadership activities related to continuous improvement maturity were identified using the grounded theory approach and data coding. The analysis highlighted a total of 58 leadership activities distributed across nine themes of LM leadership. Next, analysing leadership activities concerning the different maturity levels revealed three maturity stages: beginner, intermediate, and expert. Based on the findings, we propose a framework that guides suitable leadership activities at the various stages of LM maturity. The framework provides leaders in healthcare with a practical overview of actions to facilitate the growth of the LM approach, and the related propositions offer academics a theoretical basis for future studies. This review presents the first comprehensive overview of LM leadership activities in relation to continuous improvement and LM maturity. To enhance LM maturity, leaders are encouraged to consider their leadership style, (clinical) stakeholder involvement, alignment with the organizational strategy, and their role in promoting employee autonomy.

Theoretical and methodological foundations of business process management of a modern enterprise based on the «lean production management» approach

Business process management is an important aspect of supply chain management. Effective management of business processes by supply chains makes it possible to increase operational activity, reduce transportation and storage costs, increase the level of service for the end customer, as well as increase competitiveness in the market. The ability to effectively manage business processes is provided by the lean production management model. This scientific article discusses the theoretical and methodological foundations of business process management in logistics based on the lean production management approach. The article describes the concept of a business process, the essence and main characteristics of business processes, the concept of lean manufacturing, tools and the formation of a business process management system. Special attention is also paid to the business process improvement model. The purpose of the article is to study the relevance of this study, the research methods used, as well as its results and conclusions. In conclusion the article highlights the importance of logistics business process management and the potential benefits of lean manufacturing as a methodology for enterprise development, such as creating value for customers, reducing costs, reducing waste, improving working conditions, increasing competitiveness and developing innovation.

A Framework for Implementing Lean Management in the Hospital Emergency Department

Background: Lean management is based on eliminating any waste of resources, increasing productivity, and creating sustainable value. Improving the quality of health services is achieved by knowing the system’s performance and using appropriate managerial methods and tools. Objectives: The purpose of this research was to provide solutions for the proper implementation of lean management in the emergency department of the hospital. Methods: The current research employed a qualitative methodology. In order to provide operational solutions, the existing literature was first reviewed. Then, a sample population was selected from the research community, including experts in the field of health, management, and statistics. Fifteen subjects were interviewed purposefully. In order to obtain the information desired, interviews and focus groups were held, and NVIVO10 software was used to code and store all interview documents. Results: In this study, by reviewing the available literature and conducting interviews with experts, the steps and activities, tools, techniques, and facilities that should be considered for guiding and developing the lean management project in the emergency department were identified and organized. In the next step, based on the Deming cycle, a model was designed to implement lean management in the emergency department. In this 6-step model, the necessary activities for the establishment of a lean management system in the emergency department, as well as the techniques related to each step, were presented along with the enablers needed for the successful implementation of the project. Conclusions: Many hospital inefficiencies can be attributed to the waste of resources and facilities. Therefore, it is necessary to reduce and eliminate waste sources by applying practical solutions and formulating executive instructions for these solutions. Applying the recommendations of the lean management system can cut waste in different fields in hospitals, just like in manufacturers. Using the lean management approach can reduce waste in different dimensions, such as inventory, waiting, processes, and services.

Implementation Of Lean Management In Improving The Quality Of Hospital Services: Literature Review

Hospitals as labour-intensive and capital-intensive organizations, as well as providing medical and non-medical services require management to increase the efficiency and effectiveness of resources. However, this management must still pay attention to the quality of health services according to service standards and provide benefits for patients. Through Lean Management, continuous improvement can be made by eliminating waste, increasing added value, especially for patients. This is so that the hospital can be the choice of patients to entrust their health. This research is to determine efforts to improve the quality of hospital services using the lean management method. In collecting and synthesizing previous information, this study uses a systematic library research search approach using the PRISMA method. Searches were performed on the Google Scholar and PubMed databases. Articles are limited from 2018-2023, in hospital services and using the Lean Management method. Based on the search results found 1202 articles with 8 copies. From the results of the screening of articles over the last 5 years, 48 ??research titles and abstracts were obtained, then a screening was carried out on the completeness of the selected articles and studies that carried out the process of improving service quality from the results of the Lean Management approach. Efforts to improve quality using the Lean Management method are focused on increasing Value Added activities by reducing Non Value Added activities. Lean Management is considered effective in efforts to improve quality by maximizing existing resources. Through a number of studies obtained, hospitals that implement Lean Management benefit by identifying sources of waste. So that it can be input for the Hospital to focus on efforts to improve these units by reducing waste and increasing VAR (Value Added Ratio), so as to create quality services that meet patient expectations.

Reducing Wastage in Inventory Management By Lean Management

Companies nowadays are working to improve their processes and functions; one of the most important functions is inventory management, in which companies schedule their production activity. This function has evolved and come up with many optimization tools that, unfortunately, many companies haven’t adopted yet. Also, the lean management concept has largely attracted the attention of both researchers and professionals regarding its importance in improving the business process and reducing waste. The main aim of this study is to improve the function of inventory management in a company which is specialized in the production of pipes, in the context of a lean management approach. The adoption of this system allows for the detection of all sources of waste in this function through the use of a set of tools to identify and reduce waste such as ASLOG reference, ABC analysis, Brainstorming, Pareto’s diagram, Ishikawa model. The use of these tools have allowed the detection of the main sources of waste to eliminate them and improve this important function to achieve a high level of firm performance. To collect data, an interview, observation, and analysis of a set of documents were relied upon. This study relied on the IMRAD methodology in the divisions of the study, and the most famous models (IMC) related to choosing the appropriate solution from a group of alternatives were used at any strategic level in the company. This model was applied to address the problem of the study, and when we followed the stages of the model and applied a set of techniques in the Inventory management function the most important problems in this function were discovered, which is a waste of both time and cost. These problems were also discussed by proposing a set of solutions and adapting them to the company under study.

Mediating role of lean management on the effects of workforce management and value-added time in private hospitals

PurposeThis study aims to investigate the mediating role of lean management on the relationship between workforce management and value-added time in private hospitals. This study also investigates the direct influences of workforce management and lean management on the value-added time of the hospitals.Design/methodology/approachThis study applied a quantitative approach to obtain data from the private hospitals’ staff in Peninsular Malaysia. A self-administered survey questionnaire was used to collect data from 287 hospital staff using a stratified random sampling method. The partial least squares structural equation modeling (PLS-SEM) approach was used to determine the internal consistency, reliability, validity of the constructs. The PLS-SEM method was also used to test the hypothesised research model via SmartPLS 3.3.4 version.FindingsThe findings of the study indicate that lean management has a direct and significant effect on the value-added time of private hospitals. The findings also revealed that lean management significantly mediates the relationship between workforce management and value-added time in private hospitals. The analysis of the results indicates that both workforce and lean management have a significant impact on the value-added time of the hospitals.Practical implicationsThis study provides empirical contributions to enhance the quality of workforce management, lean management and value-added time. The findings of this study provide valuable insights into how effectively managing the workforce and providing guidelines to augment the lean management practices can ensure value-added time in Malaysian hospitals and the overall health-care industry. The lean management framework provides useful insights for the policymakers to understand the significance of workforce management, lean management on ensuring value-added time through reducing waiting times, unnecessary delays, generating a higher degree of patient safety, satisfaction and loyalty.Originality/valueThe research findings provide some essential indications for the health-care service providers to understand how the lean management approach can be implemented to enhance value-added time and how lean management can play a mediating role in creating a link between workforce management and value-added time in hospitals. This study also contributes to the theoretical and practical perspectives. The present study contributes to a better understanding of workforce management and lean management in health-care sectors from theoretical and practical perspectives.