نتایج جستجو برای: lean hospital

تعداد نتایج: 421410  

2013
J. R. Jadhav Sardar Patel

Green manufacturing encompasses eco-friendly, energyefficient manufacturing processes and resource preservation practices to make green products and services. Focus of lean systems is on creating efficient manufacturing through wastage reduction. It consists of many best practices for efficient and effective utilization of resources. Lean practices include quality circle, kaizen, Total Quality ...

Journal: :The British journal of nutrition 2013
Laure Simon Paula Borrego Dominique Darmaun Arnaud Legrand Jean-Christophe Rozé Anne Chauty-Frondas

To determine the effects of length of gestation and sex on infant body composition, air displacement plethysmography was performed in forty-six full-term neonates at 3 d of life and during the week prior to hospital discharge in 180 preterm neonates. Fat mass, as a percentage of body weight, was higher in preterm than in term infants (13.4 (SD 4.2) v. 10.1 (sd 3.7) %, respectively; P= 0.001). T...

Journal: :Journal of applied physiology 2001
O E Suman R J Spies M M Celis R P Mlcak D N Herndon

The posttraumatic response to burn injury leads to marked and prolonged skeletal muscle catabolism and weakness, which persist despite standard rehabilitation programs of occupational and physical therapy. We investigated whether a resistance exercise program would attenuate muscle loss and weakness that is typically found in children with thermal injury. We assessed the changes in leg muscle s...

2014
Leon Martens Grahame Goode Johan F. H. Wold Lionel Beck Georgina Martin Christian Perings Pelle Stolt Lucas Baggerman

AIMS To conduct a pilot study on the potential to optimise care pathways in syncope/Transient Loss of Consciousness management by using Lean Six Sigma methodology while maintaining compliance with ESC and/or NICE guidelines. METHODS Five hospitals in four European countries took part. The Lean Six Sigma methodology consisted of 3 phases: 1) Assessment phase, in which baseline performance was ...

2006
Alberto Portioli-Staudacher

In this paper we present the experience of a lean implementation in a Hospital. It all steamed out from a need to cut cost, and the focus on inventory reduction. The methodology adopted and the peculiarities of an implementation in a hospital are presented. A strong reduction in inventory has been achieved but, more important, broken processes which lead to excessive inventories have been ident...

2015
Mazen J. El Sayed Ghada R. El-Eid Miriam Saliba Rima Jabbour Eveline A. Hitti Harry Burke.

The aim of this study is to determine the effectiveness of using lean management methods on improving emergency department door to doctor times at a tertiary care hospital.We performed a before and after study at an academic urban emergency department with 49,000 annual visits after implementing a series of lean driven interventions over a 20 month period. The primary outcome was mean door to d...

2009
Wiljeana J. Glover Eileen M. Van Aken Kevin Creehan

Hospital operating rooms are experiencing higher costs and less available capacity, yet they typically generate the highest returns of all hospital departments. In the case study described in this paper, a process improvement team in a hospital Operating Room Department at aimed to address these issues by decreasing the turnaround time between surgical cases and increasing the percentage of fir...

Journal: :Journal of evaluation in clinical practice 2016
Yara L Basta Inez M Zwetsloot Jean H G Klinkenbijl Thomas Rohof Mathijs M C Monster Paul Fockens Kristien M A J Tytgat

RATIONALE, AIMS AND OBJECTIVES Timely communication is important to ensure high-quality health care. To facilitate this, the Gastro Intestinal Oncology Center Amsterdam (GIOCA) stipulated to dispatch medical reports on the day of the patient's visit. However, with the increasing number of patients, administrative processes at GIOCA were under pressure, and this standard was not met for the majo...

Journal: :Journal of burn care & research : official publication of the American Burn Association 2006
Steven E Wolf Linda S Edelman Nathan Kemalyan Lorraine Donison James Cross Marcia Underwood Robert J Spence Dene Noppenberger Tina L Palmieri David G Greenhalgh Marybeth Lawless David Voigt Paul Edwards Petra Warner Richard Kagan Susan Hatfield James Jeng Daria Crean John Hunt Gary Purdue Agnes Burris Bruce Cairns Mary Kessler Robert L Klein Rose Baker Charles Yowler Wendy Tutulo Kevin Foster Daniel Caruso Brian Hildebrand Wesley Benjamin Cynthia Villarreal Arthur P Sanford Jeffrey Saffle

Severe burns induce pathophysiologic problems, among them catabolism of lean mass, leading to protracted hospitalization and prolonged recovery. Oxandrolone is an anabolic agent shown to decrease lean mass catabolism and improve wound healing in the severely burned patients. We enrolled 81 adult subjects with burns 20% to 60% TBSA in a multicenter trial testing the effects of oxandrolone on len...

2005
James A. Bahensky Romy Bolton

The manufacturing industry has been using Lean Sigma for years in pursuit of continuous improvement to obtain a competitive advantage.The objectives of these efforts are to use the Lean techniques for reducing cycle times and the Six Sigma concepts for reducing product defects.The Iowa Business Council with several advocates worked with the University of Iowa Hospital and Clinics (UIHC) and two...

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