La investigación buscó el desarrollo de un proceso mejora continua en servicio Neurocirugía del Hospital Universitario la Samaritana (HUS) ubicado ciudad Bogotá, Colombia, a través herramientas Lean Healthcare. Se identificaron oportunidades durante atención etapa interconsulta. aplicación se dividió cinco fases: mapeo flujo valor, identificación causas desperdicio, selección Lean, implementaci...

We describe the implementation of a care pathway for patients with fractured neck of femur (NOF) using Lean and Six Sigma principles. After introduction of the Lean pathway, 32 patients out a total of 86 (37%) with fractured NOF were admitted to the Trauma Ward within 4 hours of presentation to the hospital; prior to implementation this was 16 patients out of a total of 59 (27%). Post-Lean an e...

Lean thinking is a method for organising complex production processes so as to encourage flow and reduce waste. While the principles of lean thinking were developed in the manufacturing sector, there is increasing interest in its application in health care. This case history documents the introduction and development of Redesigning Care, a lean thinking-based program to redesign care processes ...

The demands for automobiles increased drastically in last two and half decades in India. Many global automobile manufacturers and Tier-1 suppliers have already set up research, development and manufacturing facilities in India. The Indian automotive component industry started implementing Lean practices to fulfill the demand of these customers. United Nations Industrial Development Organization...

OBJECTIVE To analyze the cardiovascular risk of non-obese women with polycystic ovary syndrome (PCOS) by the LAP index (lipid accumulation product). SUBJECTS AND METHODS 283 patients (18-34 years) assigned at the University Hospital of the Federal University of Rio Grande do Norte, Natal-RN, were divided into four groups: 1) lean PCOS (n = 35); 2) healthy lean (n = 162); 3) overweight PCOS (n...

This study examines Lean—conceptualized as Involvement in Continuous Improvement and Lean Techniques—in hospitals. Specifically, we aim to determine the extent which hospital workers’ perceptions of are related their performance wellbeing, what these relationships explained by autonomy. Our data (n = 754) come from a implementation Dutch hospital, analysed using structural equation modelling. F...

Lean Management and Six Sigma are nowadays applied not only to the manufacturing industry but also to service industry and public administration. The manifold variables affecting the Health Care system minimize the effect of a narrow Lean intervention. Therefore, this paper aims to discuss a comprehensive, system-based approach to achieve a factual holistic optimization of patient flows. This p...

The purpose of this paper is to present a classification of Lean models which aims to capture all the concepts related to this approach and thus facilitate its implementation. This classification allows the identification of the most relevant models according to several dimensions. From this perspective, we present a review and an analysis of Lean models literature and we propose dimensions for...

constructing phase diagram and its subsequent quality lines for lean gas condensate reservoirs is always crucial and challenging topic in reservoir fluid studies. due to small amounts of liquid drop-outs in lean gas condensates at reservoir conditions, full experimental tracking of phase diagram and its relevant quality lines is almost impossible for lean gas condensates.on the other hand, eos ...