BACKGROUND The demand for cataract surgery is rising, calling for pathways that have good access and are cost-effective. Lean thinking is a management strategy, aimed at improving quality while reducing costs. Lean production processes are designed to identify gaps between expected and actual performance. AIM To analyse the efficacy and efficiency of a lean cataract pathway. METHODS Lean ca...

BACKGROUND Lean healthcare is claimed to contribute to improved patient satisfaction, but there is limited evidence to support this notion. This study investigates how primary-care centres working with Lean define and improve value from the patient's perspective, and how the application of Lean healthcare influences patient satisfaction. METHODS This paper contains two qualitative case studie...

Lean practices and principles build on a half-century of successive initiatives aimed at transforming social and technical systems in organizations. While they are seen as central to the revitalization of the U.S. aerospace industry, there is great variation in the degree to which lean initiatives emphasize just technical/manufacturing systems versus additional social and enterprise dimensions....

Two genetic lines with different lean gains were evaluated for various body measurements and indices of lean tissue in barrows and gilts from 20 to 125 kg of BW. One genetic line was identified as the low-lean line [280 g of fat-free lean (FFL)/d], and the second line was the high-lean line (375 FFL gained/d). The experiment was conducted as a completely randomized design using a 2 x 2 x 5 fact...

Purpose – There is no argument that using games (gamification) is an efficient way of learning in higher education. The questions, though, are which gamification approach is most suitable at that level and how to assess its suitability? This paper aims to attempt to partially answer these two questions, in the context of lean thinking education. Design/methodology/approach – The paper offers an...

Exclusion of the head from total-body dual-energy X-ray absorptiometry (DXA) scans is recommended when measuring pediatric bone mass (1,2).We write to suggest that a similar approach, that is, total body less head (TBLH) measurement, should be considered when measuring total-body lean mass in adults. DXA-measured total-body lean mass is often used as a surrogate for muscle mass in athletic perf...

Background: As health care struggles to meet increasing demands with limited resources, Lean Management is becoming a popular management approach. More is known about operational aspects of Lean application than about the socio-technical aspects such as how Lean interacts with teamwork and the psychosocial work environment. It is also unclear why and how organizations adopt Lean. Aim: This proj...

value stream mapping because of being able to understand process bottlenecks, as one of the most common tools for analyzing, identifying and eliminating various losses in operational and support processes are used. on the other hand, inventory management, precise control entry and exit of goods, accurate and timely information about the inventories status and planning, reduce product maintenanc...