Literature DB >> 30607279

Implementing Lean Management Techniques at a Radiation Oncology Department.

Mustafa M Al-Balushi1, Zahid Al-Mandhari1.   

Abstract

OBJECTIVES: Lean management (LM) principles were first developed by a Japanese manufacturing company to maximise value and minimise waste in the automotive industry. However, these principles can also be applied in the healthcare sector. This study aimed to illustrate the process of implementing LM principles in a radiation oncology department to streamline workflow and identify and reduce waste.
METHODS: This study took place in the Department of Radiation Oncology, Royal Hospital, Muscat, Oman, in December 2016. A value stream map (VSM) was created for the chain of processes followed in the department. A waste analysis was conducted to determine which processes did not add value for the patient or healthcare provider.
RESULTS: Based on the VSM analysis, only six out of 13 steps were found to be of value. Necessary and unnecessary non-value-adding activities were identified. Sources of waste included parking and registration. In addition, variabilities in workload were noted.
CONCLUSION: Overall, LM principles improve workflow, reduce waste and enhance patient and staff satisfaction. In the current study, the application of LM principles helped to improve value in a radiation oncology department.

Entities:  

Keywords:  Efficiency; Health Services Administration; Healthcare Quality Assurance; Oman; Organization and Administration; Total Quality Management

Mesh:

Year:  2018        PMID: 30607279      PMCID: PMC6307637          DOI: 10.18295/squmj.2018.18.03.016

Source DB:  PubMed          Journal:  Sultan Qaboos Univ Med J        ISSN: 2075-051X


  9 in total

1.  Lean health care: what can hospitals learn from a world-class automaker?

Authors:  Christopher S Kim; David A Spahlinger; Jeanne M Kin; John E Billi
Journal:  J Hosp Med       Date:  2006-05       Impact factor: 2.960

2.  Tools for developing a quality management program: proactive tools (process mapping, value stream mapping, fault tree analysis, and failure mode and effects analysis).

Authors:  Frank Rath
Journal:  Int J Radiat Oncol Biol Phys       Date:  2008       Impact factor: 7.038

3.  A practical guide to applying lean tools and management principles to health care improvement projects.

Authors:  Ross W Simon; Elena G Canacari
Journal:  AORN J       Date:  2012-01       Impact factor: 0.676

4.  Applying value stream mapping techniques to eliminate non-value-added waste for the procurement of endovascular stents.

Authors:  Ulf K Teichgräber; Maximilian de Bucourt
Journal:  Eur J Radiol       Date:  2011-02-11       Impact factor: 3.528

5.  The promise of Lean in health care.

Authors:  John S Toussaint; Leonard L Berry
Journal:  Mayo Clin Proc       Date:  2013-01       Impact factor: 7.616

Review 6.  What Is Value Stream Mapping, and How Can It Help My Practice?

Authors:  Ziad F Gellad; Theodore Eugene Day
Journal:  Am J Gastroenterol       Date:  2016-03-01       Impact factor: 10.864

Review 7.  Does Value Stream Mapping affect the structure, process, and outcome quality in care facilities? A systematic review.

Authors:  Marina Nowak; Holger Pfaff; Ute Karbach
Journal:  Syst Rev       Date:  2017-08-24

8.  Application of lean thinking to health care: issues and observations.

Authors:  Tom Joosten; Inge Bongers; Richard Janssen
Journal:  Int J Qual Health Care       Date:  2009-08-19       Impact factor: 2.038

9.  Using Value Stream Mapping to improve quality of care in low-resource facility settings.

Authors:  Rohit Ramaswamy; Claire Rothschild; Funmi Alabi; Eric Wachira; Faith Muigai; Nick Pearson
Journal:  Int J Qual Health Care       Date:  2017-11-01       Impact factor: 2.038

  9 in total
  1 in total

Review 1.  The Role of Value Stream Mapping in Healthcare Services: A Scoping Review.

Authors:  Juan A Marin-Garcia; Pilar I Vidal-Carreras; Julio J Garcia-Sabater
Journal:  Int J Environ Res Public Health       Date:  2021-01-22       Impact factor: 3.390

  1 in total

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