Application of Lean Manufacturing Techniques in the Emergency Department

Dickson, Eric W.; Singh, Sabi; Cheung, Dickson; Wyatt, C. C. L.; Nugent, Andrew

doi:10.1016/j.jemermed.2007.11.108

Cited by 271 publications

(231 citation statements)

References 1 publication

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“…Lean manufacturing or known as Toyota Production System (TPS) is a production strategy that aims to eliminate waste and deliver increased value to the product and customer. Generally, lean manufacturing focuses on pinpointing the major source of wastes and eliminate the wastes using lean manufacturing tools [6][7][8][9][10]. There are several lean manufacturing tools have been extensively used to identify and eliminate wastes, for example, include but not limited to Kanban, 5S, Kaizen, Value Stream Mapping, Total Productive Maintenance, and PokaYoke [11].…”

Section: Lean Manufacturingmentioning

confidence: 99%

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Value Stream Mapping to Improve Workplace to support Lean Environment

et al. 2017

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Abstract. In recent years, lean manufacturing is being followed by various sectors in order to keep their competitiveness in the global markets. Lean manufacturing plays a vital role in improving the efficiency of operation by eliminating or reducing wastes. Nonetheless, most of small and medium enterprises (SMEs) lack sufficient knowledge or information on the benefits of implementing lean manufacturing. The main objective of this study is to apply value stream mapping, one of lean manufacturing tools, for improving the productivity in a SME by eliminating non-value added activities. In this study, lean manufacturing was adopted at a SME, particularly a food industry. Value stream mapping was served as main tool to identify the wastes and improvement opportunities in production line. Subsequently, different lean manufacturing tools such as Kaizen Burst, one piece flow, and 5S were applied to eliminate or reduce identified wastes. Based on the future state value stream mapping, final results showed that the total operation time and non-added value activities time were successfully decreased from 1993 seconds to 1719 seconds, and 234 seconds to 104 seconds, respectively. The findings of this study indicate that value stream mapping is an effective approach to eliminate the wastes and improve the productivity.

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Section: Lean Manufacturingmentioning

confidence: 99%

“…Elimination of these wastes is achieved through the successful implementation of lean elements. Continuous improvement is the core of lean thinking, therefore, all the processes will continually improve to reduce the waste and ultimately achieve a waste-free process [6][7][8]20]. …”

Section: Lean Manufacturingmentioning

confidence: 99%

Value Stream Mapping to Improve Workplace to support Lean Environment

et al. 2017

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“…The results showed that the waiting times of patients are decreased in three of EDs by using VSM despite increasing patients in all EDs. Dickson et al 5 presented the application including a six-step process of lean education, ED observation, patient flow analysis, process redesign, new process testing, and full application. Measurements including patient satisfaction, expense per patient, ED length of stay (LOS), and patient volume were compared by using VSM about two years.…”

Section: Literature Reviewmentioning

confidence: 99%

An Application of Value Analysis for Lean Healthcare Management in an Emergency Department

Efe¹,

Efe²

2016

IJCIS

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This paper investigated the value concept of lean management to improve the performance of an emergency department (ED). This paper aims to analyze on patient perceived value (PPV) to apply lean management principles in the ED. The DEMATEL (Decision Making Trial and Evaluation Laboratory) method has been suggested to specify the influence degrees of these values in ED. The results show that the "availability of equipment" value has remarkable influence on the other values.

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“…Dickson et al, [8] Ng et al [9] and Pester et al [10] all demonstrated the success in application of lean manufacturing techniques in emergency department. King et al [11] in 2006 mentioned that the application of lean thinking in ED can improve patient flow, and thereby decreasing potential for overcrowding and access block.…”

Section: Introuctionmentioning

confidence: 99%

Lean techniques for the improvement of patients' flow in emergency department

Chan

Lee

et al. 2014

World Journal of Emergency Medicine

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BACKGROUND: Emergency departments (EDs) face problems with overcrowding, access block, cost containment, and increasing demand from patients. In order to resolve these problems, there is rising interest to an approach called "lean" management. This study aims to (1) evaluate the current patient fl ow in ED, (2) to identify and eliminate the non-valued added process, and (3) to modify the existing process.

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Application of Lean Manufacturing Techniques in the Emergency Department

Cited by 271 publications

References 1 publication

Value Stream Mapping to Improve Workplace to support Lean Environment

Value Stream Mapping to Improve Workplace to support Lean Environment

An Application of Value Analysis for Lean Healthcare Management in an Emergency Department

Lean techniques for the improvement of patients' flow in emergency department

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