Waste management approaches in hospital organizations and an example of practice

Kurutkan, Mehmet Nurullah; Usta, Esra; Şimşir, İsmail; Orhan, Fatih; Bagis, Mehmet

doi:10.5455/bmmr.159148

Cited by 3 publications

(2 citation statements)

References 11 publications

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“…(26). Kurutkan et al (2014) has attributed the high amount of waste to inconsistencies in health services, unreliable delivery systems and unnecessary interruptions in their study (26). In Atkinson's study, the process time was reduced by 60% by eliminated 14 unnecessary steps with lean application (27,28).…”

Section: Discussionmentioning

confidence: 99%

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Lean Approach to Processes Regarding Nursing Activities at Hospital: Evaluation of Nurses’ Views

Kılıç

Öztürk

2020

Clinical and Experimental Health Sciences

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Objective: The study was planned to evaluate views of the nurses about lean approach to processes related to nursing activities. Methods: The descriptive study was conducted with 178 (71.2%) nurses selected from a total of 250 nurses working at six public hospitals in Artvin Province. The data were collected with a survey consisting of questions regarding the nurses demographic features and their views about lean approach to nursing activities at hospitals and then analyzed with percentages and chi-square tests. Results: In the study, 46.1% of nurses stated that the unit where they worked needed lean approach partly. The nurses with graduate degree supported this view more (p=0.034). These nurses stated that the activities to receive belongings of patients during patient admission (21.3%), to fill in patient discharge form during discharging process (16.4%), to perform the hygienic and other care applications of the patients and to record them on the nurse observation form of daily nursing activities (11.1%) were unnecessary. In addition, they explained that activities to shave patients before operation (9.4%) and to enter physicians' orders by nurses into the system in laboratory process (13.5 %) and to in monitoring process (20.8%); to send all patient files to the pharmacy with the personnel for drug/device supply in pharmacy process (14.3%), were unnecessary. Conclusion: The unnecessary nursing activities were defined in the nursing processes regarding patient admission and discharge processes, daily nursing workflow, operating room processes and laboratory, monitoring, blood centre, pharmacy processes. It is recommended that these processes identified may provide lean approach by eliminating them.

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Section: Discussionmentioning

confidence: 99%

“…Lean Approach to Nursing Activities Original Article our study findings, another study, it was stated that the undisclosed waste in daily work is 35%. (26). Kurutkan et al (2014) has attributed the high amount of waste to inconsistencies in health services, unreliable delivery systems and unnecessary interruptions in their study (26).…”

Section: Discussionmentioning

confidence: 99%

Lean Approach to Processes Regarding Nursing Activities at Hospital: Evaluation of Nurses’ Views

Kılıç

Öztürk

2020

Clinical and Experimental Health Sciences

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Yalın Üretim Sistemlerinin Hasta Antimikrobiyal Duyarlılık Testlerine Uygulanması

Küçük¹,

Arican²,

Aral³

2021

Sakarya Medical Journal

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Lean Management in Health Institutions: An Implementation Example in Bursa Province

TÜRKÖN¹,

TORAMAN

2023

Verimlilik Dergisi

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Amaç: Çalışmanın amacı, yalın yönetime yeni adım atacak kurumlara rehber niteliğinde ve halihazırda yalın yönetim uygulayanlar içinse karşılaştırma unsuru olabilecek örnek bir çalışma sunmaktır. Yöntem: Bu çalışmada daha önce yalın yönetim uygulanmamış olan bir özel hastanenin kadın hastalıkları ve doğum polikliniğindeki hizmet süreçleri, yalın yönetim bakış açısı ile gözlemlenmiştir. Değer akış haritalama tekniği ve spagetti diyagramları ile gerçekleştirilen mevcut durum analizi sonucunda israfların iyileştirilebilmesi için çözüm önerileri sunularak ulaşılması planlanan tasarım, gelecek durum haritasında belirtilmiş ve kazanım öngörüleri hesaplanmıştır. Bulgular: Sonuç olarak kâğıt tüketim maliyetlerinde %77,64; HBYS kaynaklı kesintilerde, tetkik kayıt ve barkod alma süreçlerinde %100; muayene kayıt ve tetkik sonuç bekleme sürelerinde %50; ultrason sekreterliğinde değer katmayan işlem süresinde %11,66 oranında iyileşme sağlanmıştır. Ayrıca hastaların işlem adımlarında %29,03; hastanede geçirilen toplam sürede %17,39; hizmetin değer katma oranında %4,23, değer katmayan oranında ise %6,23 kazanım elde edilmiştir. Özgünlük: Bu çalışma, yalın yönetim uygulamalarına poliklinik bazında bir yenisini ekleyerek literatürdeki eksikliğe katkı sunacaktır. Gözlemlenen sağlık hizmeti süreçlerindeki akışı ve hastanın kurum içerisindeki hareketlerini farklı açılardan ele alması ve görsel aktarım yönünden güçlü olması da çalışmanın özgünlük değerini artırmaktadır.

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Waste management approaches in hospital organizations and an example of practice

Cited by 3 publications

References 11 publications

Lean Approach to Processes Regarding Nursing Activities at Hospital: Evaluation of Nurses’ Views

Lean Approach to Processes Regarding Nursing Activities at Hospital: Evaluation of Nurses’ Views

Yalın Üretim Sistemlerinin Hasta Antimikrobiyal Duyarlılık Testlerine Uygulanması

Lean Management in Health Institutions: An Implementation Example in Bursa Province

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