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运用精益工具缩短医疗保健领域的前置时间:当地一家医院的住院药房

Lead-time reduction utilizing lean tools applied to healthcare: the inpatient pharmacy at a local hospital.

作者信息

Al-Araidah Omar, Momani Amer, Khasawneh Mohammad, Momani Mohammed

机构信息

Industrial Engineering Department, Jordan University of Science and Technology.

出版信息

J Healthc Qual. 2010 Jan-Feb;32(1):59-66. doi: 10.1111/j.1945-1474.2009.00065.x.

Abstract

The healthcare arena, much like the manufacturing industry, benefits from many aspects of the Toyota lean principles. Lean thinking contributes to reducing or eliminating nonvalue-added time, money, and energy in healthcare. In this paper, we apply selected principles of lean management aiming at reducing the wasted time associated with drug dispensing at an inpatient pharmacy at a local hospital. Thorough investigation of the drug dispensing process revealed unnecessary complexities that contribute to delays in delivering medications to patients. We utilize DMAIC (Define, Measure, Analyze, Improve, Control) and 5S (Sort, Set-in-order, Shine, Standardize, Sustain) principles to identify and reduce wastes that contribute to increasing the lead-time in healthcare operations at the pharmacy understudy. The results obtained from the study revealed potential savings of > 45% in the drug dispensing cycle time.

摘要

医疗保健领域,与制造业非常相似,受益于丰田精益原则的许多方面。精益思维有助于减少或消除医疗保健中无附加值的时间、金钱和精力。在本文中,我们应用精益管理的选定原则,旨在减少当地一家医院住院药房与药品调配相关的浪费时间。对药品调配过程的全面调查揭示了导致药品交付给患者延迟的不必要复杂性。我们利用DMAIC(定义、测量、分析、改进、控制)和5S(整理、整顿、清扫、标准化、维持)原则来识别和减少导致所研究药房医疗运营前置时间增加的浪费。该研究获得的结果表明,药品调配周期时间可能节省超过45%。

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