de Bucourt Maximilian, Busse Reinhard, Güttler Felix, Wintzer Christian, Collettini Federico, Kloeters Christian, Hamm Bernd, Teichgräber Ulf K
Charité - University Medicine Berlin, Charité Platz 1, 10117 Berlin, Germany.
Insights Imaging. 2011 Aug;2(4):415-423. doi: 10.1007/s13244-011-0097-0. Epub 2011 Apr 21.
To apply the economic terminology of lean manufacturing and the Toyota Production System to the procurement of vascular stents in interventional radiology. METHODS: The economic- and process-driven terminology of lean manufacturing and the Toyota Production System is first presented, including information and product flow as well as value stream mapping (VSM), and then applied to an interdisciplinary setting of physicians, nurses and technicians from different medical departments to identify wastes in the process of endovascular stent procurement in interventional radiology. RESULTS: Using the so-called seven wastes approach of the Toyota Production System (waste of overproducing, waiting, transport, processing, inventory, motion and waste of defects and spoilage) as well as further waste characteristics (gross waste, process and method waste, and micro waste), wastes in the process of endovascular stent procurement in interventional radiology were identified and eliminated to create an overall smoother process from the procurement as well as from the medical perspective. CONCLUSION: Economic terminology of lean manufacturing and the Toyota Production System, especially VSM, can be used to visualise and better understand processes in the procurement of vascular stents in interventional radiology from an economic point of view.
将精益生产和丰田生产系统的经济术语应用于介入放射学中血管支架的采购。方法：首先介绍精益生产和丰田生产系统中经济和流程驱动的术语，包括信息和产品流以及价值流映射（VSM），然后将其应用于来自不同医学科室的医生、护士和技术人员的跨学科环境中，以识别介入放射学中血管内支架采购过程中的浪费。结果：使用丰田生产系统所谓的七种浪费方法（过量生产浪费、等待浪费、运输浪费、加工浪费、库存浪费、动作浪费以及缺陷和损坏浪费）以及进一步的浪费特征（大浪费、流程和方法浪费以及微浪费），识别并消除了介入放射学中血管内支架采购过程中的浪费，从采购以及医学角度创建了一个总体上更顺畅的流程。结论：精益生产和丰田生产系统的经济术语，尤其是价值流映射，可用于从经济角度可视化并更好地理解介入放射学中血管支架采购过程。
