Kalong Nadia Awang, Yusof Maryati Mohd
Faculty of Information Science & Technology, Universiti Kebangsaan Malaysia, Bangi, Malaysia.
Stud Health Technol Inform. 2013;192:749-53.
Despite the rapid application of the Lean method in healthcare, its study in IT environments, particularly in Health Information Systems (HIS), is still limited primarily by a lack of waste identification. This paper aims to review the literature to provide an insight into the nature of waste in HIS from the perspective of Lean management. Eight waste frameworks within the context of healthcare and information technology were reviewed. Based on the review, it was found that all the seven waste categories from the manufacturing sector also exist in both the healthcare and IT domains. However, the nature of the waste varied depending on the processes of the domains. A number of additional waste categories were also identified. The findings reveal that the traditional waste model can be adapted to identify waste in both the healthcare and IT sectors.
尽管精益方法在医疗保健领域得到了迅速应用，但其在信息技术环境，特别是健康信息系统（HIS）中的研究，目前仍主要受限于缺乏对浪费的识别。本文旨在回顾相关文献，从精益管理的角度深入了解HIS中浪费的本质。我们对医疗保健和信息技术背景下的八个浪费框架进行了综述。基于该综述发现，制造业的所有七个浪费类别在医疗保健和信息技术领域均存在。然而，浪费的本质因领域的流程而异。我们还识别出了一些额外的浪费类别。研究结果表明，传统的浪费模型可加以调整，以识别医疗保健和信息技术部门中的浪费。
