在放射肿瘤学部门实施精益管理技术。
Implementing Lean Management Techniques at a Radiation Oncology Department.
作者信息
Al-Balushi Mustafa M, Al-Mandhari Zahid
机构信息
Department of Radiation Oncology, Royal Hospital, Muscat, Oman.
出版信息
Sultan Qaboos Univ Med J. 2018 Aug;18(3):e362-e366. doi: 10.18295/squmj.2018.18.03.016. Epub 2018 Dec 19.
OBJECTIVES
Lean management (LM) principles were first developed by a Japanese manufacturing company to maximise value and minimise waste in the automotive industry. However, these principles can also be applied in the healthcare sector. This study aimed to illustrate the process of implementing LM principles in a radiation oncology department to streamline workflow and identify and reduce waste.
METHODS
This study took place in the Department of Radiation Oncology, Royal Hospital, Muscat, Oman, in December 2016. A value stream map (VSM) was created for the chain of processes followed in the department. A waste analysis was conducted to determine which processes did not add value for the patient or healthcare provider.
RESULTS
Based on the VSM analysis, only six out of 13 steps were found to be of value. Necessary and unnecessary non-value-adding activities were identified. Sources of waste included parking and registration. In addition, variabilities in workload were noted.
CONCLUSION
Overall, LM principles improve workflow, reduce waste and enhance patient and staff satisfaction. In the current study, the application of LM principles helped to improve value in a radiation oncology department.
目的
精益管理（LM）原则最初由一家日本制造公司提出，旨在使汽车行业的价值最大化并减少浪费。然而，这些原则也可应用于医疗保健领域。本研究旨在阐述在放射肿瘤学部门实施LM原则以简化工作流程、识别并减少浪费的过程。
方法
本研究于2016年12月在阿曼马斯喀特皇家医院的放射肿瘤学部门进行。为该部门遵循的流程链创建了价值流图（VSM）。进行了浪费分析，以确定哪些流程对患者或医疗服务提供者没有增加价值。
结果
基于VSM分析，发现13个步骤中只有6个是有价值的。识别出了必要和不必要的非增值活动。浪费的来源包括停车和登记。此外，还注意到了工作量的变化。
结论
总体而言，LM原则改善了工作流程，减少了浪费，提高了患者和员工的满意度。在本研究中，LM原则的应用有助于提高放射肿瘤学部门的价值。
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