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丰田生产系统 LEAN 5S 方法在手术室环境中的应用。

The Application of the Toyota Production System LEAN 5S Methodology in the Operating Room Setting.

机构信息

Vanderbilt University School of Nursing, 461 21st Avenue South, 226 Godchaux Hall, Nashville, TN 37240, USA.

Clinical Innovation for Quality Improvement, UAB Nursing Partnership, UAB School of Nursing and UAB Hospital, University of Alabama, Birmingham, Birmingham, AL MEB 314B, USA.

出版信息

Nurs Clin North Am. 2019 Mar;54(1):53-79. doi: 10.1016/j.cnur.2018.10.008.

DOI:10.1016/j.cnur.2018.10.008
PMID:30712545
Abstract

The purpose of the Toyota Production System (TPS) Lean 5S methodology project is to improve the efficiency and effectiveness in a process by eliminating identified process waste of (1) defects (errors), (2) overproduction, (3) waiting, (4) confusion, (5) motion/travel, (6) excess inventory, (7) overprocessing, and (8) human potential. The specific aim of this quality improvement project was to evaluate the impact of the TPS 5S tool process, a problem-solving, space-organizing tool, on distractions and interruptions in the neurosurgery operating room (OR) workflow with a goal to decrease neurosurgery craniotomy infection rates in a neurosurgery OR suite within a 3-month period.

摘要

丰田生产系统 (TPS) 精益 5S 方法学项目的目的是通过消除已识别的过程浪费(1)缺陷(错误)、(2)过度生产、(3)等待、(4)混乱、(5)运动/旅行、(6)过剩库存、(7)过度加工和(8)人力潜力,来提高过程的效率和效果。这个质量改进项目的具体目标是评估 TPS 5S 工具流程(一种解决问题、组织空间的工具)对神经外科手术室 (OR) 工作流程中分心和中断的影响,目标是在 3 个月内降低神经外科 OR 套房中的神经外科颅骨切开术感染率。

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