Keywords
Production control
Queues.
How to Cite
Abstract
Unbalanced treatment scheduling and overcrowding is a common problem for cancer centers in Brazil, with huge access restrictions due to system inefficiencies and poor assistance design. The purpose of this report is to show how lean thinking can be applied to healthcare by using lean methods and production leveling. The case study / report presented was adopted in order to describe the approach, techniques and findings of this project, as part of a lean initiative. Lean Value Stream Mapping tools and leveling tools improved unit performance by increasing unit capacity freeing treatment slots by leveling and decrease of waiting time for cancer treatment .The process redesign also eliminated unnecessary movement and overtime.
References
Araujo, C. A. S. (2005). Fatores a serem gerenciados para o alcance da qualidade para os clientes internos: um estudo em um conjunto de hospitais brasileiros. Rio de Janeiro: UFRJ/COPPEAD. Tese de Doutorado em Administração,. Disponível em: https://www.sapili.org/subir-depois/dplivros/cp005489.pdf. Acesso em 12 de setembro de 2012.
Bohnen F, Maschek T, Deuse J. (2011). Leveling of low volume and high mix production based on a Group Technology Approach. Journal of Manufacturing Science and Technology 4 247–251.
Holden, RJ (2011). Lean Thinking in Emergency Departments: A Critical Review Annals of Emergency Medicine 57(3).
Holweg M. (2007) The genealogy of lean production. Journal of Operations Management 25 420– 437.
Mazzocato P, Savage C, Brommels H, et al. (2010) Lean thinking in healthcare: a realist review of the literature. Qual Saf Health Care. doi:10.1136/qshc.2009.037986.
Junior et al., 2008; Slack, (2008). Indepent Jounal of Management & Production (IJM&P). Acesso em http://www.ijmp.jor.br v. 5, n. 11, august 2015. ISSN: 2236-269X DOI: 10.14807/ijmp.v5i4.245.
Pinto C, (2010) “Improving Wait Times at a Medical Oncology Unit” in J. Aherne & J. Whelton, editors, “Applying Lean in Healthcare”, Productivity Press, NY. Shook J and Rother M, (1999) “Learning to See”, Lean Enterprise Institute, Boston.
Silberstein, A. C. L. (2006) Um estudo de casos sobre a aplicação de princípios enxutos em serviços de saúde no Brasil. Dissertação (mestrado) – UFRJ/ COPPEAD/ Programa de Pós-graduação em Administração.
Soares, A. Empréstimos externos para o setor saúde no Brasil: soluções ou problemas. Saúde e Sociedade. São Paulo, 2012. Avaliableat: http://www.scielo.br/pdf/sausoc/v18s2/12.pdf. Accessed25/aug/2012.
Spears, S (2005) Fixing Health Care from the Inside, Today. Harvard Business Review Sept.
Womack JP, Byrne AP, Fiume OJ (2005). Going Lean in Health Care. Cambridge, MA: Institute for Healthcare Improvement.
Womack, JP, Jones DT, and Roos D (1990). The Machine That Changed the World. Free Press, New York.
Womack, JP, Jones, DT (2003). Lean Thinking, revised ed. Free Press, New York.
Y. Sugimoria , K. Kusunokia , F. Choa & S. Uchikawa (2007). Production Control Department , Toyota Motor Co., Ltd , 1 Toyota-cho, Toyota-shi, 47, Japan. International Journal of Production Research. Acesso em http://www.tandfonline.com/doi/abs/10.1080/00207547708943149, 11, august 2015.
Young T and McClean S. (2008) A critical look at Lean Thinking in healthcare. Qual Saf Health Care 17: 382-386.
Yousri TA, Khan Z, Chakrabarti D, Fernandes R, Wahab R (2011) Lean thinking: Can it improve the outcome of fracture neck of femur patients in a district general hospital? Injury, Int. J. Care Injured 42: 1234–1237.
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License. This journal provides immediate open access to its content on the principle that making research freely available to the public supports a greater global exchange of knowledge.
