Lean management practices applied to system healthcare facilities
Mostra/ Apri
Creato da
Calogero, Antonio
Pagnotta, Leonardo
Longo, Francesco
Metadata
Mostra tutti i dati dell'itemDescrizione
Formato
/
Dottorato di Ricerca in Ingegneria Meccanica, XXVIII Ciclo, a.a.2015-2016; This thesis concerns the results of a simulation study that has involved the Surgical Department and Intensive Care Unit
of a public healthcare facility located in South Italy. After a preliminary work devoted to map the processes and after
data collection and analysis, Lean Tools have been studied before and simulation models have been developed after. The
models, that have been validated by stakeholders and through comparison with real data, can be used for evaluating
actual and maximum capacities but also for testing alternative scenarios before the implementation in the real system.
Moreover, thanks to the model parametrization, the proposed tools can be easily adopted in other similar facilities or for
evaluating different configurations in terms of resources allocation and availability. In addition, the simulation models
have been equipped with build-in functions implementing the “pull method” and "kanban" from Lean Management
practices showing that substantial performance improvements can be achieved . The most healthcare organizations push
patients from one area to another, from wards to operating blocks, without knowing when the patient will be treated.
Instead, according the pull method, thanks to a definitive scheduling and some basic preconditions such as continuous
checking and resources availability, patients are pulled when they are actually needed and as a result wastes are reduced
and productivity is enhanced. The effects of the pull method implementation are accurately investigated in the simulated
environment that has served as playground to assess the potential impact of the proposed approach. Regarding Intensive
Care Unit, the staff works under enormous stress and the workload has continued to increase during the last years.
Usually this type of environment creates an atmosphere of frustration and anxiety for all staff due to particulars
conditions of patients. In this particular scenario, the Intensive Care Unit team that we presented in this research work
was introduced to the results of the simulation and to the Lean concepts through dedicated training courses. The Lean
methods and tools as well as simulation results were successfully transferred to the real system with a relevant increase
of the overall performances. The implementation of Lean methods and tools can help any organization to launch its Lean
transformation and improvement. This is even more important for Hospitals that cannot continue to operate as they have
done in the past. The hospitals need to ensure their processes with much more value added work and such work must be
totally directed on patients.; Università della CalabriaSoggetto
Impianti industriali; Gestione aziendale; Ospedali; Cliniche
Relazione
ING/IND-17;