Pragmatic evaluation of the Toyota Production System (TPS) analysis procedure for problem solving with entry-level nurses
نویسندگان
چکیده
Medication errors occurring in hospitals are a growing national concern. These medication errors and their related costs (or wastes) are seen as major factors leading to increased patient safety risks and increased waste in the hospital setting. This article presents a study in which sixteen entry-level nurses utilized a Toyota Production System (TPS) analysis procedure to solve medication delivery problems at one community hospital. The objective of this research was to study and evaluate the TPS analysis procedure for problem solving with entry-level nurses. Personal journals, focus group discussions, and a survey study were used to collect data about entry-level nurses’ perceptions of using the TPS problem solving approach to study medication delivery. A regression analysis was used to identify characteristics that enhance problem solving efforts. In addition, propositions for effective problem solving by entry-level nurses to aid in the reduction of medication errors in healthcare delivery settings are offered.
منابع مشابه
Pragmatic Problem-solving for Healthcare: Principles, Tools, and Application
There is a growing national concern that health care organizations do not have a sound operating system in place. Reforming the operating system has assumed significance because of increasing operating costs and diminishing reimbursements from the payers. Critics argue that in the last 100 years or so significant strides have been made in product innovation but very little in process innovation...
متن کاملSystems Risk Analysis UsingHierarchical Modeling
A fresh look at the system analysis helped us in finding a new way of calculating the risks associated with the system. The author found that, due to the shortcomings of RPN, more researches needed to be done in this area to use RPNs as a new source of information for system risk analysis. It is the purpose of this article to investigate the fundamental concepts of failure modes and effects ana...
متن کاملLearning to lead at Toyota.
Many companies have tried to copy Toyota's famous production system--but without success. Why? Part of the reason, says the author, is that imitators fail to recognize the underlying principles of the Toyota Production System (TPS), focusing instead on specific tools and practices. This article tells the other part of the story. Building on a previous HBR article, "Decoding the DNA of the Toyot...
متن کاملAdapting some Rules and Principles of TPS (Toyota Production System) to Software Development
The Toyota Production System (TPS) has been widely studied and copied by variouscompanies to improve several of their processes. However, many of them have not beensuccessful due to the fact that only the tools and tactics have been focused and the coreunderlying principles have been overlooked. There are examples of a few companies whichhave achieved cost savings and operationa...
متن کاملOptimal Scheduled Unit Commitment Considering Wind Uncertainty Using Cuckoo Search Algorithm
In this paper, a new method to review the role of wind units as an energy-producer in the scheduling problem of unit commitment is presented. Today, renewable energy sources due to lack of environmental pollution, absence of dependence on fossil fuels, and consequently a very low marginal cost, have been receiving considerable attention in power system. But these sources are associated with unc...
متن کامل