Since lean concept has appeared many works have been done on decreasing or even eliminating of wastes such as extra inventory. Although these studies have not taken into account expected availability seriously. So in this paper, a Multiple Objective Decision Making (MODM) model has been developed by viewpoint of these subjects. They are decreasing wastes and increasing system availability. Wast...

Patients who have had an examination at the polyclinic will get medicine pharmacy, especially outpatients. The pharmacy installation is last unit that determines quality of hospital services, so services affect other related units. This study aims to identify value and waste using Lean Thinking approach in pharmaceutical during waiting times, time lag patients receive when submitting a prescrip...

Purpose: Lean manufacturing concept is most important to be used in an automobile industry system for reduction in the waste, which decreases the yield. The techniques used for implementing Lean concept are helpful to find the waste throughout the industry and suggest the techniques to get rid of from that waste. By these techniques without using much cost and labor we can reduce waste producin...

We present our experience in the management of hip fracture patients after the application of a value-stream approach, the Lean framework, in our trust. This system uses available resources in an efficient manner whilst eliminating waste. A statistically significant reduction of 5% and 9.3% was noted in the 30-day and overall mortality, respectively, after implementing 'Lean thinking'. Further ...

Ageing population is a global trend; therefore the need of care service has been increasing dramatically. There are three basic forms of service delivered to the elderly: institution, community, and home. Particularly, the institutional service can be seen as an extension of medical service. The nursing home or so-called care home which is equipped with professional staff and facilities can pro...

OBJECTIVES To date, experiences of leaders in the implementation of Lean after a Lean Training Programme have not been systematically investigated within teaching hospitals. Existing studies have identified barriers and facilitators only from an improvement programme perspective and have not considered the experiences of leaders themselves. This study aims to bridge this gap. DESIGN Semistruc...

Software process improvement methods help to continuously refine and adjust the software process to improve its performance (e.g., in terms of leadtime, quality of the software product, reduction of change requests, and so forth). Lean software development propagates two important principles that help process improvement, namely identification of waste in the process and considering interaction...