DONT COPY AND PASTE SOMEONE ELSE ANSWER + DONT PLAGARIZE!!!!!!!11 SF General\'s
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DONT COPY AND PASTE SOMEONE ELSE ANSWER + DONT PLAGARIZE!!!!!!!11
SF General's initiative to adopt Kaizen to improve its operations and the challenges it still faces along its journey. Staff members at SF General employed Kaizen in areas such as reducing patients' average wheels-in to incision time to shaving average wait time in its Urgent Care unit. These improvement efforts, while commendable, did not eliminate errors completely. Ironically, around the same time Kaizen implementation at SF General Hospital was reported, another news broke about that SF General lost a female patient for two weeks, and she was eventually found dead in a hospital stairway.)
answers to the questions below:
1.Why are hospitals, such as San Francisco General Hospital, adopting the ‘Toyota Way’?
2.Which of the many Japanese terms (listed in the Glossary provided below) could have prevented the lost patient? Explain the rationale of your choice(s).
Glossary Toyota's production system, which focuses on reducing waste and inefficiencies while making customers happier, has been increasingly adopted by hospitals trying to improve medical quality and increase patient satisfaction. Here are some of the system's frequently used Japanese terms, many of which do not have a direct English translation Gemba: the place where work is performed Hansei: a period of critical self reflection Heijunka: a level production schedule that provides balance and smooths day-to-day variation Jidoka: using both human intelligence and technology to stop a process at the first sign of a potential problem Kaizen: continuous improvement Kanban: a visual card or signal used to trigger the fulfillment of need, such as restocking supplies Muda: anything that consumes resources but provides no value Poke-yoke: a mistake-proofing device that prevents errors Source: Rona Consulting GroupExplanation / Answer
1. SF General Hospital is going TPS way. As per TPS, processes that are not adding value in the product or service is considered as waste (Mudas). There are 7 Mudas:
Unnecessary Transport, Inventory, unnecessary Motion, unnecessary waiting of product for its turn, overproduction, overprocessing, and defects.
By adopting Lean principles in hospital operations SF General tries to remove mudas. For example, to keep a patient in the ward or ICU for time more than required is a wastage for the hospital as bed can be used for other patient. Similarly, keeping patient awaiting is also a waste in a sense that this may put life of a patient in danger.
2. We can't say with certainty what measures to be adopted to prevent lost patients until we have full report about the case. But, in general we can suggest following measures.
A. Introducing Poke - yoke
B. Using Jidoka and Heijunka that would balance the day to day demand with supply.
Other than that I would like to suggest for using 5S technique to demarcate ways as female patient was found on staircase.
Hospital can also implement six sigma using beyter IT system.
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