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Operational aspects of lean thinkingOn an operational level, standard organizing tools like valuestream mapping and 5S are available to create value (for anoverview see reference [10]). Application of these instrumentsseems reasonably straightforward and they are discussedin most papers on lean thinking. Using them,hospitals have reduced waste in inventory, reduced waitingtimes (WTs) and improved productivity [15–17]. In somecases, these process improvements directly contributed tobetter quality care. In better organized wards for example,complications and infections may go down [18].
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