Keywords: Lean Manufacturing, Toyota Production System, Lean Healthcare, Colombia, Emergency Service.Ĭontexto: el Sistema de Producción Toyota es una forma de descubrir oportunidades de mejora, adaptación y cambio, a través de herramientas lean, en empresas que se encuentran en condiciones de cambio constante. Multiple improvement strategies were proposed with a special focus on three specific areas: admissions, sampling, and billing.Ĭonclusions: The implementation of the lean principles in the health sector provide the guidelines for an adequate improvement plan of the emergency service, allowing for opportunities such as inclusions of just-in-time activities (continuous flow and kanban), standard work and levelling in the attention process. Likewise, 23 activities that did not add value to the process were identified. Extended wait times were found in consulting room (109 min), sampling (29 min), x-rays(77 min), medical reassessments (160 min) and billing (18 min). This study enabled the recognition of 13 general processes in the care route that varied according to the triage type, and areas with a greater flow of patients: information, triage, admissions, consulting room, sampling, and billing. Results: Detailed knowledge of the service’s operation was achieved. Methods: A mixed design was used in this study: First, a situational diagnosis of the processes of the emergency service of the Hospital was established, later the institutional behavior patterns (attention cycle times and waiting times) were statistically determined and lastly, improvement strategies were proposed to be implemented in the short and long term. ![]() ![]() Context: Toyota Production System is a way to discover opportunities for improvement, adaptation and change, through lean tools, in companies that are in conditions of constant change.Īim: The objective of this study was to apply the lean principles of the Toyota Production System to improve attention times in the emergency department of the Hospital Universitario San Ignacio in Bogota (Colombia).
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