Effect of Lean Systematic Method on Specimen Handling Activities for Patients in Medical Wards

  • Authors

    • Noor Widasuria Abu Bakar
    • Abdul Hadi Mohamad
    • Pavan Kumar Jatavakabhulla
    • Shahrulniza Musa
    • Marzilawati Abd Rahman
    • Lee Fat Soon
    • Tan Seew Geek
    • Azahirafairud Abdul Rahim
    2018-11-26
    https://doi.org/10.14419/ijet.v7i4.29.21958
  • agile software development, computer applications, lean, public healthcare, requirements engineering
  • Abstract

    Lean is a quality improvement methodology that can identify and eliminate waste from processes. While the methodology is widely implemented in manufacturing and automotive, it is also applicable to another area such as the service industry of healthcare. Institutions who concern with health, such as the hospital involve complicated and lengthy business process daily. Consequently, this encourages the exhaustive process chain, which is unreliable, cost ineffective and resource wastage. Moreover, the chain may lead to medication error or error in medication delivery. Although the Lean systematic method is widely used in healthcare, there is limited empirical evidence in resolving such issues, mainly focusing on specimen handling in a real hospital environment. This paper generally focuses on the implementation of a systematic method of Lean into a healthcare institution in Malaysia to decrease the time access and to have better inventory control of specimen. The adoption of Lean is achieved by implementing an efficient barcode system namely Specimen Labelling System (SPLS) for specimen handling to pursue better management, which will lead to time reduction and allow the hospital to offer good quality healthcare service. The study confirms that the systematic Lean method is significantly improved actions and processes. The finding is also applicable to lead to a general patient satisfaction by adding values to the existing process but shorten some additional activities.

  • References

    1. [1] J. Bhamu and K. Singh Sangwan, “Lean manufacturing: literature review and research issues,†Int. J. Oper. Prod. Manag., vol. 34, no. 7, pp. 876–940, 2014.

      [2] H. Hagg, D. Suskovich, J. Workman-germann, S. Scachitti, and B. Hudson, “Adaptation of Lean Methodologies for Healthcare Applications,†in Society for Health Systems Conference, 2007, no. 24.

      [3] N. A. Khaidir, N. F. Habidin, N. Ali, N. A. Shazali, and N. H. Jamaludin, “Six Sigma Practices and Organizational Performance in Malaysian Healthcare Industry,†IOSR J. Bus. Manag., vol. 6, no. 5, pp. 29–37, 2013.

      [4] B. B. Poksinska, M. Fialkowska-Filipek, and J. Engström, “Does Lean healthcare improve patient satisfaction? A mixed-method investigation into primary care,†BMJ Qual. Saf., vol. 26, no. 2, pp. 95–103, 2017.

      [5] M. Mannon, “Lean Healthcare and Quality Management: The Experience of ThedaCare,†Qual. Manag. J., vol. 21, no. 1, pp. 7–10, 2014.

      [6] A. M. Mosadeghrad, “Factors Influencing Healthcare Service Quality,†Int. J. Heal. Policy Manag., vol. 3, no. 2, pp. 77–89, 2014.

      [7] S. J. Chang, H. C. Hsiao, L. H. Huang, and H. Chang, “Taiwan quality indicator project and hospital productivity growth,†Omega, vol. 39, no. 1, pp. 14–22, 2011.

      [8] S. Robinson, Z. J. Radnor, N. Burgess, and C. Worthington, “SimLean: Utilising simulation in the implementation of lean in healthcare,†Eur. J. Oper. Res., vol. 219, no. 1, pp. 188–197, 2012.

      [9] R. Agarwal, G. G. Gao, C. Desroches, and A. K. Jha, “Research Commentary—The Digital Transformation of Healthcare: Current Status and the Road Ahead,†Inf. Syst. Res., vol. 21, no. 4, pp. 796–809, 2010.

      [10] M. Caldeira, A. Serrano, R. Quaresma, C. Pedron, and M. Romão, “International Journal of Information Management Information and communication technology adoption for business benefits : A case analysis of an integrated paperless system,†vol. 32, pp. 196–202, 2012.

      [11] J. M. Goh, G. G. Gao, R. Agarwal, and J. M. Goh, “Evolving Work Routines : Adaptive Routinization of Information Technology in Healthcare,†Inf. Syst. Res., vol. 22, no. 3, pp. 565–585, 2011.

      [12] J. Ker, Y. Wang, M. N. Hajli, J. Song, and C. W. Ker, “Deploying lean in healthcare: Evaluating information technology effectiveness in U.S. hospital pharmacies,†Int. J. Inf. Manage., vol. 34, no. 4, pp. 556–560, 2014.

      [13] S. H. Haran, R. Ramlan, K. Ahmad, and A. A. Ahmad, “Value Stream Mapping Implementation in Healthcare: a Literature Review,†Soc. Sci., vol. 12, no. 6, pp. 977–983, 2017.

      [14] T. J. Persoon, S. Zaleski, and J. Frerichs, “Improving preanalytic processes using the principles of lean production (Toyota Production System),†Am. J. Clin. Pathol., vol. 125, no. 1, pp. 16–25, 2006.

      [15] G. Smith, A. Poteat-Godwin, L. M. Harrison, and G. D. Randolph, “Applying Lean Principles and Kaizen Rapid Improvement Events in Public Health Practice,†J. Public Heal. Manag. Pract., vol. 18, no. 1, pp. 52–54, 2012.

      [16] I. Etikan, S. A. Musa, and R. S. Alkassim, “Comparison of Convenience Sampling and Purposive Sampling,†Am. J. Theor. Appl. Stat., vol. 5, no. 1, p. 1, 2016.

      [17] C. Vilaplana Pérez, G. Soria Guerrero, F. Garriga Garzón, and A. Salas Garcia, “Lean-Agile Adaptations in Clinical Laboratory Accredited ISO 15189,†Appl. Sci., vol. 5, no. 4, pp. 1616–1638, 2015.

      [18] S. J. Williams, “Delivering Agile and Person-centred Care,†in Improving Healthcare Operations: The Application of Lean, Agile and Leagility in Care Pathway Design, Springer, 2016, pp. 45–56.

      [19] E. Bjarnason, K. Wnuk, and B. Regnell, “A Case Study on Benefits and Side-Effects of Agile Practices in Large-Scale Requirements Engineering,†in Proceedings of the 1st Workshop on Agile Requirements Engineering - AREW ’11, 2011, p. 3.

      [20] A. Bertolino, A. Bertolino, and I. A. Faedo, “Software Testing Research : Achievements , Challenges , Dreams,†in Future of Software Engineering (FOSE ’07), 2007.

      [21] A. Anvari, N. Zulkifli, and O. Arghish, “Application of a modified VIKOR method for decision-making problems in lean tool selection,†Int. J. Adv. Manuf. Technol., vol. 71, no. 5–8, pp. 829–841, 2014.

      [22] L. B. M. Costa and M. Godinho Filho, “Lean healthcare: review, classification and analysis of literature,†Prod. Plan. Control, vol. 27, no. 10, pp. 823–836, 2016.

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  • How to Cite

    Bakar, N. W. A., Mohamad, A. H., Jatavakabhulla, P. K., Musa, S., Rahman, M. A., Soon, L. F., Geek, T. S., & Rahim, A. A. (2018). Effect of Lean Systematic Method on Specimen Handling Activities for Patients in Medical Wards. International Journal of Engineering & Technology, 7(4.29), 134-139. https://doi.org/10.14419/ijet.v7i4.29.21958

    Received date: 2018-11-28

    Accepted date: 2018-11-28

    Published date: 2018-11-26