Peter Gray and Dave Slater of Royal Bolton Hospital shown at the 2nd Lean Healthcare Forum on 6th June 2006 ran by the Lean Enterprise Academy
www.leanuk.org
Application of Lean thinking to laboratory service improvement; 5S; seven wastes, working in cells, process mapping, single piece flow, reducing turnaround time
Peter Gray and Dave Slater of Royal Bolton Hospital shown at the 2nd Lean Healthcare Forum on 6th June 2006 ran by the Lean Enterprise Academy
www.leanuk.org
Application of Lean thinking to laboratory service improvement; 5S; seven wastes, working in cells, process mapping, single piece flow, reducing turnaround time
by Kate Hobson of Salisbury District Hospital shown at the 2nd Lean Healthcare Forum on 6th June 2006 ran by the Lean Enterprise Academy
www.leanuk.org
A3 Thinking:
A3 thinking is a structured technique of working through problems or opportunities for improvement. The ‘A3’ itself is literally just that: a piece of A3 paper summarising the logical thought processes that have been agreed by the team in defining the opportunity for improvement or solving the problem they face.
Adopting a Lean Approach to Improve Business Processes: A Case ReportKarim Riad MAZOUNI
This talk presents a case report about a business process improvement initiative implemented using a Lean approach. The talk introduces briefly the Lean concepts before describing how value stream mapping was used to improve an "Order to Cash" process.
by Kate Hobson of Salisbury District Hospital shown at the 2nd Lean Healthcare Forum on 6th June 2006 ran by the Lean Enterprise Academy
www.leanuk.org
A3 Thinking:
A3 thinking is a structured technique of working through problems or opportunities for improvement. The ‘A3’ itself is literally just that: a piece of A3 paper summarising the logical thought processes that have been agreed by the team in defining the opportunity for improvement or solving the problem they face.
Adopting a Lean Approach to Improve Business Processes: A Case ReportKarim Riad MAZOUNI
This talk presents a case report about a business process improvement initiative implemented using a Lean approach. The talk introduces briefly the Lean concepts before describing how value stream mapping was used to improve an "Order to Cash" process.
This is my final research work I embarked during my BBA final year studies.
The world is now considered to be a knowledge economy in which organizations’ sharing and creation of knowledge form an important role in integration and innovation. Knowledge creation is recognized as strategically important organizational learning and innovation tool.
Knowledge can be created through a continuous dialogue process between tacit and explicit knowledge, as well as through four patterns, namely; interactions or socialization, combination, internalization and externalization. The research problem was based on the fact that knowledge can become obsolete, so it is imperative that knowledge creation and management is a continuous process enabling efficient and effective business practices.
Free Monthly members webinar with brand management expert Marc Cloosterman, author of Future Proof your Brand.
Learn:
1. Which are the 4 main technology trends influence branding
2. How these trends impact branding and brand management, and beyond
3. What topics are board-room issues on brand management today
4. About the data-driven insights from Brand Performance Scan and how this can be deployed in your daily practice
5. About the shift from managing brands by policing, to community-orchestration
Participants will also learn how to go about brand implementation across digital channels and touch-points, and Marc will share with them his main insights in this domain.
For more info, you can download the book Future Proof Your Brand, written by Marc Cloosterman and Laurens Hoekstra.
Efficiency and effectiveness: Presentation with ExamplesAbhimanyu Mathur
Find out the essential difference between effectiveness and efficiency. Examples such as business meetings v/s video conferencing and Steve Jobs' working strategy discussed.
The concept of efficiency and effectivenessFrank Nyarko
Efficiency and effectiveness are management tools and they are inter-related. Companies’ main target is profitability. To ensure profitability is really achieved employees' work efficiency and effectiveness should be adhered to. To work with pace, create space and being organized are important ingredients to help remain abreast to the current trend of organizations' work demand. However the environment and each individual member are all part of the build-up to ensure maximum potential achievable. Notwithstanding each individual owe his or herself some level of the willingness to face new challenges. That comes with the readiness to remain updated. Innovation and creativity are key principle to be efficient and effective.
Rationalization of marketing processes and the implementation of specialized marketing technology can lead to huge gains.
Unfortunately, the figures to support this statement are often too isolated or specific to a single case. They can seldom be applied to your situation, leaving you with poor evidence in front of the corporate judges when asking for your project approval.
The aim of this publication is to give you concepts and tool to create the final argument to enter the board room, and secure the budget for your operational marketing improvement project and deliver significant and sustainable value to department, company and shareholders.
Enhanced Recovery After Surgery (ERAS®) is the Enhanced Recovery After Surgery (ERAS®) is the implementation of patient-focused, standardized, evidencefocused, standardized, evidencefocused, standardized, evidencefocused, standardized, evidencefocused, standardized, evidencefocused, standardized, evidence-based, interdisciplinary perioperative guidelines.
Learn more about Enhanced Recovery Canada:
http://ow.ly/hR3j30jsnjR
A neglected topic for way too long, the interest in fluid therapy seems to be quickly rising as the medical community is making a shift from looking at fluids as a mere method of stabilization towards the appreciation of its relevant side effects.
Many questions remain to be answered indeed:
Is the upgrade from saline 0.9% to balanced crystalloids worth the extra cost?
Does HES still have a place in the OR?
Do we have to fill the gap left by HES on ICU with crystalloids, other colloids or even albumin?
Is it really impossible to avoid fluid overload by using only crystalloids?
Is there still a definitive place for human albumin?
How do we treat and monitor specific patient populations, like patients with trauma, liver failure, brain edema and right heart failure among others?
How do we avoid a one-size-fits-all regimen in perioperative goal-directed therapy?
What with the fluids beyond resuscitation?
And what do the authors of the big fluid trials do in real life themselves?
The 9th International Fluid Academy Day will again be a 1 day concise meeting on all aspects of fluid managament and hemodynamic monitoring in the critically ill.
Date: October 26th 2019, 8:00 - 18:00
Making the most of your PROM data, pop up uni, 10am, 2 september 2015NHS England
Expo is the most significant annual health and social care event in the calendar, uniting more NHS and care leaders, commissioners, clinicians, voluntary sector partners, innovators and media than any other health and care event.
Expo 15 returned to Manchester and was hosted once again by NHS England. Around 5000 people a day from health and care, the voluntary sector, local government, and industry joined together at Manchester Central Convention Centre for two packed days of speakers, workshops, exhibitions and professional development.
This year, Expo was more relevant and engaging than ever before, happening within the first 100 days of the new Government, and almost 12 months after the publication of the NHS Five Year Forward View. It was also a great opportunity to check on and learn from the progress of Greater Manchester as the area prepares to take over a £6 billion devolved health and social care budget, pledging to integrate hospital, community, primary and social care and vastly improve health and well-being.
More information is available online: www.expo.nhs.uk
by Wolfgang Krips, Senior Vice President of Global Infrastructure Operations of SAP at the Lean Summit 2010, New Horizons for Lean Thinking on 2/3 November 2010
Lean Leadership for Executives: Initial findings from LGN Research by David Brunt shown at the Lean Summit 2012 - Learning - Educating - Sharing on 27/28 November
Operation “Blue Star” is the only event in the history of Independent India where the state went into war with its own people. Even after about 40 years it is not clear if it was culmination of states anger over people of the region, a political game of power or start of dictatorial chapter in the democratic setup.
The people of Punjab felt alienated from main stream due to denial of their just demands during a long democratic struggle since independence. As it happen all over the word, it led to militant struggle with great loss of lives of military, police and civilian personnel. Killing of Indira Gandhi and massacre of innocent Sikhs in Delhi and other India cities was also associated with this movement.
A Strategic Approach: GenAI in EducationPeter Windle
Artificial Intelligence (AI) technologies such as Generative AI, Image Generators and Large Language Models have had a dramatic impact on teaching, learning and assessment over the past 18 months. The most immediate threat AI posed was to Academic Integrity with Higher Education Institutes (HEIs) focusing their efforts on combating the use of GenAI in assessment. Guidelines were developed for staff and students, policies put in place too. Innovative educators have forged paths in the use of Generative AI for teaching, learning and assessments leading to pockets of transformation springing up across HEIs, often with little or no top-down guidance, support or direction.
This Gasta posits a strategic approach to integrating AI into HEIs to prepare staff, students and the curriculum for an evolving world and workplace. We will highlight the advantages of working with these technologies beyond the realm of teaching, learning and assessment by considering prompt engineering skills, industry impact, curriculum changes, and the need for staff upskilling. In contrast, not engaging strategically with Generative AI poses risks, including falling behind peers, missed opportunities and failing to ensure our graduates remain employable. The rapid evolution of AI technologies necessitates a proactive and strategic approach if we are to remain relevant.
Safalta Digital marketing institute in Noida, provide complete applications that encompass a huge range of virtual advertising and marketing additives, which includes search engine optimization, virtual communication advertising, pay-per-click on marketing, content material advertising, internet analytics, and greater. These university courses are designed for students who possess a comprehensive understanding of virtual marketing strategies and attributes.Safalta Digital Marketing Institute in Noida is a first choice for young individuals or students who are looking to start their careers in the field of digital advertising. The institute gives specialized courses designed and certification.
for beginners, providing thorough training in areas such as SEO, digital communication marketing, and PPC training in Noida. After finishing the program, students receive the certifications recognised by top different universitie, setting a strong foundation for a successful career in digital marketing.
Synthetic Fiber Construction in lab .pptxPavel ( NSTU)
Synthetic fiber production is a fascinating and complex field that blends chemistry, engineering, and environmental science. By understanding these aspects, students can gain a comprehensive view of synthetic fiber production, its impact on society and the environment, and the potential for future innovations. Synthetic fibers play a crucial role in modern society, impacting various aspects of daily life, industry, and the environment. ynthetic fibers are integral to modern life, offering a range of benefits from cost-effectiveness and versatility to innovative applications and performance characteristics. While they pose environmental challenges, ongoing research and development aim to create more sustainable and eco-friendly alternatives. Understanding the importance of synthetic fibers helps in appreciating their role in the economy, industry, and daily life, while also emphasizing the need for sustainable practices and innovation.
Macroeconomics- Movie Location
This will be used as part of your Personal Professional Portfolio once graded.
Objective:
Prepare a presentation or a paper using research, basic comparative analysis, data organization and application of economic information. You will make an informed assessment of an economic climate outside of the United States to accomplish an entertainment industry objective.
Read| The latest issue of The Challenger is here! We are thrilled to announce that our school paper has qualified for the NATIONAL SCHOOLS PRESS CONFERENCE (NSPC) 2024. Thank you for your unwavering support and trust. Dive into the stories that made us stand out!
A review of the growth of the Israel Genealogy Research Association Database Collection for the last 12 months. Our collection is now passed the 3 million mark and still growing. See which archives have contributed the most. See the different types of records we have, and which years have had records added. You can also see what we have for the future.
Executive Directors Chat Leveraging AI for Diversity, Equity, and InclusionTechSoup
Let’s explore the intersection of technology and equity in the final session of our DEI series. Discover how AI tools, like ChatGPT, can be used to support and enhance your nonprofit's DEI initiatives. Participants will gain insights into practical AI applications and get tips for leveraging technology to advance their DEI goals.
Executive Directors Chat Leveraging AI for Diversity, Equity, and Inclusion
Lean green stream in surgery
1. Lean Green Stream In Surgery-CLATTERBRIDGE Rapid Improvement Workshop 15th - 19th May 2006
The Lean Team:- Carol Makin,Terry Tarr,Paul Kutarski,Martin Greaney,Glyn Thomas,Jenny O’Connor,Jo Goodfellow,Jeanette Berry,Pam Leonard,Frank Hoey,Gaynor Williams,Nicki McAllister,Gaynor Westray,Sheila O’Neill,Angie Tilston,
Kath Shirley,Jo Hardman,Roger Smith,Steve Vaughan,Alison Johnson,Tom Moloney,Ann Eason,Rob Kiff,Linda Holland,Laura Hibbs,Julie Ryan,Claire Bashford,Stephanie Searl. Facilitators:- Ian Glenday,David Brunt
Why work on the Lean Green Stream ?
Working on the green stream can dramatically improve productivity
through economies of repetition and predictable scheduling.
What did we find?
We can run green theatre lists and improve patient care whilst improving
working lives
How will these changes affect what we do today?
Identify and remove obstacles to maximize green stream flow.
What are the imperatives to make this work?
Stick to the rules.
What are the Benefits of Lean Flow?
• Disciplined approach to scheduling
• Repetition by doing the same things at the same time on every
cycle means we will get better
• Puts focus on bottlenecks and eliminates them
• Leads to natural continuous improvement
• Improves predictability of supplies
• Improves communication and aligns teams
What is the Impact?
• Improved performance and efficiencies due to economies of repetition.
• Identifying and eliminating bottlenecks.
• Highlights capability and capacity opportunities
• Less firefighting, Less confusion, Less uncertainty Improved morale
• Predictable scheduling and theatre lists
• Improved communication between booking and theatre teams
• Do more with less
The Green Stream
Typically 6% of procedures equals 50% of workload.
At Clatterbridge 4.2% of procedures account for 52%
of theatre throughput
Clatterbridge Green Stream
LA flexible cystoscopy 15%
GA cystoscopy 11%
Hernias and varicose veins 7%
Hip/knee replacements
plus knee arthroscopy 9%
Excision of lumps and bumps 4%
Lower GI endoscopy 3%
Carpal tunnel 3%
Total 52%
Green Stream Rules
• Green lists are fixed
• Patients will not be cancelled from green lists
• Theatre will start on time
• (Start time = knife to skin)
• Breaks and lunch will be scheduled to minimise disruption
• There will be no change to theatre list order on the day of surgery
• Anaesthetic Department to co-ordinate anaesthetist’s and
surgeon’s sessions
• Patients will be scheduled when they fulfil pre-assessment criteria
• Clerks book green stream lists according to standard templates
• Mixed lists begin with “green cases”
• Pooling should occur
• Admit patients on day of surgery
• Medical staff to book leave 6 weeks in advance
Staff Niggles
Objectives
• Identify niggles
• Fix 50% now
• Instant and visible communication
Outcomes
• Total niggles identified 168
• Practical Issues identified as fixable 59 (35%)
• We fixed 45 (74%)
• We actioned 14 (26%)
• Niggles given to Flow stream 64 (38%)
• Long term niggles 45 (27%)
• room sizes estates issues
• staff attitudes training etc
Outpatients and pre-assessment
Objectives
• Reduce patient “touches” for green stream patients
• Develop a robust booking procedure
Outcomes
Smoother patient flow:
• Reduce patient “touches” from 26 to 13
• Review of outpatient scheduling
• Pre op assessment at time of out patient appointment
• Robust booking procedures at time of decision to operate
• Reduce paperwork
• ECG / phlebotomy in pre operative assessment
• Pre op chest x-ray in OPD radiology
• One day process
• microscopic haematuria referrals linked to LA flexible
cytoscopy slots and ultrasound scans
Day Case Unit
Problems
• 34 patient “touches”
• Poor flow of both patient and staff journey through Day Case Unit
• Mixed sex change and treatment areas
• Mix of local and general anaesthesia cases
• Information
Outcomes
• Reduced patient touches for general anaesthesia from 34 to 11 – (66%)
• Reduced patient touches for local anaesthesia from 34 to 8 – (75%)
• Introduced staggered ward rounds for general anaesthesia (One Anaesthetist and One Surgeon)
• Established cystoscopy pathway as part of urology one day service
• Established single sex area on both Units based on current activity of 70:30 gender ratio
• Established ‘expected time of discharge’ to reduce delays for both patients and relatives
• Reduced unnecessary duplication for staff
• All changes cost neutral to date
Next Steps
• Communicate and roll out
• Disseminate the rules
• Collect robust and appropriate data
• Make the green stream visible
• Green theatre lists
• Maintain the vision
• Take it further
• Run green lists over 50 weeks/year
• Communicate with the wider NHS
Aim: To improve the quality of the patient’s journey
Design and print by Medical Illustration DepartmenDesign and print by Medical Illustration Department APHt APH
Shelf reduced
Handles removed / floor marked
Cables tidied / phones wall mounted