Saratov JOURNAL of Medical and Scientific Research

Optimization of medical organization activities by implementation of lean-production

Year: 2019, volume 15 Issue: №4 Pages: 893-897
Heading: public health Article type: Author's opinion
Authors: Breusov A.V., Fenyutina V.A., Orudzhev A.A.
Organization: Peoples' Friendship University of Russia, Bauman Moscow State Technical University
Summary:

The existing health care system in the Russian Federation requires significant changes related to the reorganization of the current processes of medical care in medical institutions, therefore, the topic of introducing the principles of lean production in the healthcare sector is extremely relevant today. Lean healthcare is aimed at increasing the availability and quality of medical care to the population by streamlining processes and eliminating losses. The main objectives of the medical institution as part of the implementation of the concept of lean manufacturing are to increase the satisfaction of consumers of medical services, increase the quality and productivity of medical personnel. The need to implement these tasks is caused by the unreasonably long time spent of patients in the clinic during research, the uneven workload of medical institution specialists, queues at the reception desk, filling in a large number of different paper forms and processing of unnecessary information. The study allowed us to comprehensively analyze the basic principles of the concept of lean manufacturing, to substantiate the relevance and the possibility of extrapolating its principles to the healthcare sector, as well as to study the organization of the activities of the best "lean" clinics abroad, which could become role models when introducing the principles of lean manufacturing in domestic medical organizations.

Bibliography:
1. Womack JP, Jones DT. Banish Waste and Create Wealth in Your Corporation. Moscow: Alpina Business Books, 2018; 473 p.
2. GOSTR 56020-2014. Lean Production. Fundamentals and Vocabulary. Moscow: Standartinform, 2015.
3. GOST R 56407-2015. Lean Production. Basic Methods and Tools. Moscow: Standartinform, 2016.
4. GOST R 57522-2017. Lean Production. Guidelines for Integrated Quality Management System and Lean Production. Moscow: Standartinform, 2018.
5. The Five Principles of Lean Thinking. Lean University. URL: http://www.cardiff.ac.uk/lean/principles/(flaTa обращения: 19.12.2018).
6. Defects of medical care and medical errors. URL: http://www.zdrav.ru/articles/practice/detail. php?ID=76866.
7. Young Т, et al. Using industrial processes to improve patient care. BMJ 2004; 328: 162-4.
8. Endsley S, Magill MK, Godfrey MM. Creating a lean practice. Family practice management 2006; (13): 34.
9. Lean management in Healthcare. URL: http://lean-kaizen.ru/article/medicine/ berezhlivyj-menedzhment-v-zdravookhranenii. html (дата обращения: 19.12.2018).
10. Report of the Ministry of Health of the Russian Federation on the creation of a Project Office for the application of lean production methods in the medical services sector.
11. Burikin IM, Vafin AYu, Hafizyanova RKh. Improving the efficiency of healthcare management of institutions in modern conditions based on the principles of lean production. Fundamental Research 2013; 7 (3); 523-9.
12. Ministry of Health will develop a model of "lean clinic" before the end of the year. URL: https://tass.ru/nacionalnye-proekty/6338113.

AttachmentSize
2019_04_893-897.pdf268.88 KB

No votes yet