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Review Article 


Lean Manufacturing Practises In The Healthcare System

Hakan Turan, Gökmen Turan.

Abstract
Today, the waste reduction should be the aim of all managers. The costs have increased day by day in the healthcare sector. It is necessary to manage effectively processes in order to reduce costs. Process improvement studies in the health sector is extremely important to discipline costs. Lean manufacturing methods were developed by Toyota in 1950 aims to improve the processes. Lean manufacturing reduces the costs while eliminating wastes in the processes. Although lean manufacturing was firstly developed in the automotive sector, it is also implemented in the manufacturing and the service sector. The aim of this paper is to report hospital that have lately fulfilled lean. Thus, it is seen that the lean manufacturing contributes to the hospitals. In this study, it is also aimed to give point of view for the firms which don’t implement lean manufacturing. In addition, lean manufaturing techniques have been also mentioned in general.

Key words: Hospital, waste, cost, process, lean



Sağlık Sisteminde Yalın Üretim Uygulamaları

Ozet
Günümüzde israf azaltma tüm yöneticilerin amacı olmalıdır. Sağlık sektöründe maliyetler her geçen gün artmaktadır. Maliyetleri azaltmak için süreçleri etkin bir şekilde yönetmek gerekmektedir. Süreç iyileştirme çalışmaları sağlık sektöründe maliyetleri disipline etmek için son derece önemlidir. 1950 yılında Toyota tarafından geliştirilen yalın üretim metodu süreç iyileştirmeyi amaçlamaktadır. Yalın üretim, süreçlerdeki israfları yok ederek maliyetleri azaltmaktadır. Yalın üretim ilk olarak otomotiv sektöründe geliştirilmiş olsa da üretim ve hizmet sektöründe de uygulanmaktadır. Bu çalışmanın amacı son zamanlarda yalın uygulaması yapan hastaneleri raporlamaktır. Böylece yalın üretimin hastanelere sağladığı katkılar görülmektedir. Bu çalışmada, yalın üretimi uygulamayan firmalar için de bir bakış açışı kazandırmak amaçlanmaktadır. Ayrıca yalın üretim tekniklerinden de genel olarak bahsedilmiştir.

Anahtar Kelimeler: Hastane, israf, maliyet, süreç, yalın


 
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REFERENCES
1. Aherne, J. (2007). Think lean. Nursing management, 13(10), 13-15.
2. Aktaþ, R., & Karðýn, M. (2011). Yalýn Muhasebe: Yalýn Üretim Ortamýnda Yeni Bir Yönetim Muhasebesi Yaklaþýmý. Muhasebe ve Öðretim Üyeleri Bilim ve Dayanýþma Vakfý Dergisi, Sayý 3, 91-128.
3. Baggaley, B. (2003). Costing by Value Stream. Journal of Cost Management, Sayý 17, No 3, 24-30
4. Birgün, S., Gülen, K. G., & Özkan, K. (2006). Yalýn Üretime Geçiþ Sürecinde Deðer Akýþý Haritalama Tekniðinin Kullanýlmasý: Ýmalat Sektöründe Bir Uygulama. Ýstanbul Ticaret Üniversitesi Fen Bilimleri Dergisi, Sayý.5, No.9, 47-59.
5. Brideau, L. (2004). Flow: why does it matter?. Front Health Service Management, 20(4) , 47-50
6. Bowman, D. J. (1991). If You Don't Understad JIT How Can You Implement It?. Industrial Engineering, Vol.23, No.2, 38-39
7. Brandao de Souza, L. (2009). Trends and approaches in lean healthcare. Leadership in Health Services, 22(2), 121-139 [DOI via Crossref]   
8. Bushell, S., Mobley, J., & Shelest, B. (2002). Discovering lean thinking at progressive healthcare, The Journal for Quality and Participation, 25(2), 20-25
9. Chan, F. T. S., Lau, H. C. W., Ip, R. W. L., Chan, H.K., & Kong, S. (2005). Implementation of Total Productive Maintenance: A Case Study. International Journal of Production Economics, 95, 71-94 [DOI via Crossref]   
10. Cookson, D., Read, C., Mukherjee, P., & Cooke, M. (2011). Improving the quality of Emergency Department care by removing waste using Lean Value Stream mapping. The International Journal of Clinical Leadership,17, 25-30
11. Cooper, R., & Maskell, B. (2008). How to Manage Through Worse-Before-Better, MIT Sloan Management Review, 49(4), 58-65
12. Dickson, E. W., Anguelov, Z., Vetterick, D., Eller, A., & Singh, S. (2009). Use of Lean in the Emergency Department: A Case Series of 4 Hospitals. American College of Emergency Physicians, 54(4), 504-510 [DOI via Crossref]   
13. Dickson, E. W., Singh, S., Cheung, D. S., Wyatt, C. C., & Nugent, A. S. (2009a). Application of Lean Manufacturing Tecniques in the Emergency Department, The Journal of Emergency Medicine, 37(2), 177–182
14. Doðan, Y., Özkütük, A., & Doðan, Ö. (2014). Laboratuvar Güvenliðinde "5S" Yönteminin Uygulamasý ve Çalýþan Memnuniyeti Üzerine Etkisi. Mikrobiyoloji Bülteni, 42(2), 300-310
15. Dudek-Burlikowska, M. (2006). Quality research methods as a factor of improvement of preproduction sphere. Journal of Achievements in Materials and Manufacturing Engineering, 18, 435-438
16. Efe, Ö. F. & Engin, O. (2012), Yalýn Hizmet - Deðer Akýþ Haritalama ve Bir Acil Serviste Uygulama, Verimlilik Dergisi, 4, 79-107
17. Fine, B., Golden B., Hannam, R., & Mora D. J. (2009). Leading Lean: A Canadian Healthcare Leader's Guide. Healthcare Quarterly, Vol.12, No.3, 26-35 [DOI via Crossref]   
18. Folinas, D. & Faruna, T. (2011). Implementing Lean Thinking Paradigm Practices In Medical Set Up, Business Management Dynamics, Vol.1, No.2, 61-78
19. Grove, A. L., Meredith, J. O, Macintyre, M., Angelis J., & Neailey, K. (2010). Lean implementation in primary care health visiting services in National Health Service UK. Quality Safety Health Care, 2010; 19(5), 43 [DOI via Crossref]   
20. Gürdal, K. (2007). Maliyet Yönetiminde Güncel Yaklaþýmlar, Siyasal Kitabevi, Ankara.
21. Haskin, D. (2010). Teaching Special Decisions In a Lean Accounting Environment. American Journal of Business Education, 3(6), 91-96 [DOI via Crossref]   
22. Hassan, N. B. (2006). Lean Manufacturing in a Global and Competitive Market. The Technology Teacher, Vol.66, Issue 3, 14-18
23. Hintzen, B., Knoer, S., Van Dyke, C., & Milavitz, B. (2009). Effect of lean process improvement techniques on a university hospital inpatient pharmacy. American Journal of Health-System Pharmacy, 66(22), 2042–2047 [DOI via Crossref]    [Pubmed]   
24. Imai, M., (1994). Kaizen; Japonya'nýn Rekabetteki Baþarýsýnýn Anahtarý. Ýstanbul: Brisa Yayýnlarý
25. Ýnce, A. R., Erol, Y., & Karagöz, N.. (2013). Bir Süreç Ýyileþtirme Örneði Olarak Görüntü Arþivleme ve Ýletiþim Sisteminin (Pacs) Deðerlendirilmesi (Sivas Numune Hastanesi Uygulamasý). Ýþletme Araþtýrmalarý Dergisi, 5(3), 243-257
26. Karkoszka, T., & Szewieczek, D. (2007). Risk of the processes in the aspect of quality, natural environment and occupational safety. Journal of Achievements in Materials and Manufacturing Engineering, 20, 539-542
27. Karlsson C., & Ahlstrom, P. (1996). The difficult path to lean product Development. International Journal of Product Innovation Management, 13(4), 24-41. [DOI via Crossref]   
28. Kennedy, F.A., & Brewer, P.C. (2006). The Lean Enterprise and Traditional Accounting-Is The Honeymoon Over?. Journal of Corporate Accounting&Finance,10, 63-74. [DOI via Crossref]   
29. Jimmerson, C., Weber, D., & Sobek, D. (2005). Reducing waste and errors: Piloting lean principles at Intermountain Healthcare. Joint Commission Journal on Quality and Patient Safety/Joint Commission Resources, 31(5), 249-257
30. Kim C., Spahlinger D., Kin J., Billi J. (2006). Lean health care: What can hospitals learn from a World class automaker?. Journal of Hospital Medicine, 1(3), 191-199. [DOI via Crossref]    [Pubmed]   
31. Kim C. S., Hayman J. A., Billi J. E., Lash K., & Lawrence T. S. (2007). The Application of Lean Thinking to the Care of Patients with Bone and Brain Metastasis with Radiation Therapy. Journal of Oncology Practice. 2007; 3(4):189-193 [DOI via Crossref]    [Pubmed]    [PMC Free Fulltext]   
32. Kurutkan, M. N., Usta, E., Simsir, Ý., Orhan, F., & Bagis, M. (2014). Waste management approaches in hospital organizations and an example of practice, Balkan Military Medical Review, 17(1), 10-15.
33. Lummus, R. R., Vokurka, R. J., & Rodegheiro, B., (2006). Improving Quality through Value Stream Mapping: A Case Study of a Physician's Clinic. Total Quality Management, Vol.17 No.8, 1063-1075. [DOI via Crossref]   
34. Maskell, B., & Baggaley, B. (2006). Lean Accounting: What's It All About?. Target Volume, 22(1), 35-43
35. Maskell, B., & Katko, N. (2007). Value Stream Costing: The Lean Solution To Standard Costing Complexity and Waste. Lean Accounting: Best Practices for Sustainable Integration, ed. Joe Stenzel, John Wiley&Sons Inc.
36. Michalska, J. & Szewieczek, D. (2007). The 5S methodology as a tool for improving the organisation, Journal of Achievements in Materials and Manufacturing Engineering, Volume 24, Issue 2, 211-214
37. Mol, M. J., & Birkinshaw, J. (2008). Giant Steps in Management. Prentice Hall, UK.
38. Nasution, J., & Nasution, J. (2013). Quality Service Analysis and Improvement of Pharmacy Unit of XYZ Hospital Using Value Stream Analysis Methodology, Materials Science and Engineering 46, 1-9.
39. Özkan, A., & Esmeray, M. (2002). Bir Maliyet Kontrol Sistemi Olarak JIT Üretim Sistemi ve Muhasebe Uygulamasý. C.Ü. Ýktisadi ve Ýdari Bilimler Dergisi, Cilt 3, Sayý 1, 129
40. Sezen, B., & Kurultay, A. A. (2008). Gemi Ýnþaatýnda Tasarým Performansýný Etkileyen Faktörler. Ýþ, Güç" Endüstri Ýliþkileri ve Ýnsan Kaynaklarý Dergisi, Cilt10 Sayý3, 1-26
41. Swallmeh, E., Tobail, A., Abo-Hamad, W., Gray, J., & Arisha, A. (2014). Integrating Simulation Modelling and Value Stream Mapping for Leaner Capacity Planning of an Emergency Department. SIMUL 2014: The Sixth International Conference on Advances in System Simulation, 12-16 October, Nice, France, 255-262
42. Tanýk, M. (2010). Kalýp Ayar Sürelerinin SMED Metodolojisi Ýle Ýyileþtirilmesi: Bir Yalýn Altý Sigma Uygulamasý. Muðla Üniversitesi Sosyal Bilimler Enstitüsü Dergisi, 25, 117-140
43. Temiz, Ý., Atasoy, E., & Sucu, A. (2011). Toplam Ekipman Etkinliði ve Bir Uygulama. Dokuz Eylül Üniversitesi Sosyal Bilimler Enstitüsü Dergisi, Cilt 12, Sayý 4, 49-60
44. Woehrle, S. L., & Abou-Shady, L. (2010). Using Dynamic Value Stream Mapping and Lean Accounting Box Scores to Support Lean Implementation, American Journal of Business Education, Sayý.3, No.8, 67-75
45. Wojtys, E., Schley, L., Overgaard, K., & Agbabian, J. (2009). Applying Lean techniques to improve the patient scheduling process. Journal for Healthcare Quality, 31(3), 10-16 [DOI via Crossref]    [Pubmed]   
46. Womack, J. P., & Jones, D. T., (1998). Yalýn Düþünce. Nesime Acar, Sistem Yayýncýlýk, Ýstanbul, 11-43.
47. Yenersoy, G. (1990). Malzeme Yönetimi Sistemleri. MA-PA Yayýnlarý, Yayýn No: 1, Ýstanbul
48. Young, T., Brailsford S., Connell, C., Davies, R., Harper, P, & Klein, J. (2004). Using industrial processes to improve patient care. BMJ: British Medical Journal. 328(7432):162- 164 [DOI via Crossref]   
49. Zerenler M., & Ýraz R. (2006). Japon Yönetim Anlayýþý ve Þirket Aðlarý (Keiretsu) Analizi, Selçuk Üniversitesi Sosyal Bilimler Enstitüsü Dergisi, 16, 757-776

How to Cite this Article
Pubmed Style

Turan H, Turan G. [Lean Manufacturing Practises In The Healthcare System]. Health Care Acad J. 2015; 2(3): 127-132. Turkish. doi:10.5455/sad.2015131451421279


Web Style

Turan H, Turan G. [Lean Manufacturing Practises In The Healthcare System]. http://www.saglikakademisyenleridergisi.com/?mno=213728 [Access: August 16, 2018]. Turkish. doi:10.5455/sad.2015131451421279


AMA (American Medical Association) Style

Turan H, Turan G. [Lean Manufacturing Practises In The Healthcare System]. Health Care Acad J. 2015; 2(3): 127-132. Turkish. doi:10.5455/sad.2015131451421279



Vancouver/ICMJE Style

Turan H, Turan G. [Lean Manufacturing Practises In The Healthcare System]. Health Care Acad J. (2015), [cited August 16, 2018]; 2(3): 127-132. Turkish. doi:10.5455/sad.2015131451421279



Harvard Style

Turan, H. & Turan, G. (2015) [Lean Manufacturing Practises In The Healthcare System]. Health Care Acad J, 2 (3), 127-132. Turkish. doi:10.5455/sad.2015131451421279



Turabian Style

Turan, Hakan, and Gokmen Turan. 2015. [Lean Manufacturing Practises In The Healthcare System]. Health Care Academician Journal, 2 (3), 127-132. Turkish. doi:10.5455/sad.2015131451421279



Chicago Style

Turan, Hakan, and Gokmen Turan. "[Lean Manufacturing Practises In The Healthcare System]." Health Care Academician Journal 2 (2015), 127-132. Turkish. doi:10.5455/sad.2015131451421279



MLA (The Modern Language Association) Style

Turan, Hakan, and Gokmen Turan. "[Lean Manufacturing Practises In The Healthcare System]." Health Care Academician Journal 2.3 (2015), 127-132. Print.Turkish. doi:10.5455/sad.2015131451421279



APA (American Psychological Association) Style

Turan, H. & Turan, G. (2015) [Lean Manufacturing Practises In The Healthcare System]. Health Care Academician Journal, 2 (3), 127-132. Turkish. doi:10.5455/sad.2015131451421279



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