11/14/2023 0 Comments Principle toyota aplication![]() ![]() The ECRS (Eliminate, Combine, Rearrange, Simplify) technique was used to rearrange, combine, and simplify the existing process. According to the value stream map featuring the time measurements, the root causes of delayed transportation can be divided into process-related, attendant-related, and elevator-related factors. These 12 min were saved by reducing the time spent on “waiting for an attendant at the ward” by 9 min and the time spent on “elevator transport” by 3 min. We hoped to reduce the time wasted by half, i.e., by 23*50% = 12 min. The total time spent on transport was 53 min, but we expected patients to be transported within 30 min. A current value stream map featuring numerical data (concerning 46 patients) measured in the workplace was developed. Methods: We employed an A3 8-step problem-solving process. Our goal is to use the Toyota method to decrease the time required to transport the inpatient to the operating room and to review the concepts underlying lean thinking. The Toyota production system is a famous and excellent scientific method of reducing waste and increasing efficiency. The issue of delays in transporting inpatients to the operating room has rarely been discussed in the literature. Delayed patient transport causes the patient to go hungry for a longer time, aggravating the patient’s physical discomfort and psychological stress. 5Department of Superintendent, Taipei City Hospital, School of Medicine, College of Medicine, Institute of Public Health, National Yang Ming Chiao Tung University, Taipei City, Taiwanīackground: Sending a patient to the operating room is the first step in surgery.4Department of Anesthesia, Taipei City Hospital, Taipei City, Taiwan.3Department of Orthopedic Surgery, Taipei City Hospital, Taipei City, Taiwan.2Department of Quality Management, Taipei City Hospital, National Taipei University of Nursing and Health Sciences, Taipei City, Taiwan.1Department of Orthopedic Surgery, General Education Center, Taipei City Hospital, University of Taipei, Taipei City, Taiwan.Chien-Chung Lin 1*† Jui-Wen Chueh 2† Hung-Ming Chen 3† Yao-Hui Chiu 4† Dachen Chu 5†
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