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Lean Hospitals: Improving Quality, Patient Safety, and Employee
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rights reserved. Authorized translation from English language
edition published by Productivity Press, part of Taylor &
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( Toyota ) Frank Gilbert Henry Ford JCI Lean Hospitals (.) .
[email protected] MB: 081-613-6137
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5. Kanban () () Sid Siddiqi, Glen Elmore, Rich Rachner, Paul
Scheel, P. L. Godwer, Blake Headey, Mike Santarelli, Mark Spearman,
Stan Gershwin Steve Graves Dean Bliss Productivity Press Dean
(www.leaanblog.org) ValuMetrix Services Rick Malik, Steve
Friedland, Jo Ann Hegarty, Jamie Miles, Audrey Knable, Lewis
Lefteroff, Ken LePage, Shana Padgett, Norka Saldana, Chetan Shukla,
Susan South
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Jim Adams, Lee Fried, Dr. Ted Eytan, Andrew Castle, David Meier,
Jamie Flinchbaugh Norman Bodek Jeff Maling Bryan Lund (Training
Within Industry) Mike Wroblewski Henry Ford 1922 Dr. Sami Bahri Jim
Adams, Dr. Beverly Rogers, Stephanie Mitchell, Dr. Mark Pool, Robin
Aldredge Kim Morris ( ) Cheryl Fenske Kris Mednansky Maura May Lara
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6
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: 5 Kanban
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: 5 Kanban
HI NG145
(Visual Management) Gwendolyn Galsworth 1 2 :
Sonogram MRI 146 Lean Hospitals
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2 ?
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5 Kanban
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5
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: 5 Kanban
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HI NG
7
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Toyota 5 1 2 ( ) ? 169
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2
170 LeanHospitals
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1
(IV) (Time-out)
( 0)
Co
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rig
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M
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.I.
Sq
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Gemba
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188 LeanHospitals
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?
HI NGWoolcock, Nicola, Mark Henderson, Blundering hospitals Kill
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(Errors) Gemba 1 ? ? Microbore 192 LeanHospitals
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2 (Respect for People)
206 LeanHospitals
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100% 100% (Poka Yoke)
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(Respect for People)
HI NG
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Lean ( ) (One-piece Flow) (Single-piece Flow) () 1 209
Co
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rig
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Toyota ( ) :
(Turnaround Time) 210 LeanHospitals
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90 60 45
5 Heijunka 1 3 Toyota Mura ()
(Elective)
Co
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211
HI NG
Heijunka Gemba
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Mura (Batch)
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ua 237
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? ? 7 1 ? ?
238 LeanHospitals
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.
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HI NG
10
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Convis 1 239
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240 LeanHospitals
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( )
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(SOP) !
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( ) Kaizen
268 LeanHospitals
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(Audit)
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?ed M
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50 11.1
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LeBonheur 1. a. ; a.
(Roadmap)
Co
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a. Six Sigma/
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3. Six Sigma
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2. ROI
303
Kaizen
304 LeanHospitals
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? ? ? ? ?
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.I.
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Graban, Mark, LeanBlog Podcast #23 Group Health Cooperative Lean
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3
re
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Marchwinski, Chet John Shook, Lean Lexicon (Brookline, MA: Lean
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305
306 LeanHospitals
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M
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HI NG
HI NG
12
PU
50 Toyota Toyota 307
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Henry Ford, W. Edwards Deming, Toyota ? ?
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ua re
2001 Toyota 3 Toyota 315
Co
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Sq
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BL IS
HI NG
1
3
316 LeanHospitals
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.I.
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HI NG
FMEA: (Failure Modes and Effects Analysis) Gemba: / Genchi
Genbutsu: Heijunka: 317
Co
py
rig
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FIFO: (First-in First-out)
ed
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Baka Yoke: Poka yoke
ia
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Sq
ua
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PU
BL IS
HI NG
Jidoka: Kaikaku: Kaizen (Point Kaizen): Kaizen (System Kaizen):
( 12-16 ) Kaizen (Point Kaizen) Kaizen (Kaizen Event)
RPIW: (Rapid Process Improvement Workshop) Kaizen Six Sigma:
Green Belt Black Belt 6 Sigma 3.4 1 318 LeanHospitals
Co
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Poka Yoke:
rig
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ed
PDCA (PDSA): --- (Plan-DoCheck-Act) --- (Plan-Do-Study-Act)
Shewhart Deming W. Edwards Deming
M
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Kanban:
Sq
ua
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Kaizen:
PU
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HI NG
(Phlebotomist): (Value-added): 3 : (1) (2) (3)
(Rework): (Workaround): 319
Co
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rig
(Diversion):
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(Non-value-added): 3
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Spaghetti: Spaghetti
.I.
Sq
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(Value Stream Map: VSM):
re
PU
BL IS
HI NG
(Turnaround Time): ( )
(Waste of Talent): (Flow): (Onepiece Flow) (One-piece Flow):
(Single-piece Flow) (Single-piece Flow): (Stockout): 0 (Total
Quality Management: TQM): 1980 1990 (Batching): (Batch) 1 1 (Pull):
(Push) (Inspection): 100%320 LeanHospitals
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(Level Loading): Heijunka
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5 (Five Whys): ( ) (Error Proofing):
(Waste of Motion): (Waste of Defect): () ( ) (Rework) 321
Co
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(Waste):
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(Error):
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Kaizen (Kaizen Event): 1
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(Violation):
HI NG
(Waste of Transportation): (Waste of Overprocessing):
(Centrifuge) (Waste of Overproduction):
(Upstream): (Downstream): (Upstream)
322 LeanHospitals
Co
(Standardized Work):
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(Piece Work): ( 16) ( 18 )
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(Waste of Waiting):
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(Product): (Metrics):
(Future State): (Ideal State): (Root Cause): 5 323
Co
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(Current State):
rig
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(Practical State):
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(Lean):
fE
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Sq
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A3 (A3 Report): Toyota A3 11 x 17
PU
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HI NG
2 (Two-bin System): Kanban 2
Andon (Andon Cord): Jidoka
(Safety Stock):
324 LeanHospitals
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ua
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HI NG
(Value Stream):
Mark Graban ValuMetrix Services Ortho Clinical Diagnostics Inc.
Johnson & Johnson Mark Mark Mark Northwestern University
Massachusetts Institute of Technology Leaders for Manufacturing
Mark LeanBlog (www.leanblog.org) Laboratory Medicine Lean Yearbook
2007 Society of Manufacturing Engineers Lean Hospitals: Improving
Quality, Patient Safety, and Employee Engagement 2009 Shingo
Research and Professional Publication Award 2 2012 Healthcare
Kaizen: Engaging Front-Line Staff in Sustainable Continuous
Improvements Mark Livonia Keller Amy com Mark www
leanhospitalsbook.
Co
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rig
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ed
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BL IS
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325
. Engineering Management Sciences Industrial Engineering Wichita
State University 10 . . (The Toyota Way), , . .. , Marketing
Logistics , Essentials of Supply Chain Management : ,
326 LeanHospitals
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Sq
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BL IS
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E.I. Square Publishing...http://publishing.eisquare.com
: The Toyota Way Fieldbook : Jeffrey K. Liker David Meier : .
ISBN : 978-974-09-6740-8 : 550
py
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ed
M
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.I.
: Toyota Talent : Jeffrey K. Liker David Meier : . ISBN :
978-974-09-6745-3 : 450
Sq
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PU
: : : ISBN : : ISBN : :
The Toyota Way Jeffrey K. Liker . 974-93096-1-8 390 ()
978-611-7062-07-0 250 ()
BL IS
HI NG
327
(Shopfloor Series) Cellular Manufaturing : One-piece Flow for
Workteams : The Productivity Development Team : . ISBN :
974-94684-0-6 : 170 : Just-in-Time for Operators : The Productivity
Development Team : . ISBN : 974-94684-1-4 : 170 : Pull Production
for the Shopfloor : The Productivity Development Team : . ISBN :
974-94684-5-7 : 170 : Identifying Waste on the Shopfloor : The
Productivity Development Team : . ISBN : 974-94684-6-5 : 170 :
Standard Work for the Shopfloor : The Productivity Development Team
: ISBN : 978-974-7628-41-8 : 170 : OEE for Operators : The
Productivity Development Team : ISBN : 978-974-7628-42-5 : 170 :
Quick Changeover for Operators : The Productivity Development Team
: ISBN : 978-974-7628-43-2 : 170 : Mistake-Proofing for Operators :
The Productivity Development Team : ISBN : 978-974-7628-44-9 : 170
: Kaizen for the Shopfloor : The Productivity Development Team :
ISBN : 978-974-7628-40-1 : 170
: Kanban for the Shopfloor : The Productivity Development Team :
ISBN : 974-94684-4-9 : 170
328 LeanHospitals
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rig
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ed
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er
ia
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.I.
Sq
ua
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PU
BL IS
HI NG
E.I. Square Publishing...Andy & Me : : Pascal Dennis : .
ISBN : 978-974-7628-64-7 : 260 Lean Logistics : : Michel Baudin : .
ISBN : 978-974-7662-69-6 : 430 Andy & Me 2 : Pascal Dennis : .
ISBN : 978-616-7062-10-5 : 390 : Creating a Lean Culture : David
Mann : . . ISBN : 978-974-2588-83-0 : 350 : LEAN THINKING : James
P. Womack Daniel T. Jones : . ISBN : 978-974-7231-31-1 : 450 :
World-Class Warehousing and Material Handling : Edward H. Frazelle,
Ph.D. : ISBN : 974-94684-3-0 : 330 : : Damon Schechter, Gordon
Sander : ISBN : 974-94420-9-1 : 330 ... ( 3) : . ISBN :
974-94063-7-0 : 150
: Marketing Logistics : Martin Christopher Ph.D., Helen Peck
Ph.D. : . ISBN : 974-94684-2-2 : 280 : . ISBN : 974-91387-5-9 : 150
2 : . ISBN : 974-92314-8-1 : 150
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Richard Wysk, Jose Manuel Torres : ISBN : 978-974-0462-48-4 :
340
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DNA : Inside The Mind of TOYOTA : Satoshi Hino : . ISBN :
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What is Lean Six Sigma? : Michael L. George, David Rowlands,
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Six Sigma : Warren Brussee : ISBN : 978-616-7062-05-1 : 400
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Organization
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5 (Learning Organization)
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