UPAYA PENERAPAN METODE LEAN THINKING PADA PROSES PELAYANAN FARMASI RAWAT JALAN

Pharmacy services in a hospital are an inaccessible part of the hospital services as a whole. The accumulation of prescriptions in the pharmacy will cause the prescription process to be long and long, which has an impact on customer waiting times, which of course will have a major impact on customer satisfaction. From the standard time set as Quality Indicators at Bali Jimbaran Hospital, namely: drug processing at the outpatient pharmacy of Bali Jimbaran Hospital is 60 minutes of concocted drugs, 30 minutes of non-concocted drugs. The purpose of this research is to identify activities starting from the input, process and results generated through the Lean approach. The method used is an observational action process research, using lean methods to photograph the outpatient pharmacy service process flow through document review, direct interviews, interviews. The result of the research is an improvement in waiting time, it can be seen that the NVA activities can be eliminated by 66% and VA activities show an increase of 44%. With the many activities that are VA and the elimination of NVA activities, it will accelerate the process of outpatient pharmacy services at the Bali Jimbaran Hospital and improve customer satisfaction, which can be seen from the decrease in customer complaints against outpatient pharmacy services by up to 50%, which was previously 80%. Keywords: Lean, Pharmacist, Waiting time, Value Added, Non-Value Added

Exploring the Application of Lean Best Practices in Remanufacturing: Empirical Insights into the Benefits and Barriers

Remanufacturing processes have been widely identified as being important elements of a sustainable economy. However, the commercial viability of this product recovery route is significantly influenced by several operational challenges that are different from those that occur in conventional manufacturing. One of the most widely used systematic process improvement methods in conventional manufacturing is lean production, which seeks to minimize all forms of waste throughout an operation. As the academic study of lean best practices in remanufacturing processes is relatively new, there is a lack of knowledge regarding implementation and impact. As such, this paper presents multiple case studies investigating the application of lean methods in industrial remanufacturing operations. These studies focus on the automotive industry, where both conventional and remanufacturing operations have been the leading adopters of lean thinking and practice. The results of the investigation identify specific lean methods that help manage the inherent complexity of the remanufacturing processes, and consequently improve the overall productivity of the process. Similarly, factors that limit the application of lean practices within remanufacturing are also identified and discussed. Matrices for opportunities and threats are developed to enable the simple adoption of these findings. Overall, the research provides a more holistic understanding of the application of lean within a remanufacturing environment, with benefits for both academia and industry.

Systematic review of lean thinking in education institutions

The economy, culture, and social development of countries in the 21st century are directly related to the quality of education. For education to have expected quality and deliver the desired values to their client, many educational institutions are applying Lean management. Therefore, the paper aimed to explore the Lean implementation in education through a systematic review of papers from the past five years, in English and the Scopus and Web of Science databases. The methodology was developed using the PRISMA protocol and has been according to the type of approach, place of analysis, tools, facilitators, barriers, positive results, negative results, and the tendency of future work. The main results found were that 69.57% of the papers are analytical, LSS is the most discussed tool, the reduction is the main facilitator, the lack of Lean knowledge is the main barrier, and the attendance to the student obtained the best positive result.

Applications of lean in human resources management in healthcare

Recent challenges brought by the coronavirus disease-2019 pandemic have underscored the importance of coping with pressures on the workforce in healthcare around the world and have emphasised the continuing need to improve quality and operation efficiency of healthcare services even in such dire circumstances. Over the years, lean thinking has gained recognition in the healthcare industry, where lean has been associated with benefits, such as improved healthcare delivery quality, reduced costs and increased effectiveness of the healthcare delivery processes. Lean thinking has also been analysed in human resources with benefits, such as increased job satisfaction and perceived job autonomy. The current narrative review was planned to analyse and discuss the application and implementation of lean strategies with a particular focus on human resource management in healthcare. The review is complemented by a case study in a private healthcare group in Turkey, ---Continue

Transportation performance improvement through lean thinking implementation

Purpose The application of lean thinking in the transportation industry provides opportunities to streamline operations with a value-added orientation. Prior literature shows evidence of limited application of lean thinking in the transportation operations of the pharmaceutical industry. This study aims to close this research gap by investigating the application of lean thinking for improving pharmaceutical transportation performance. Design/methodology/approach This study conducted an action research approach at an Indonesian pharmaceutical distribution company. One cycle in one year was analyzed; empirical data were collected and analyzed through direct observations, interviews and the study of company data and documentation. Findings The application of lean thinking in waste elimination allowed the delivered project to achieve a remarkable 40% reduction in overall transportation costs, 75% reduction in total lead time, 200% improvement in truck productivity and 100% improvement in truckload capacity utilization. Practical implications This study can guide the pharmaceutical industry toward achieving excellence in transportation operations through lean thinking implementation. Originality/value There has been limited research on this topic, and this study is the first attempt to generate new and significant evidence of a real-life application of lean thinking within the field of pharmaceutical transportation.

Adoção do Lean Thinking na Criação de Valor no Setor de Serviços: O caso de uma empresa de Call Center em Barra Mansa/RJ / The Lean Thinking adoption in the value co-creation in Services: The case of a Call Center company in Barra Mansa/RJ

Prover uma satisfatória experiência ao cliente em atividades de call center é uma forma para atender suas expectativas e buscar sua fidelização junto à empresa. Deste modo, a agilidade na resolução de problemas é um fator que contribui para uma experiência agradável. Diante do exposto, o presente estudo visa identificar oportunidades de melhorias no serviço de call center no que tange a otimização no processo do tempo médio de tratativa de atendimento ao cliente. Para atingir esse objetivo foi adotado o Gráfico de Balanceamento de Operador (GBO), também conhecido como Yamazumi board, de modo que as atividades foram fragmentadas em etapas, de modo a mitigar os desperdícios do processo. A partir do estudo, foi possível identificar um conjunto de melhorias advindas do Lean Thinking aplicados em call center, bem como estratégias para agilizar o fluxo de atendimento ao cliente, sem investimentos monetários para adequar as melhorias propostas.

Determinants of Organizational Culture and Lean Thinking: Basis of a Post Pandemic Strategic Planning in Distribution and Retail Chain of Stores

The study's goal was to give stakeholders information drawn from employees' lean thinking on organizational culture during a hostile moment, as well as to produce a strategic planning idea for the distribution and retail chain of outlets. To discover significant facts about the topic, a descriptive survey with a mixed qualitative and quantitative research approach was used. Employees of ten (10) corporations involved in distribution and retail chain stores in Metro Manila were polled for information, to learn about substantial and minor variances in employees' attitudes toward lean thinking in terms of organizational waste, as defined by the organizational culture in the workplace. Findings between lean thinking and business culture revealed significant disparities in employee status. It refers to personnel who, regardless of their job title, may contribute to the organization's waste. This research will be used as a foundation for strategic planning for supply networks in distribution and retail chains in any company industry during and after an adversarial phase.

Lean practices toward a balanced sustainability in higher education institutions: A Brazilian experience

Purpose As few studies have explored the causal relationship between both the triple bottom line (TBL) of sustainability and the lean practices in higher education institutions (HEIs), the purpose of this paper is to analyze the relationships between lean practices and sustainable practices in Brazilian HEIs. Design/methodology/approach A survey was conducted with 454 public and private HEIs workers in Brazil. Confirmatory factor analysis and structural equations modeling were used for data analysis. Findings The results support the hypotheses of the study that HEI lean practices are positively related to environmental, economic and social practices in HEIs. Practical implications HEI managers must evaluate the use of lean practices in the organizational processes, to identify their weaknesses and to improve the aspects that influence a balanced TBL of sustainability practices. Social implications The findings highlight the importance of leadership as a support for the workers, as a continuous improvement practice on a daily basis and a focus on the student as a basic principle of HEI success. Originality/value This article provides new measurement and structural models to analyze Lean thinking practices as the predictors of sustainability practices. The work could assist any HEI in prioritizing its strategies and actions and to contribute to excellence in decision-making. This study could contribute as a source of empirical data for transferability in other contexts for HEIs.