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The Prioritization of Lean Techniques in Emergency Departments Using VIKOR and SAW Approaches

BACKGROUND: Considering various researches were carried out to implement Lean techniques in healthcare centers, this study has tried to investigate how lean principles could be prioritized in the Emergency Department (ED) by comparing physicians and nurses viewpoints. METHODOLOGY: In the first stage...

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Autores principales: Aminjarahi, Mohammad, Abdoli, Mohsen, Fadaee, Yasin, Kohan, Fatemeh, Shokouhyar, Sajjad
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Research and Publications Office of Jimma University 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8188067/
https://www.ncbi.nlm.nih.gov/pubmed/34158780
http://dx.doi.org/10.4314/ejhs.v31i2.11
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author Aminjarahi, Mohammad
Abdoli, Mohsen
Fadaee, Yasin
Kohan, Fatemeh
Shokouhyar, Sajjad
author_facet Aminjarahi, Mohammad
Abdoli, Mohsen
Fadaee, Yasin
Kohan, Fatemeh
Shokouhyar, Sajjad
author_sort Aminjarahi, Mohammad
collection PubMed
description BACKGROUND: Considering various researches were carried out to implement Lean techniques in healthcare centers, this study has tried to investigate how lean principles could be prioritized in the Emergency Department (ED) by comparing physicians and nurses viewpoints. METHODOLOGY: In the first stage, relevant Lean techniques and several criteria to evaluate the ED performance were selected by reviewing the literature. Then, weight factors for each criterion were calculated using the Entropy method, and Lean techniques were compared and ranked via a questionnaire by which the physicians' and nurses' opinions were obtained separately. In the last stage, the final ranking of Lean techniques was done using VIKOR and SAW methods as two powerful means of Multi-Criteria Decision-Making (MCDM). RESULTS: Theory of Constraints (TOC) was selected as the most appropriate principle from the physicians' viewpoints by both decision-making methods. However, according to the nurses' opinions, Jiduka was the best approach by the VIKOR method, while with the SAW method, 5S was chosen as the most practical Lean technique. CONCLUSION: This study has illustrated that although all Lean techniques are useable for ED, these techniques' prioritization has a key role in choosing the more suitable Lean approach. Moreover, it provides a chance for the emergency wards to keep down different costs and improve staff and patient satisfaction and the quality of treatment simultaneously.
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spelling pubmed-81880672021-06-21 The Prioritization of Lean Techniques in Emergency Departments Using VIKOR and SAW Approaches Aminjarahi, Mohammad Abdoli, Mohsen Fadaee, Yasin Kohan, Fatemeh Shokouhyar, Sajjad Ethiop J Health Sci Original Article BACKGROUND: Considering various researches were carried out to implement Lean techniques in healthcare centers, this study has tried to investigate how lean principles could be prioritized in the Emergency Department (ED) by comparing physicians and nurses viewpoints. METHODOLOGY: In the first stage, relevant Lean techniques and several criteria to evaluate the ED performance were selected by reviewing the literature. Then, weight factors for each criterion were calculated using the Entropy method, and Lean techniques were compared and ranked via a questionnaire by which the physicians' and nurses' opinions were obtained separately. In the last stage, the final ranking of Lean techniques was done using VIKOR and SAW methods as two powerful means of Multi-Criteria Decision-Making (MCDM). RESULTS: Theory of Constraints (TOC) was selected as the most appropriate principle from the physicians' viewpoints by both decision-making methods. However, according to the nurses' opinions, Jiduka was the best approach by the VIKOR method, while with the SAW method, 5S was chosen as the most practical Lean technique. CONCLUSION: This study has illustrated that although all Lean techniques are useable for ED, these techniques' prioritization has a key role in choosing the more suitable Lean approach. Moreover, it provides a chance for the emergency wards to keep down different costs and improve staff and patient satisfaction and the quality of treatment simultaneously. Research and Publications Office of Jimma University 2021-03 /pmc/articles/PMC8188067/ /pubmed/34158780 http://dx.doi.org/10.4314/ejhs.v31i2.11 Text en © 2021 Mohammad A., et al. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Original Article
Aminjarahi, Mohammad
Abdoli, Mohsen
Fadaee, Yasin
Kohan, Fatemeh
Shokouhyar, Sajjad
The Prioritization of Lean Techniques in Emergency Departments Using VIKOR and SAW Approaches
title The Prioritization of Lean Techniques in Emergency Departments Using VIKOR and SAW Approaches
title_full The Prioritization of Lean Techniques in Emergency Departments Using VIKOR and SAW Approaches
title_fullStr The Prioritization of Lean Techniques in Emergency Departments Using VIKOR and SAW Approaches
title_full_unstemmed The Prioritization of Lean Techniques in Emergency Departments Using VIKOR and SAW Approaches
title_short The Prioritization of Lean Techniques in Emergency Departments Using VIKOR and SAW Approaches
title_sort prioritization of lean techniques in emergency departments using vikor and saw approaches
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8188067/
https://www.ncbi.nlm.nih.gov/pubmed/34158780
http://dx.doi.org/10.4314/ejhs.v31i2.11
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