Lean-2351

Page 1

ภLean Management System


What is Lean ? Lean

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Lean

1913 Henry Ford +, - Line / 0 1, , 23,

1950 Eiji Toyoda 3 3 0 9 :: ,/ 23, FORD ภ> ?, >>ภ/ @A: Toyota C DE,


History Timeline for Lean Manufacturing

6


+ 3 :ภHealthcare ภ- : /0 CA3 I, J D> , KA : L 3 ภ> Toyota /0 CI, M 1950 " * ภ!

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ภSAINTLOUIS HOSPITAL

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ภ3 / + E 3 ภ3.$ ( 0 ภA,/ L

' ("

# & ภ# *% &* 0 ภ1( )

$ &ภ" # *% &* # & ภภ" ภภ+ 03 4

ภ0 ภภ, '-. *. )'-. *. ) $ & ,

ภ3.$ $ 0 ŕ¸

! " ภภ" # ภภภภ$% &


2D : " F ก " ก F %! F" ก #d * !$+JF# @ F %! F" K ก F* + #Z" ก@ # @ * F %! # F# ! * K ก


FLOW DIAGRAM c ■ DRITY ROOM

TREATMENT ROOM

T T R O O M

♥ COM ROOM

■ ■ CLANNINR ROOM

ns 1 y 12

11

2 10

3

4 08

5 07

6 S P A C E A R I A


Flow ก " ก Pretest ก / * y. z.

{. |. }. ~.

/ + E 3 @+ 2P:O+A: ก >@+A K A: 2 , I,O+A: ก : A- , 3 L ก@] ก กe L+ >ก - A L :ก 3 L+ >ก 3, K1A/+ `,0DL/ + E 3 L+ >ก CC ]0 L+ >ก 3 :ก 3ก A, OR / SSE PREP & SHAVE , DOUCH

D /

F" ( .)

/

2 4

30

/ / / /

10 2 2 15 30


3ก / @ 1, A, . L+ >ก ก / A ก - C / ก s> E 3 . L+ > 3 :O AL KALL- / ก กs> KAL : . L+ >@+A ก 3 ก >ก / L / ก IO+3 : > + Pก / ก d > ,ก A,-O : / L y . s,I>3 ,3A / L yy. ,: ,ก >O+A:/ L yz.> , Pก@+A @A:/ + E 3

D

F" ( .)

/

8

/

7

/

15 30

/ / /

1 1 15

30


3ภ/ @ 1, A, y{. >N +: ภO+A:/ L y|. L+ >ภ3,0DL - O >O+A:/ L y}. L+ >3 pre-med / % ภภ$ /

D / /

F" ( .)

1 2 10 95 150


ภNภ+ @ * F ( 11, 15)

* K @ ( ภภ)

_

K A/ + E 3 @+ O+A: ภ€ ภAAภ3 AD ภ] IO+ 3 :O AL KALL- ภ> @+ I,O+A: K A - ภภภ3 >

,- AD ภ] AAภภs> ภ> @+ A ภ1: K AIO+@+A ภ3 ภ>ภ/ L

L 3 L+ 11 K A/ + E 3 @+ O+A: ภ3 AD ภ] IO+ , 3 :O AL KALL- @+ I,O+A: - â˜ş L 3 : L+ 30 ภภภ3 > +A 1:€ ภN IO+@+A ภ3 ภ>ภ/ L

K A/ + E 3 @+ O+A: ภ- A L :ภ3 3 , K1A/+ / + E 3 ภ, 1, 3 AD ภ] prep & shave skin SSE, douch N + P: @+ - ภภภ3 / + E 3ภA, O+A:/ L

Rearrence / ( ภL - L >@ 1, A, IO )

Eliminate / Combine

K A/ + E 3 @+ O+A: ภ,- AD ภ] prep & Shave ,SSE ,douch @+ I, O+A: ภ+A ภ>ภ- A L :ภ3 N + P: 3, K1A/+ `,0DL/ + E 3

â˜ş

L 3 L+ 9 , â˜ş L 3 : L+ 30 â˜ş


Flow ก " ก Post test

F" ( .

3ก / @ 1, A, / + E 3 @+ O+A: ก z. >@+A K A: 2 , I,O+A: ก :A- , 3 / L ก@] ก กe {. L+ >ก - A L :ก 3 / 3 / :ก 3 PREP & SHAVE ,SSE ,DOUCH $ % 0 ! ,# 03 4 / % 55 6, 7 8. "% $($ $ $ 7 ก " / ก:" $ % ' / ; ก ( / ก y.

D /

2 4

30

20

20 30


3ก / @ 1, A, s> E 3 / IO+@A+ ก 3 ก > ก / L / ก IO+3 : > + Pก / ก d > ,ก A,-O :/ L / s,I> 3 ,3A / L }. L A ,: ,ก >O+A:/ L ~. > , Pก@+A @A:/ + E 3 . >N +: กO+A:/ L . L+ >ก 3,0DL - O >O+A:/ L . L+ >3 PRE-MED / % ก ก $ "

D

/ / / / /

F" ( .)

1 15 1 2 30 10 75 90


FLOW DIAGRAM (post test) COUNTER NURSE

DRITY ROOM TREATMENT ROOM

COM ROOM

NSY

12

CLANNINR ROOM

= NURSE

☼= NA

1

2

11 10

3

4

5

8

7

6

S P A C E A R E A


I,O+A:/ L / pre test ; post test F"

( .)

PRE

POST

/ /

1 4 12 4 1 5

1 4 7 4 1 4

/

20 7

3ภ/ @ 1, A, 9 N +:O, 3: , K A >/ + E 3 z. L 2 K A,3+ 3 >/ + E 3 {. A >/ + E 3 |. ,- :/ + E 32P:/ L }. 3+ 3 3: @+ @ A L ~. € ภ/ 0 1> : / A> Aภ/ N IO+ - N, ,- ภA,/ L . A 3N 3 N CC N 3 y.

D / / / /


F"

3ก / @ 1, A, t. 3+ 3/ + E 3 @+ O+A:/ L . L K A: L CC ]0 N 3 / AD ก ] - ก / L

D /

( .)

PRE POST

3 6

3 6

56 37


ภNภ+ @ * F ( @ * ) + O,+ > :/ + E 39 N +:O, 3: , N + @P1, >/ + E 3 O, 3: , , - IO+ +A: A >/ + E 3 O, 3: ,

K A/ + E 32P:O+A:/ L + O,+ 0 3 3, 3: @+ @ A L 3 > € ภA> AภN IO+ - N, ,- ภA,/ L

* K @ ( ภภ) Simplify ( > D: , 3, q )

+ O,+ > :/ + E 39 N +:O, 3: , ภA,@P1, >/ + E 3 10-15 , N + P: L , : >/ + E 3 Rearrence /Combine

K A/ + E 32P:O+A:/ L 3 > 0 3 3 , 3: @+ @ A L +A 1:€ ภA> AภN IO+ - N, ,- ภA,/ L

_

L 3 A >/ + „ 3 O, 3: , L+ 5 , â˜ş

â˜ş

L 3 1 ,


/ : : ก # # ก " ก F %! G "@ @" @ * G ก * $ * ก * ก # # " _ ก $ N F" # O 40 60 F * *@ + #Z" 1 $ " \ K K ก + #Z" > 80 % K ก F" ก ก" + #Z"


RADAR CHART A1 A2 A3 A4 A5 A6 A7

ก !" #$ %

ก & ก ก ' #( A =

B 1 !" #$ ก ก B 2 !" #$ !) * B 3 !" #$ ก "% ก

ก B 4 !" #$ ,, *-& ' % ' ก B 5 & ) ก ก B = !" #$ + , *-


/ :A+A L Os, ภภQ e] + O,+ 20 , / / + E 3N C 10 , A1 10 8

B5 8 B4 8 B3 8

4

5

7 4

0

5 4

B29 B1

5

5

7

4

A2 9A3

4 3

5 8 A7

4

8 A4 5

8 A6

8 A5

Pre-test Post-test


D /

ภภK Lean management K ภ" K K ภ# F F % * $ " @ K K ภ+ ภ" " *ภภ" ภ* $ " * ภ+ #Z" ภ\ K ภ@" ภF # + ภ@$ $ F ! " ! K *@ + #Z" ภ\ $ N ภ# F %! K ภภ%!


ภ) ! K ภ-5## $# ภ# ) ! ")$# “& ภA " - ) ) L)5#) - )â€? Bruno Ferrero


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