Hospital scheduling presents huge challenges for the healthcare industry. Various studies have been conducted in many different countries with focus on both elective and non-elective surgeries. There are important variables and factors that need to be taken into considerations. Different methods and approaches have also been used to examine hospital scheduling. Notwithstanding the continuous changes in modern healthcare services and, in particular, hospital operations, consistent reviews and further studies are still required. The importance of hospital scheduling, particularly, has become more critical as the trade-off between limited resources and overwhelming demand is becoming more evident. This situation is even more pressing in a volatile country where shootings and bombings in public areas happened. Hospital scheduling for elective surgeries in volatile country such as Iraq is therefore often interrupted by non-elective surgeries due to war-related incidents. Hence, this paper intends to address this issue by proposing a hospital scheduling model with focus on neuro-surgery department. The aim of the model is to maximize utilization of operating room while concurrently minimizing idle time of surgery. The study focused on neurosurgery department in Al-Shahid Ghazi Al-Hariri hospital in Baghdad, Iraq. In doing so, a Mixed-integer linear programming (MILP) model is formulated where interruptions of non-elective surgery are incorporated into the main elective surgery based model. Computational experiment is then carried out to test the model. The result indicates that the model is feasible and can be solved in reasonable times. Nonetheless, its feasibility is further tested as the problems size and the computation times is getting bigger and longer. Application of heuristic methods is the way forward to ensure better practicality of the proposed model. In the end, the potential benefit of this study and the proposed model is discussed.
is the overhaul of industrial machinery or equipment and facilities (Licker, 2003) • including testing, measuring, adjusting, cleaning and parts replacement • performed to prevent, keep, sustain and preserve faults from occurring.
Purpose: The objective of this study is to look at the problems that arise related to the distribution of subsidies provided by the Government and also to examine the extent to which the principles in Lean are applied and Lean approach can be applied in the management of subsidy distribution among farmers.
Theoretical Framework: The Malaysian government faces issues and challenges on food insufficiency and the importance of ensuring food security in the country and paddy is a major food commodity in Malaysia and an important factor in terms of security, poverty reduction and social issues. As the number of COVID-19 cases increases in the country, there is a heated debate on the appropriate measures that should be taken by the Government to curb the surge of paddy issue.
Methodology: For that purpose, a survey was conducted on 10 senior government officials who manage matters related to fertilizer subsidies in the Ministry, Farmers Organization Board, Area Farmers Organization, Department of Agriculture and Subsidy Product Suppliers and 20 farmers in the area studied. by using Lean Management as the main point in this study.
Findings: The collected data were analyzed using ATLAS.ti and Microsoft Excel. The results of this study show that most of the officers interviewed do not really understand the Lean philosophy and many officers consider the 5S to be Lean.
Research Implications: An understanding of Lean is critical because the Lean approach is a sustainable way to achieve operational excellence and can be applied in many areas.
Originality/Value: This study analyzed the issue arised during the during the distribution of rise subsidies throguh lean management.
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