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This article presents an aplication of the concepts of lean office at the institutional level in the areaResumo: O presente artigo apresenta uma aplicação dos conceitos de escritório enxuto no nível institucional na área da prestação de serviços, particularmente no segmento de saúde. Dessa forma será apresentado o caso do posto médico militar da guarnição de Campinas, estado de São Paulo, o qual é subordinado ao Comando da 11ª Brigada de Infantaria Leve. Para tanto será mostrado inicialmente um panorama da organização e sua situação gerencial, destacando-se os conflitos existentes. Na sequência será vista a metodologia de Lean Office (Escritório Enxuto) aplicada à solução dos problemas e os resultados obtidos. Palavras

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Purpose -The purpose of this paper is to present management techniques in the healthcare sector through lean office. Design/methodology/approach -A case study approach is adopted, with data collected in the Brazilian military organization. Findings -The findings identify several ways to apply lean concepts outside manufacturing. From this, a future lean office health state design will be proposed. Research limitations/implications -The lean office health proposal has to be tested in other organizations to confirm this case study. While this may limit the generalization of the findings, there is value in demonstrating the benefits modern lean office techniques can bring to the developing world healthcare.Practical implications -The paper shows that lean office health techniques can provide benefits to healthcare in developing countries' hospitals and others. Originality/value -The value of the paper arises from providing a detailed analysis of a healthcare lean office in the developing world. There have been only a small number of other studies published in the literature about lean office health.

The intense competitive manufacturing environment results in small-and medium-sized enterprises searching for strategies to drive cost reduction and increase quality. While these are goals all organizations strive for, small-and mediumsized enterprises must accomplish these continuous improvement objectives with limited resources. The integration of quality tools with the Six Sigma methodology is fundamentally important in this process. This article describes the application of the Six Sigma methodology in a North American plumbing products small-and medium-sized enterprise. In this study, a cross-functional team uses the Six Sigma tools and methodology to reduce cycle time and increase sales. This case study presents a roadmap for studying the production cycle using the DMAIC process (define, measure, analyze, improve, and control). Using a market research study, the team quantitatively defines the problem, measures the process, analyzes the supporting data, and implements a series of solutions resulting in increased customer satisfaction. In addition, strategies are implemented to control the process improvements. The results offer evidence of Six Sigma effectiveness for small-and medium-sized enterprises and offer direction for small-and medium-sized enterprises interested in implementing a similar approach.

RESUMONo cenário atual em que há exigências contínuas de evolução do conhecimento e de avanços tecnológicos, a educação tecnológica é um assunto que merece destaque, pois é através dela que uma grande parcela dos trabalhadores é formada para atuar no mercado de trabalho cada vez mais qualificado e competitivo. (3,193), enquanto que o domínio psicológico foi o que apresentou maior satisfação (6,819). Destaca-se que a variável que apresentou a maior média na pesquisa foi a relação professor-aluno (8,233). Embora os resultados não possam ser generalizados para o expressivo universo de professores do Ensino Técnico dos Institutos Federais, os achados deste estudo demonstram a necessidade de alinhamento quanto à política de gestão de benefícios e apoio familiar e comunitário no grupo pesquisado, revelando a qualidade da relação ensino-aprendizado neste cenário.

Manufacturing companies strive for ever-increasing competitiveness through productivity and quality. This goal can be achieved through the implementation of lean manufacturing and six sigma methodologies. Lean manufacturing adds value by reducing waste, while six sigma eliminates variability. In this context, this article proposes a new framework within Lean Six Sigma circumstances. The framework was proposed by means of an exhaustive literature review which identified the positive points of other Lean Six Sigma frameworks available on literature. The framework was applied to a case study, and the assessments were based on semi-structured questionnaires and analysis of records and documents. The implementation was carried out in a manufacturing company in Brazil, which belongs to an American-based multinational. In the case study described herein, the manufacturing company established the proposed framework to support the combination of lean manufacturing and six sigma and introduced an enterprise-wide culture of project through the proposed Lean Six Sigma framework, which resulted in significant benefits.

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