Adapting the Toyota production model to teach systems-based practice to anesthesiology fellows

Liston, David E.; Richards, Michael J.; Karl, Helen W.

doi:10.1016/j.jclinane.2017.01.022

Cited by 4 publications

(3 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…23 Systemsbased practice shifts the emphasis away from individuals and any errors they may make, and towards identifying potential interdisciplinary and systemic issues that can be rectified to prevent similar errors from recurring. 24,25 Just culture "Just culture" is a concept originally developed by Marx, 26 a mechanical systems engineer and lawyer who looked at the intersection of human factors and systems engineering while working at Boeing. While the reports from the NAM emphasized the importance of not punishing individuals for reporting errors, not punishing individuals for intentional errors or culpable behaviors is undesirable as well.…”

Section: Systems-based Practicementioning

confidence: 99%

“…This concept, including the identification of systems errors, implementation of systems solutions, and work in interprofessional teams to enhance patient safety, is now a core competency for residency training in the United States, demonstrating its importance and relevance to the practice of medicine 23 . Systems-based practice shifts the emphasis away from individuals and any errors they may make, and towards identifying potential interdisciplinary and systemic issues that can be rectified to prevent similar errors from recurring 24,25 …”

Section: Defining Safety Culturementioning

confidence: 99%

See 1 more Smart Citation

Practical approaches to implementing a safety culture

Brook,

Lin,

Agarwala

2024

International Anesthesiology Clinics

View full text Add to dashboard Cite

Section: Systems-based Practicementioning

confidence: 99%

Section: Defining Safety Culturementioning

confidence: 99%

Practical approaches to implementing a safety culture

Brook,

Lin,

Agarwala

2024

International Anesthesiology Clinics

View full text Add to dashboard Cite

“…It is an effective tool for improving process efficiency with the core concept of waste elimination and continuous improvement. 5 , 6 With a unique meaning in TPS theory, waste may be simply explained in terms of the medical field as all behaviours that are not helpful to patients or conducive to their diagnosis and treatment or recovery. TPS was first applied to the management of manufacturing processes and then gradually introduced to other industries.…”

Section: Introductionmentioning

confidence: 99%

Improving the Quality of Emergency Intrahospital Transport for Critically Ill Patients by Using Toyota Production System Methods

Lu¹,

Zhang²,

Zhu³

et al. 2022

JMDH

View full text Add to dashboard Cite

Objective To explore the effects of the Toyota Production System (TPS) for improving the quality of emergency intrahospital transport for critically ill patients in management. Methods Between April and June 2021, 68 critically ill patients were transported to corresponding wards, while 63 critically ill patients were transported to corresponding wards between July and September 2021. The pre-TPS and post-TPS management groups each included 30 cases based on their propensity score. The TPS management tool was combined with the PDCA method for analysing the current situation as well as determining the target for improvement, calculating the value and process efficiencies, and modifying and evaluating relevant processes. At last, the changes in transport time, receiving department, patient satisfaction, and adverse event rate of critically ill patients after TPS management were analysed. Results The total intrahospital transport time of critically ill patients decreased from 39 minutes (median) before the implementation of TPS management to 27 minutes (median) after TPS management, and the difference was statistically significant (P<0.05). Process efficiency and value efficiency both increased from 33.33% and 38.46% before TPS management to 42.86% and 40.74% after TPS management, respectively. Likewise, the satisfaction of receiving departments and patients increased from 73.33% and 76.67% before TPS management to 96.67% and 96.67% after TPS management (P<0.001). Finally, the adverse event rate decreased as a result of TPS management from 13.33% to 3.33% (P>0.05). Conclusion TPS management may significantly shorten the intrahospital transport time for critically ill patients, reduce the occurrence of adverse events in emergency care, advance patient satisfaction, and improve the overall quality and safety of emergency care.

show abstract

The systems-based practice competency: an innovative model to achieving class-wide proficiency in a pain medicine fellowship

Glicksman

Emerick²,

Brancolini³

2023

Pain Medicine

View full text Add to dashboard Cite

Brief Article Summary One of the ACGME’s six core competencies, systems-based practice (SBP), is difficult to interpret and developing proficiency over a one-year fellowship poses a challenge. Given the implications that successful SBP can have on pain medicine, it is especially important for fellows to focus on this competency during their training. Here, we propose a way to implement effective SBP into a pain medicine fellowship and the impact it may have within the larger health care system.

show abstract

Adapting the Toyota production model to teach systems-based practice to anesthesiology fellows

Cited by 4 publications

References 8 publications

Practical approaches to implementing a safety culture

Practical approaches to implementing a safety culture

Improving the Quality of Emergency Intrahospital Transport for Critically Ill Patients by Using Toyota Production System Methods

The systems-based practice competency: an innovative model to achieving class-wide proficiency in a pain medicine fellowship

Contact Info

Product

Resources

About