Lean Leadership – 15 Rules for a Sustainable Lean Implementation

Dombrowski, Uwe; Mielke, Tim

doi:10.1016/j.procir.2014.01.146

Cited by 127 publications

(134 citation statements)

References 7 publications

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“…18,19 Two major lean principles that are applied "in the gemba" are seeking perfection and embracing scientific thinking. 20,21 A gemba walk or huddle is an opportunity for the team to gather where the work occurs and observe work as it happens. 18,22 Gemba huddles create a safe, nonpunitive forum for reflection, input, and observation.…”

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confidence: 99%

Using Gemba Boards to Facilitate Evidence-Based Practice in Critical Care

Bourgault

Upvall

Graham

2018

Critical Care Nurse

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Background Tradition-based practices lack supporting research evidence and may be harmful or ineffective. Engagement of key stakeholders is a critical step toward facilitating evidence-based practice change. Gemba, derived from Japanese, refers to the real place where work is done. Gemba boards (visual management tools) appear to be an innovative method to engage stakeholders and facilitate evidence-based practice. Objectives To explore the use of gemba boards and gemba huddles to facilitate practice change. Methods Twenty-two critical care nurses participated in interviews in this qualitative, descriptive study. Thematic analysis was used to code and categorize interview data. Two researchers reached consensus on coding and derived themes. Data were managed with qualitative analysis software. Results The code gemba occurred most frequently; a secondary analysis was performed to explore its impact on practice change. Four themes were derived from the gemba code: (1) facilitation of staff, leadership, and interdisciplinary communication, (2) transparency of outcome data, (3) solicitation of staff ideas and feedback, and (4) dissemination of practice changes. Gemba boards and gemba huddles became part of the organizational culture for promoting and disseminating evidence-based practices. Conclusions Unit-based, publicly located gemba boards and huddles have become key components of evidence-based practice culture. Gemba is both a tool and a process to engage team members and the public to generate clinical questions and to plan, implement, and evaluate practice changes. Future research on the effectiveness of gemba boards to facilitate evidence-based practice is warranted. (Critical Care Nurse. 2018;38[3] T ransition from tradition-based practices, sometimes referred to as rituals or "sacred cows," 1 to evidence-based practice (EBP) is a challenge for health care providers. Many current tradition-based practices lack adequate evidence and have the potential to create harm.2-4 For example, assessment of feeding tube placement using auscultation (air insufflation) is an inaccurate method that has been associated with complications such as pneumothorax and pneumonia. 5,6 Radiography is the most common standard to verify feeding tube placement, but the effort to deimplement (stop) feeding tube assessment by auscultation continues. 5,6 There is a need for nurses to modify tradition-based clinical practices that are harmful, ineffective, or lacking PhD, RN, CNL, 12201 Research Parkway, Suite 300, Orlando, FL 32826 (email: annette.bourgault@ucf .edu).To purchase electronic or print reprints, contact the American Association of CriticalCare Nurses, 101 Columbia, Aliso Viejo, CA 92656. Phone, (800) 899-1712 or (949) 362-2050 (ext 532); fax, (949) 362-2049; email, reprints@aacn.org. evidence and incorporate EBP to achieve optimal patient outcomes and use of resources.

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Using Gemba Boards to Facilitate Evidence-Based Practice in Critical Care

Bourgault

Upvall

Graham

2018

Critical Care Nurse

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“…Leaders and employees need to work together to achieve the desired outcomes. It requires the participation of both, leaders and employees [10]. The success of the lean program will depend on how the leadership can influence the people inside the company…”

Section: Resultsmentioning

confidence: 99%

Lean production and business performance: influences of leadership styles

Zarinah

Farhana

Nadiah

2018

J. Fundam and Appl Sci.

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Current global economy creates intense competitive environment among businesses to ensure their survival in the present challenging market. Strategic view and formulation is crucial to enhance efficiencies and effectiveness of the businesses performance. Prior research however found lack of leader's intervention can lead to failures in lean production implementation.Hence, this study aims to examine the influence of leadership style in the implementation of lean production. Data were gathered from randomly selected Malaysian manufacturing firms.Findings reveal a positive relationship between lean production and business performance.Specifically, democratic leadership style was identified to moderate the relationship between lean production and business performance.

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“…Small-scale ventures frame a critical segment constituting 40% of the aggregate yield to the privet area and considerably more huge is the business age limit of small-scale sector. [17] Demonstrates the issue to support in the worldwide market for an association. Lean assembling is the song of survival and accomplishment of any association.…”

Section: S Benefitsmentioning

confidence: 99%

Key Benefits of Adopting Lean Manufacturing Principles in Indian Construction Industry

Singh

Dixit

Sahai

et al. 2018

MATEC Web of Conferences

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Abstract. Objectives of a lean production system (LPS) is to maximise value and minimise waste, by applying specific lean tools and techniques such as 5S, LPS, JIT, VSM, PULL, Kaizen, Six Sigma and many others techniques in a new production process. LPS is a philosophy based on the lean principles developed in Toyota by [1] [2] named as lean manufacturing principles and further developed as lean philosophy [3]. The main benefits of utilising 5S are identified from the literature review and a structured questionnaire is prepared. The data is collected using convenient sampling technique from the professionals working in the industry. The collected data is analysed using different tools and techniques. A total of 9 benefits were identified from the literature review and the expert opinion from the industry. The findings of the study contribute to the existing body of knowledge and lay down few suggestions to the industry for implementing 5S in the Indian context. The findings of the study conclude that the lean principles support the Indian manufacturing industry to improve productivity, quality, and reduction in cycle time The study is conducted using primary data collection and the sample size is small (86).

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Lean Leadership – 15 Rules for a Sustainable Lean Implementation

Cited by 127 publications

References 7 publications

Using Gemba Boards to Facilitate Evidence-Based Practice in Critical Care

Using Gemba Boards to Facilitate Evidence-Based Practice in Critical Care

Lean production and business performance: influences of leadership styles

Key Benefits of Adopting Lean Manufacturing Principles in Indian Construction Industry

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