2012
DOI: 10.1016/j.ejor.2011.12.029
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SimLean: Utilising simulation in the implementation of lean in healthcare

Abstract: Discrete-event simulation (DES) and lean are approaches that have a similar motivation: improvement of processes and service delivery. Both are being used to help improve the delivery of healthcare, but rarely are they used together. This paper explores from a theoretical and an empirical perspective the potential complementary roles of DES and lean in healthcare. The aim is to increase the impact of both approaches in the improvement of healthcare systems. Out of this exploration, the 'SimLean' approach is de… Show more

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Cited by 216 publications
(166 citation statements)
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References 48 publications
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“…In fact, given a fixed budget of time, a modeller may choose not to involve clients in model building, but instead reuse an existing or generic simulation model (Bowers, Ghattas, & Mould, 2012;Fletcher & Worthington, 2009;Robinson, et al, 2004). For example, the time saved by reusing a model of a whole hospital could instead be used for experimentation (Günal & Pidd, 2011) or, where no time is available for model building, pre-built models could be used to rapidly educate clients in approaches to improvement, for instance in lean (Robinson, Radnor, Burgess, & Worthington, 2012). Given that reuse is occurring in practice, it is important to understand how client learning is influenced by the reduced involvement in model building and the increased opportunity for experimentation offered by model reuse.…”
Section: Introductionmentioning
confidence: 99%
“…In fact, given a fixed budget of time, a modeller may choose not to involve clients in model building, but instead reuse an existing or generic simulation model (Bowers, Ghattas, & Mould, 2012;Fletcher & Worthington, 2009;Robinson, et al, 2004). For example, the time saved by reusing a model of a whole hospital could instead be used for experimentation (Günal & Pidd, 2011) or, where no time is available for model building, pre-built models could be used to rapidly educate clients in approaches to improvement, for instance in lean (Robinson, Radnor, Burgess, & Worthington, 2012). Given that reuse is occurring in practice, it is important to understand how client learning is influenced by the reduced involvement in model building and the increased opportunity for experimentation offered by model reuse.…”
Section: Introductionmentioning
confidence: 99%
“…Sohal sees Lean Manufacturing as a working belief that does not necessitate organizations to change to whole system, only to adjust it to suit their business culture (13). Radnor on the other hand, defined Lean Manufacturing as a management practice based on the philosophy of continuously improving processes by either increasing customer value or reducing non-value adding activities (Muda), process variation (Mura), and poor work conditions (Muri) (14). However, it is worth noting that every change is subjected to resistance, so does the change towards Lean Manufacturing.…”
Section: Lean Manufacturingmentioning
confidence: 99%
“…The logical structure of the models was developed after studying and comparing the findings in the available literature [41][42][43][44][45][46] and previous research work [47,48].…”
Section: Simulation Models Of Lean Gamesmentioning
confidence: 99%