Utilizing Innovation to Develop a Lean Management System for Medical Instruments and Equipment in Response to Thailand's Strategic Plan for Becoming an International Medical Hub
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Abstract
The objectives of this research are to 1) study the impacts of medical technology usage, 2) study the promotion of technological innovation in developing a lean management system for medical instrument and equipment sterilization, 3) study the waste reduction through innovation, 4) study the use of innovation in developing lean management systems, and 5) study guidelines for using innovation to develop lean management systems for medical instruments and equipment, in response to Thailand's strategic plan to become an international health center. This research employed a qualitative approach with 25 key informants directly involved in the field. Research instruments included in-depth interviews, focus group discussions, and content analysis.
The research findings revealed that: 1) The impacts of medical technology usage affect personnel, service delivery, academic development, and medical ethics; 2) Regarding innovation promotion, technology was utilized in collecting and delivering contaminated medical instruments, cleaning medical instruments, wrapping medical instruments, sterilization, verifying sterilization efficiency, storing sterilized medical instruments, and distributing sterilized medical instruments; 3) Waste reduction findings showed that innovation helped reduce waste in producing defects, overproduction, waiting time, excessive inventory, unnecessary transportation and movement, inefficient processes, and unnecessary body movements; 4) When lean management was implemented, comparing the ratio of revenue minus total cost to labor cost showed an increasing trend in returns; and 5) There are four guidelines for using innovation to develop lean management systems: 1) utilizing medical innovations and technologies, 2) developing and improving sterilization systems, 3) reducing waste in hospital service processes, and 4) using innovation (IT) to develop lean management systems.
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