Extreme Makeover in a health center: LEAN methodology applied to clinical practice by Maria João Nuno Lopes, Sofia Monteiro

“…It aims to reduce waste (things that don’t add value to the final product), add worth and work towards continuous quality improvement.Methods: LEAN tools to improve the clinical practice of a health center include:5S methodology: helps organize, clean, develop and maintain a productive work environment;'Spaghetti' diagram: displays the movement and distance that a given element has to travel throughout the entire process; andTime and motion studies: measure the various times associated with the process and the associated motion.Results: The LEAN methodology made it possible to manage space and time efficiently and optimally. …”
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Plan-do-study-act (PDSA) interventions to improve real-world endoscopy unit productivity by Christopher Bradley, Matt Sumethasorn, Jin Sun Kim, Sarah Wang, Leslie Martinez, Megan Chang, Lillian Lemus, Behrod Katebian, Dara Bruce, Andy Lee, Rachel Baden, Hal Yee, James Buxbaum

“…Conclusion: The PDSA ramp model is an effective means of assessing operational processes, developing novel interventions, and building consensus to improve the real-world productivity in a resource-conscious manner. MESH TERMS: Time and Motion Studies; Endoscopy, Gastrointestinal; Workflow; Efficiency, Organizational; Operative Time; Recovery Room; Cost savings; Hospital Units; Patient Care Team; Benchmarking; COVID-19…”
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A comparative field evaluation of six medicine quality screening devices in Laos by Caillet, C, Vickers, S, Zambrzycki, S, Fernández, FM, Vidhamaly, V, Boutsamay, K, Boupha, P, Peerawaranun, P, Mukaka, M, Newton, PN

“…Methodology/principal findings Observational time and motion studies of the inspections by 16 Lao medicine inspectors of 1) the stock of an Evaluation Pharmacy (EP), constructed to resemble a Lao pharmacy, and 2) a sample set of medicines (SSM); were conducted without and with six devices: four handheld spectrometers (two near infrared: MicroPHAZIR RX, NIR-S-G1 & two Raman: Progeny, Truscan RM); one portable mid-infrared spectrometer (4500a), and single-use paper analytical devices (PAD). …”

Rationale and design of leveraging the HIV platform for hypertension control in Africa: protocol of a cluster-randomised controlled trial in Uganda by Emmy Okello, Heiner Grosskurth, Moses Kamya, Gerald Mutungi, Starley B Shade, Mucunguzi Atukunda, Jane Kabami, Brian Twinamatsiko, Joan Nangendo, Edwin Charlebois

“…We will measure the cost of the intervention through microcosting and time-and-motion studies. The outcomes will be analysed taking the clustered structure of the data set into account.Ethics and dissemination Ethics approval has been obtained from the Research Ethics Committees at London School of Hygiene and Tropical Medicine, and Makerere University School of Medicine. …”
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Evidence of sustainable intensification in the production of palm oil from crops planted with Elaeis oleifera x Elaeis guineensis in Colombia by Mauricio Mosquera-Montoya, Jhonatan Eduardo Camperos, Elizabeth Ruiz, Diego Hernández, Alejandra García, Liseth Estefanía Vargas, Eloina Mesa, Daniel Munévar, Kelly Sinisterra

“…These research studies were undertaken by means of time and motion studies, optimal harvesting time studies and cost–benefit analysis. …”
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The incremental cost of delivering PrEP as a bridge to ART for HIV serodiscordant couples in public HIV care clinics in Kenya by Irungu, EM, Sharma, M, Maronga, C, Mugo, N, Ngure, K, Celum, C, Barnabas, RV, Baeten, J, Heffron, R

“…We conducted time and motion studies to distinguish between activities related to research, routine clinical care, and PrEP delivery. …”

Gamification as a means of improving performance in human operator processes by Small, Aaron Alexander

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Effect of differentiated direct‐to‐pharmacy PrEP refill visits supported with client HIV self‐testing on clinic visit time and early PrEP continuation by Kidist Belay Zewdie, Kenneth Ngure, Margaret Mwangi, Dominic Mwangi, Simon Maina, Lydia Etyang, Gakuo Maina, Vallery Ogello, Emmah Owidi, Nelly R. Mugo, Jared M. Baeten, Kenneth K. Mugwanya

“…PrEP continuation was evaluated by visit attendance and pharmacy refill records, and time and motion studies were conducted to determine time spent in the clinics. …”
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