twi in healthcare. - avans.nl · twi introduced -lmmi - we have alreadyallprocessen in sop...
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TWI in healthcare.
Ronald Aalbersberg | 26 januari 2017
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Laboratory for
Medical Microbiology
and Immunology
Facility services
Central Sterilisation departmant
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Laboratory for Medical Microbiology and Immunology
• Located in ETZ Elisabeth en ETZ TweeSteden, Tilburg
• Big laboratory working for serveral hospitals and general practitionairs
• 90 people staff
• Several subdepartmenst: Bloodtransfusion, Bacteriology, Media preparation/sterilisation, Virology/Molecular Biology, Serology/Immunology.
• Central reception
• 47000 molecular biological/virological samples
• 85000 bacteriological samples
• 90000 blood samples (immunology)
• 12000 blood/transfusion bags
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“10 years lean still limited standard work”
• Base off “lean house”
• Without standards for normal situations youare not able to judge whats an normal or whats an abnormal situation.
Standardwork
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• Rooted in U.S. World War II
• Boosting industrial production
• Women entering manufacturing first time
• TWI one of the crucial building blocks of TPS
• Power of standardization
• Continuous improvement of standards
• Standardized way of training people
Training Within Industry (TWI)
• WHAT: Job 7 important steps
-every step there is a change
• HOW: Keypoints at each important step
-make or break the job
-injure the worker
-make the work easier
• WHY: the why of each keypoint
Job Instruction (JI)
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Classical way, new analyzer
- Placed on Monday and in routine on Friday- Employees learn in parts- Take long time training- Lot of mistakes, cost lot off money and time- Instruction of supplier not enough
TWI introduced - LMMI
- We have already all processen in SOP (standard operating procedure)- That not standard way of working, handling- We trained 11 employees in TWI-job instruction- Agreement : all new analyzers, new processes, bottlenecks
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2 examples TWI - LMMI
Vision:- 19 persons, 4h training (9,5 workingdays)- 4 job-breakdowns- Without problems new analyzer- After training <10 questions- Employees like the way of training- Feel comfortable now
Phoenix:- 21 persons, 1 day training (21 workingdays)- 8 job-breakdowns- Everybody can work with the system- Everybody same training- Same way of working now- Few questions afterwards- Can solve problems by themselves
• Lot of time training people. Again…again…
• Just a few people do it the right way
Example healthcare – hand disinfection
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• Hand disinfection (in Dutch)
Demonstration TWI
Challenge healthcare !!
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