TWI in healthcare. - avans.nl · TWI introduced -LMMI - We have alreadyallprocessen in SOP (standard operating procedure) - Thatnotstandard way of working, handling - We trained11

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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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