Table A1.
Analysis of different types of muda.
| Muda # | Process Activity # | Direct Observation | Type of Muda |
|---|---|---|---|
| 1 | 1 | Ambulance arrival. Patient cumulation (sometimes up to 6 patients) | Delay |
| 2 | 3 | Transportation of patients from ambulance to emergency box | Transportation |
| 3, 4 | 4 | MRI technician or nurse working as a hospital porter if required | Unused Talent Overprocessing |
| 5 | 5 | Handling patients from an ambulance stretcher to a hospital stretcher and placing mattress | Movement |
| 6, 7 | 7 | MRI technician working as a nurse if required to register patients | Unused Talent Overprocessing |
| 8 | 8 | Registration activities to be redone when IMDH systems fail | Overprocessing |
| 9 | 11 | Waiting time while phone is answered | Delay |
| 10 | 12 | Phone calls to be repeated until somebody answers | Overprocessing |
| 11 | 9 | Excessive or potential lack of inventory of paper, labels, or bracelets | Inventory |
| 12 | 14 | Waiting for a nurse check | Delay |
| 13 | 21 | Communication delay | Delay |
| 14 | 25 | Blood extraction preparation to be repeated in the case of difficulties | Overprocessing |
| 15 | 28 | Transportation of blood sample | Transportation |
| 16 | 32 | Waiting time if several patients are in the emergency area | Delay |
| 17 | 34 | Unnecessary doctor movement between box (patient) and desk (PC) | Movement |
| 18 | 48 | Transportation of patients from emergency box to X-Ray | Transportation |
| 19 | 47 | Waiting times upon X-Ray availability | Delay |
| 20 | 50 | Handling of patients for X-Ray preparation | Movement |
| 21, 22 | 51 | System error provoking delay (up to 5 min) and repeating operations | Delay, Overprocessing |
| 23 | 53 | Defective X-Ray | Defect |
| 24 | 53 | Repeated defective X-Ray | Overprocessing |
| 25 | 54 | Duplicity X-Ray in computer and in paper | Overproduction |
| 26 | 55 | Inventory of paper X-Ray plates | Inventory |
| 27 | 59 | Waiting times to take patient to room | Delay |
| 28 | 60 | Transportation of patients from X-Ray to room | Transportation |
| 29 | 65 | Error in understanding doctor’s orders | Defect |
| 30 | 79 | Deviations from original message given to patients | Defect |
| 31 | 70 | Communication delay | Delay |
| 32 | 86 | Communication delay | Delay |
| 33 | 96 | If social issue, high risk of huge delays | Delay |
| 34, 35 | 85–100 | Many actors, potential failures and errors | Defect, Overprocessing |
| 36 | 101 | Daily visits to patients | Transportation |
| 37 | 114 | Waiting for a decision | Delay |
| 38 | 126 | Waiting for transportation to surgery area | Delay |
| 39 | 127 | If surgery is delayed or postponed, patient preparation must be redone | Overprocessing |
| 40 | 129 | Transportation of patients to surgery level | Transportation |
| 41, 42 | 131 | Clothes changing | Movement, Delay |
| 43 | 133 | Transportation of patient to surgery transfer area | Transportation |
| 44 | 137 | Waiting for surgery | Delay |
| 45 | 135–143 | Movement and preparation before and during surgery | Movement |
| 46 | 143 | Potential errors during surgery | Defects |
| 47 | 147 | Doctor transportation for cleaning and talking to the patient family | Transportation |
| 48 | 153 | Transportation of patient to UCE | Transportation |
| 49 | 155 | Waiting time if busy area | Delay |
| 50 | 164 | Transportation of blood sample to Laboratory | Transportation |
| 51 | 178 | Homoderivative might not be necessary | Overproduction |
| 52 | 183 | Delay | Delay |
| 53 | 187 | Transportation of patient to X-Ray | Transportation |
| 54 | 190 | Delay | Delay |
| 55 | 193 | Transportation of patient to room | Transportation |
| 56 | 210 | Daily visits to patients | Transportation |
| 57 | 211 | Delay | Delay |
| 58 | 218–221 | If social issue, high risk of huge delays | Delay |
| 59, 60 | 240 | Patient returns sooner than expected due to a recovery issue | Defect; Overprocessing |