• Quality Improvement in Health Care
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• v.19 no.2
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• pp.68-80
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• 2013

Background: This study investigates improvements in non-value-added nursing activities in clinical work, in order to improve the efficiency and quality of nursing activities. Methods: The study was performed as a quality improvement project at a tertiary general hospital. The nursing activities that needed improvements were categories into admission care, discharge care, supply management, diagnostic work-up related activities, and others. The nursing time and frequency of non-value-added activities were compared across nine nursing units before and after implementation of the quality improvement program. Post-implementation patient and nurse satisfaction were subsequently analyzed. Result: Post-implementation, the time spent on non-value-added nursing activities was reduced and patients and nurses were satisfied with the improvements. Discussion: Reducing non-value-added activities in nursing can increase the work efficiency and ensure time for patient care, thus improving the quality of nursing care. For further study, accurate surveys on nursing activities based on nursing time are required.

• Journal of Korean Academy of Nursing Administration
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• v.17 no.3
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• pp.315-326
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• 2011

Purpose: Purposes of this study were to identify non-value-added nursing activities (NVANAs) and to estimate the amount of time spent on NVANAs among total nursing activities. Methods: Non-value-added nursing activities were identified though the use of a focus group. The nurses in the focus group were nurses working in a tertiary hospital. They discussed possible activities that could be NVANAs. Based on the focus group discussion, a pilot study was done to examine the actual occurrence of NVANAs in clinical settings. Results: The focus group discussion showed that NVANAs occurred in ten categories of nursing performances including communication with physicians, communication with other departments, medications, equipment/supplies, nursing records, tests, admission, discharge, and transfer. Direct nursing activities accounted for 35.5% of total nursing activities while indirect nursing activities accounted for 64.5%. Of indirect nursing activities, 16% were NVANAs. Most NVANAs were related to communication and equipment/supplies. Conclusions: To improve the quality and efficiency of nursing activities, it is necessary to identify NVANAs and their causes. Results of this study suggest that improvement in the work process and nursing unit structure, support for equipment/supplies, and effective communication are needed to reduce NVANAs in tertiary hospitals in Korea.

• Journal of Korean Clinical Nursing Research
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• v.17 no.3
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• pp.363-374
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• 2011

Purpose: The purpose of this study was to identify the types and causes of non-value-added (NVA) activities in nursing practice, and to determine the frequency of each NVA type and causes of NVA in clinical area. Methods: This study was conducted using Delphi technique. First, in order to identify NVA and their causes, 24 nurses with 7 years or more of clinical experience were recruited from medical/surgical units in six general hospitals in Korea. Then the NVA types and causes were tested using a larger sample of 130 nurses with more than 3 years of clinical experience at two general hospitals in Korea. Results: NVA was categorized into 6 different types, which are repeating, duplicating, waiting, reverse-proxy working, reworking, and searching. The most prevalent NVAs were repeating and duplicating works. Reworking and searching were less frequent types than others. The causes of NVA were classified into personnel-related, supporting departments, records, regulations, information, materials or instruments, and others. Among them, personnel-related and supporting departments were reported with the highest scores. Conclusion: NVA leads to waste cost and time. These results demonstrated the situations and causes of NVA occurred in nursing practice. Further studies on the typology and moderation of NVA activities are warranted to improve the efficiency and quality of nursing care in day-to-day practice.

• Korean Journal of Construction Engineering and Management
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• v.3 no.4 s.12
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• pp.93-103
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• 2002

The reinforcement concrete work is the work affected by structural safety, durability, and schedule with form work. The domestic reinforcement concrete works have mainly worked the process of re-barfabrication/assembly on site. Finally it have low productivity. Then this paper analyzed waste factors and the process of re-bar fabrication/assembly on site for the productivity improvement and value-added productivity improvement. Waste factor analysis aims at maximizing value-added by the value analysis of re-bar fabrication and assembly on site. Finally, Value-AddingActivity(VAA)ismuchlessthan non-value adding activity. Especially, Non-Value-Adding Activity(NVAA) generates waste such as the activity steps, labors, equipments, materials, time, and soon. And it was non-flow production, over production, and analyzed into having to shift value. This paper aimsat maximizing value-addingactivity and minimizingnon value-addingactivity through waste factor analysis in process for the improvement of value added productivity.

• Convergence Security Journal
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• v.8 no.1
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• pp.101-108
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• 2008

This research focuses on the process improvement of port logistics by using Lean methodology. On the one hand, we firstly analyze the current situation and weakness of the processes in port logistics, and then re-design the current processes by the principles of Lean discipline. Based on the appropriately changed processes, the improvement scheme of port logistics will be figured out. On the other hand, we construct the port logistics system by implementing the improved processes. The port logistics' processes accomplished in steel company will be further assorted and identified. The relationship of wharves process, operational process, shipping process, construction process, quality process, and purchasing process are also defined. Every process has been improved by Lean Tools in order to analyze the value added or non-value added processes, to improve the service level, and to reduce the cycle time, inventory, changing time, re-working and waste. Based on above, the appropriate environment that is suitable to Lean process of port logistics will be established and the modeling that can help to implement the improvement scheme will be figured out.

• Korean journal of food and cookery science
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• v.28 no.5
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• pp.589-598
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• 2012

This research was studied to find out the best ingredients for making demi-glace sauce, using the thickening agent with glutinous rice, non-glutinous rice, brown rice, and black rice, and to look into the quality characteristics. The moisture of demi-glace sauce depending on the thickening type was that the roux added cereals was higher than the control. In addition, it was increased depending on the extension of the storage time. The control was the highest on pH and acidity. On variation depending on the storage time, all of the experimental groups showed decrease on pH. Demi-glace sauce with brown rice and black rice roux showed increase of acidity. The DPPH radical was not tended to be decreased in the experimental group, but it was rapidly decreased in the control, depending on the extension of the storage time. Demi-glace sauce with non-glutinous rice was the highest on Hunter's color L value and generally increased according to the storage time. Also demi-glace sauce with glutinous rice was the highest on 'a' value and 'b' value but was decreased according to the storage time. The control was highest on viscosity, and demi-glace sauce with non-glutious and black rice roux were low on the variation of viscosity depending on the storage time. Increment of total bacteria in demi-glace sauce with black and brown rice roux was relatively lower than the control on storage stability test, and demi-glace sauce with brown rice roux got the highest point after swallow, taste and overall of sensory evaluation.

• Journal of the Korea Safety Management & Science
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• v.8 no.6
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• pp.149-157
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• 2006

This paper suggests the design and operation of value stream mapping(VSM) applied to project management, such as R&D, IT Investment. First this study represents design methodology of VSM process using SIPOC(Supplier, Input, Process, Output, Costumer). Second, this paper considers the identification and improvement plan about non-added value time for VSM using FPC(Flow Process Chart) and PERT/CPM. Last, this paper proposes VSM scheduling method using PERT/CPM and CCPM(Critical Chain Project Management)

• Elastomers and Composites
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• v.57 no.4
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• pp.215-221
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• 2022

In this study, high-penetration asphalt with low greenhouse gas emissions was used in the asphalt mixing process to reduce the carbon emissions during the reaction due to its capacity to be produced even at low temperatures. In effect, cationic, anionic, and non-ionic dispersants were added and mixed in different feeding ratios, seeking an effective dispersion of the modifiers (SIS, PS, TPEE, and SEBS) into the high-penetration asphalt matrix and forming an asphalt binder with a melting point of 120 ℃. The compatibility of the modifiers and the high-penetration asphalt was examined using SEM and DSC techniques, and the role of NDP-1 as a dispersant was carefully investigated with respect to dissolution time. The analyses showed that: (1) the dispersibility of the asphalt binder is good when the non-ionic dispersant is used; (2) as the concentration of the non-ionic dispersant increases, the dissolution time decreases and the domain size contracts; (3) the ND70-PS has the shortest dissolution time, the lowest agglomeration rate, and a single Tg value.

• Journal of Korean Institute of Industrial Engineers
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• v.32 no.4
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• pp.298-313
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• 2006

Six sigma is focused on quality improvement through variation reduction, while lean is on process flow improvement and lead time reduction by waste elimination. However, lean cannot bring a process under statistical control and six sigma alone cannot dramatically improve process speed. Lean six sigma was developed to achieve faster rate of improvement in customer satisfaction, cost, quality, process speed, and invested capital. In this paper we present the importance of using value stream mapping and suggest a guideline on how to integrate lean and six sigma by is proposed.

• Proceedings of the Korean Institute Of Construction Engineering and Management
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• autumn
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• pp.416-421
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• 2001

The domestic reinforcement concrete works have mainly worked the process of re-bar fabrication/assembly on site and re-bar works affected by structural safety, durability, and schedule with form work. Accordingly, This study analyzes the process of re-bar fabrication/assembly on site to apply lean production principles to construction Value Stream Analysis(VSA) is analyzed into value-adding activity and non-value-adding activity on construction process through value analysis and Value Stream Mapping(VSM). In the results, non-value-adding activity generates waste such as the activity steps, labors, equipments, materials, time, and so on. Additionally, push-driven production is investigated making low productivity from the overproduction and so on. To resolve the problems in the process, The purpose of this paper eliminates waste factor through maximizing the value-adding activity generating value added and minimizing non-value adding activity. Particularly, it makes flow production and pull-driven production through minimizing work-in-process(WIP ).