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Tortorella GL, Prashar A, Antony J, Fogliatto FS, Gonzalez V, Godinho Filho M. Industry 4.0 adoption for healthcare supply chain performance during COVID-19 pandemic in Brazil and India: the mediating role of resilience abilities development. Oper Manag Res 2023. [PMCID: PMC10060137 DOI: 10.1007/s12063-023-00366-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 03/31/2023]
Affiliation(s)
- Guilherme Luz Tortorella
- The University of Melbourne, Melbourne, Australia
- IAE Business School, Universidad Austral, Buenos Aires, Argentina
- Universidade Federal de Santa Catarina, Florianöpolis, Brazil
| | | | - Jiju Antony
- Khalifa University of Science and Technology, Abu Dhabi, UAE
| | | | | | - Moacir Godinho Filho
- Metis Lab, EM Normandie Business School, Normandie, France
- Federal University of Sao Carlos, Sao Carlos, Brazil
- Aalborg University, Aalborg, Denmark
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Tortorella G, Prashar A, Vassolo R, Cawley Vergara AM, Godinho Filho M, Samson D. Boosting the impact of knowledge management on innovation performance through industry 4.0 adoption. Knowledge Management Research & Practice 2022. [DOI: 10.1080/14778238.2022.2108737] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/15/2022]
Affiliation(s)
- Guilherme Tortorella
- Department of Mechanical Engineering, The University of Melbourne, Melbourne, Australia
- IAE Business School, Universidad Austral, Buenos Aires, Argentina
- Department of Production Engineering, Universidade Federal de Santa Catarina, Florianopolis, Brazil
| | | | - Roberto Vassolo
- IAE Business School, Universidad Austral, Buenos Aires, Argentina
| | | | - Moacir Godinho Filho
- EM Normandie, Metis Lab, EM Normandie Business School, Caen, France
- Department of Production Engineering, Universidade Federal de Santa Catarina, Florianopolis, Brazil
| | - Daniel Samson
- Department of Mechanical Engineering, The University of Melbourne, Melbourne, Australia
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Oliveira Neto GCD, Tucci HNP, Godinho Filho M, Lucato WC, da Silva D. Moderating effect of OHS actions based on WHO recommendations to mitigate the effects of COVID-19 in multinational companies. Process Saf Environ Prot 2022; 159:652-661. [PMID: 35035117 PMCID: PMC8744406 DOI: 10.1016/j.psep.2022.01.011] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/13/2021] [Revised: 12/30/2021] [Accepted: 01/06/2022] [Indexed: 06/02/2023]
Abstract
The objective of this study was to evaluate the moderating effect of Occupational Health and Safety actions based on the World Health Organization (WHO) recommendations to mitigate the negative effect of COVID-19 on the operational, logistical, marketing (OLMP), and health and safety performance (OHSP) of workers in multinational industries. The development of surveys in companies was the method adopted, which had confirmatory evaluations through Structural Equations Modelling (SEM). As a result, it was confirmed that this is one of the few scientific studies that expectedly validates that the COVID-19 pandemic has severely impacted operational, logistical, market, and Occupational Health and Safety (OHS) performance. This is also one of the few research projects to assess the moderating effect of OHS practices based on WHO to mitigate the effects of COVID-19. According to our findings, those practices were able to reduce by at least 50% the effect of the COVID-19 crisis on operational, logistical, and marketing performance. However, they minimize by only 1.8% the negative effects of health and safety performance for the worker, generating absenteeism increasingly due to physical and mental problems. This number could be higher if the social distance could be provided in public transportation and if employees were more aware of the risks of COVID-19 contamination during their social activities.
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Affiliation(s)
- Geraldo Cardoso de Oliveira Neto
- Industrial Engineering Post-Graduation Program, Universidade Nove de Julho (UNINOVE), Vergueiro Street, 235/249 - 12 Floor, zip code: 01504-001 Liberdade, Sao Paulo, Brazil
| | - Henrricco Nieves Pujol Tucci
- Industrial Engineering Post-Graduation Program, Universidade Nove de Julho (UNINOVE), Vergueiro Street, 235/249 - 12 Floor, zip code: 01504-001 Liberdade, Sao Paulo, Brazil
| | - Moacir Godinho Filho
- Production Engineering Program, Federal University of São Carlos. Production Engineering Program, Federal University of São Carlos, Via Washington Luis, Km 235 Monjolinho, zip code: 13565-905 Sao Paulo, Brazil
| | - Wagner Cezar Lucato
- Industrial Engineering Post-Graduation Program, Universidade Nove de Julho (UNINOVE), Vergueiro Street, 235/249 - 12 Floor, zip code: 01504-001 Liberdade, Sao Paulo, Brazil
| | - Dirceu da Silva
- Department of Cultural Practices of the University of Campinas (UNICAMP), Av. Bertrand Russell, 801, Cidade Universitária, Campinas, CEP: 13083-865 São Paulo, SP, Brazil
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Marodin G, Chiappetta Jabbour CJ, Godinho Filho M, Tortorella GL. Lean production, information and communication technologies and operational performance. Total Quality Management & Business Excellence 2022. [DOI: 10.1080/14783363.2022.2035214] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Affiliation(s)
- Giuliano Marodin
- University of South Carolina, Columbia, SC, USA
- Moore School of Business, Columbia, SC, USA
| | | | | | - Guilherme Luz Tortorella
- The University of Melbourne, Melbourne, Australia
- IAE Business School, Universidad Austral, Buenos Aires, Argentina
- Universidade Federal de Santa Catarina, Florianopolis, Brazil
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Callefi MHBM, Tavares TM, Ganga GMD, Godinho Filho M. Blockchain-enabled capabilities in transport operations: an overview of the literature. Ind Jour Manag & Prod 2021. [DOI: 10.14807/ijmp.v12i9.1628] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
The blockchain was initially developed for use in the banking sector. However, over time, different areas of knowledge have adopted these technologies, including transportation operations. This use of blockchain in the transport sector is mainly due to the ability of this technology to enable the data generated by these activities to be reliable. In addition to aspects related to data immutability, blockchain enables greater data privacy, as well as making it possible for the data control process to be decentralized. In this sense, it was carried out a systematic literature review (RSL) to identify the general publications panorama on the topic, and to identify the capabilities enabled by the blockchain in the context of transportation operations. RSL has great potential to make it possible to deepen the literature on a given topic. The analysis of the RSL results included the realization of two stages. The first step consisted of a quantitative analysis of data from a sample of 50 articles, to identify this research field about the distribution by journal, year, and author. This first step enabled a general analysis of the field of study on the use of blockchain in transportation. The second stage consisted of a qualitative analysis of the ten most relevant articles in this field of study. In this way, it was possible to understand more about the use of blockchain in transport operations, as well as to identify seven capabilities enabled by the blockchain. These capabilities represent abilities that blockchain technology allows the transport sector today, demonstrating the importance of its use, as well as of study.
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Oliveira Neto GCD, Tucci HNP, Godinho Filho M, Lucato WC, Correia JMF. Performance evaluation of occupational health and safety in relation to the COVID-19 fighting practices established by WHO: Survey in multinational industries. Saf Sci 2021; 141:105331. [PMID: 36569417 PMCID: PMC9761547 DOI: 10.1016/j.ssci.2021.105331] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/07/2021] [Accepted: 04/29/2021] [Indexed: 05/07/2023]
Abstract
The coronavirus pandemic meant that companies had to adapt quickly to survive the challenging scenario and avoid losing market share or even going bankrupt. In this sense, employees dedicated to Occupational Health and Safety (OH&S) activities within organizations played a key role in ensuring that the recommendations of the World Health Organization (WHO) were properly implemented. Even so, no studies were identified in the literature that investigated how the practices to combat COVID-19 improved the performance related to employee safety and occupational health. This is what motivates the accomplishment of this work; evaluate how these practices improve safety and health-related performance. For this, a survey of multinational companies was carried out and, together with this research, a model for structural equations was developed. In the end, a correlation test was performed. The main results showed that practices to combat COVID-19, such as the provision of sanitizers, the adoption of social distance, the creation of new work shifts, and the disinfection of workplaces were related to improvements in safety and health performance through the implementation of a risk management and biological risk mitigation program. Meanwhile, the provision of emergency assistance has found stronger relationships with managerial and strategic actions.
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Affiliation(s)
- Geraldo Cardoso de Oliveira Neto
- Industrial Engineering Post-Graduation Program, Universidade Nove de Julho (UNINOVE), Vergueiro Street, 235/249 - 12 Floor, zip code: 01504-001, Liberdade, Sao Paulo, Brazil
| | - Henrricco Nieves Pujol Tucci
- Industrial Engineering Post-Graduation Program, Universidade Nove de Julho (UNINOVE), Vergueiro Street, 235/249 - 12 Floor, zip code: 01504-001, Liberdade, Sao Paulo, Brazil
| | - Moacir Godinho Filho
- Production Engineering Program, Federal University of São Carlos. Production Engineering Program, Federal University of São Carlos, Via Washington Luis, Km 235 - Monjolinho, zip code: 13565-905, Sao Paulo, Brazil
| | - Wagner Cezar Lucato
- Industrial Engineering Post-Graduation Program, Universidade Nove de Julho (UNINOVE), Vergueiro Street, 235/249 - 12 Floor, zip code: 01504-001, Liberdade, Sao Paulo, Brazil
| | - José Manuel Ferreira Correia
- Industrial Engineering Post-Graduation Program, Universidade Nove de Julho (UNINOVE), Vergueiro Street, 235/249 - 12 Floor, zip code: 01504-001, Liberdade, Sao Paulo, Brazil
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Guimarães MC, Tortorella G, Taboada CM, Godinho Filho M, Martinez F. Association between distribution centre design and contextual characteristics. JFM 2021. [DOI: 10.1108/jfm-12-2020-0090] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
Abstract
Purpose
This paper aims to examine the relationship between the main decisions for designing distribution centers (DCs) and the contextual characteristics of the distribution networks.
Design/methodology/approach
Experts were surveyed and responses analyzed quantitatively through multivariate data techniques. This study considered four contextual characteristics that were deemed as influential for DC design: types of routes in the distribution network, quantity of DCs, distribution network levels and company size.
Findings
This paper evidenced which decisions are affected by each contextual characteristic encompassed in this study. This paper identified that the characteristic types of route in the distribution network must be carefully considered, as it had the greatest amount of associations with the decisions for designing a DC.
Originality/value
Despite its importance, most studies on design of DCs disregard the effect of the context in which DCs are inserted. This research provides arguments to support decision-making process of DCs design, increasing assertiveness of their planning. This work fulfills a literature gap by empirically examining the effect of contextual variables on the decisions related to DC design. Regarding practice, this paper addressed a fundamental issue for managers looking to design a DC, as it evidenced how contextual characteristics impact the decision-making.
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Abstract
PurposeThis paper aims to detail how a Sales and Operations Planning (S&OP) process can be designed to support the planning requirements of recently introduced products.Design/methodology/approachDesign science research was conducted to propose and implement an S&OP model for demand fulfillment after the introduction of new products. The results were analyzed using the CIMO (Context, Intervention, Mechanisms and Outcomes) logic, and two sets of design propositions were formulated.FindingsAn S&OP process for new products can reduce additional costs for market fulfillment by concentrating the planning efforts on new products, aligning organizational efforts, and increasing the sales and supply chain information’s update frequency.Research limitations/implicationsThe outcomes of S&OP new products were analyzed in a single organization and are limited to the contextual factors presented.Practical implicationsThis paper describes in detail how to organize an S&OP focused on new products. By considering the contextual factors and design propositions, managers can potentially increase the success of new products introduction (NPI) in their context.Originality/valueA specific S&OP process focused on new products is a viable solution and could co-exist with a traditional S&OP process. Moreover, we identified six contextual factors that influence the outcomes of the S&OP new products.
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Tavares TM, Godinho Filho M, Ganga GMD, Callefi MHBM. The relationship between additive manufacturing and circular economy: a sistematic review. Ind Jour Manag & Prod 2020. [DOI: 10.14807/ijmp.v11i5.1290] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
One of the important technologies in Industry 4.0 is Additive Manufacturing, which makes it possible to manufacture objects layer by layer continuously or incrementally. Circular economy aims to improve resource efficiency, leading to an evolution from the current linear model of extraction, transformation, and elimination to the model where resources flow in a circular manner. Many early studies have pointed to Additive Manufacturing as a technology that promises the environmental sustainability and the development of circular material flows. However, there is still great uncertainty about the relationship between circular economy goals and 3D printing goals. From this context, a Systematic Literature Review was performed by applying the Method Ordination multicriteria methodology in order to map the main publications. Then, 10 articles were analyzed to obtain relevant information about the relationship between Additive Manufacturing and Circular Economy.
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de Oliveira Neto GC, Santana JCC, Godinho Filho M, Chiappetta Jabbour CJ. Assessment of the environmental impact and economic benefits of the adoption of cleaner production in a Brazilian metal finishing industry. Environ Technol 2020; 41:1814-1828. [PMID: 30465703 DOI: 10.1080/09593330.2018.1551426] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/31/2018] [Accepted: 11/12/2018] [Indexed: 06/09/2023]
Abstract
The Metal Finishing Industry (MFI) use water and several chemicals in its production chain, which generatesboth liquid and solid hazardous waste. The present study evaluatesthe economic and environmental advantages of implementing cleaner production (CP) in a Brazilian MFI specialized in chrome and zinc. For the economic assessment, we adopted the measures of return on investment and internal rate of return. In order to measure the environmental impact, we used the Mass Intensity Factor. A case study methodology was adopted, with datacollectedthrough observation and semi-structured interviews. The findings indicate that the adoption of CPin this sector encourages the deployment of a Rising Cascades System in Counterflow (RCSC) to minimize water consumption through the reuse and segregation of hazardous solid waste (sludge). The sludge generated may be sold as a byproduct for the production of ceramics. We identifiedopportunities to reduce costs by minimizing waste, although this does require investment. However, the return on such investments mayenable the implementation of CP. The reduction in environmental impact on the ecosystem was significant, with large reductions in hazardous components contained in the sludge being dumped in the environment. The results may guide the development of public policies in Brazil, particularly in the adoption of CP in MFI to disseminate environmental education and increase governmental control.
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Affiliation(s)
| | | | - Moacir Godinho Filho
- Production Engineering Program, Federal University of São Carlos, São Carlos, Brazil
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de Oliveira Neto GC, Costa I, de Sousa WC, Amorim MPC, Godinho Filho M. Adoption of a telemetry system by a logistics service provider for road transport of express cargo: a case study in Brazil. International Journal of Logistics Research and Applications 2019. [DOI: 10.1080/13675567.2018.1564253] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Affiliation(s)
- Geraldo Cardoso de Oliveira Neto
- Industrial Engineering Post-Graduation Program, Universidade Nove de Julho (UNINOVE), Brazil
- Departamento de Economia Gestão e Engenharia Industrial e Turismo, Universidade de Aveiro, Aveiro, Portugal
| | - Ivanir Costa
- Industrial Engineering Post-Graduation Program and Informatics and Knowledge Management Post-Graduation Program, Universidade Nove de Julho (UNINOVE), São Paulo, Brazil
| | - Washington Carvalho de Sousa
- Industrial Engineering Post-Graduation Program and Informatics and Knowledge Management Post-Graduation Program, Universidade Nove de Julho (UNINOVE), São Paulo, Brazil
| | | | - Moacir Godinho Filho
- Production Engineering Program, Federal University of São Carlos, Sao Paulo, Brazil
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Costa LBM, Godinho Filho M, Fredendall LD, Gómez Paredes FJ. Lean, six sigma and lean six sigma in the food industry: A systematic literature review. Trends Food Sci Technol 2018. [DOI: 10.1016/j.tifs.2018.10.002] [Citation(s) in RCA: 31] [Impact Index Per Article: 5.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Oliveira LG, De Freitas DC, Godinho Filho M. A aplicação da abordagem quick response manufacturing (QRM) no processo de desenvolvimento de novos lápis de olhos. Revista PO: R Eletr de Eng de Produção e Correlatas 2018. [DOI: 10.14488/1676-1901.v18i2.2844] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
O Quick Response Manufacturing (QRM) é uma importante ferramenta para redução de lead time em todas as operações de uma empresa de manufatura. Embora existam trabalhos empíricos mostrando a aplicação do QRM no chão de fábrica, poucos trabalhos tratam de operações de escritório. Dentre estas operações, o desenvolvimento de produtos é uma área ainda muito pouco explorada. Este trabalho busca trazer contribuições para a literatura ao mostrar a possibilidade de implantação do QRM no processo de desenvolvimento de novos lápis de olhos em uma empresa fabricante de cosméticos. Após estudo de caso foi possível apresentar três propostas, viáveis economicamente, que se implantadas conjuntamente, poderá reduzir 55% do lead time desse processo. As propostas mostram também a importância de se repensar novas formas de se realizar o trabalho em escritório.
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Henrique DB, Godinho Filho M. A systematic literature review of empirical research in Lean and Six Sigma in healthcare. Total Quality Management & Business Excellence 2018. [DOI: 10.1080/14783363.2018.1429259] [Citation(s) in RCA: 32] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
| | - Moacir Godinho Filho
- Department of Industrial Engineering, Federal University of São Carlos, São Carlos, SP, Brazil
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Mello LTCD, Dornfeld HCM, Santos GGD, Passos D, Ribeiro R, Godinho Filho M. Análise do lead time nos processos logísticos de uma rede varejista de flores. Revista PO: R Eletr de Eng de Produção e Correlatas 2016. [DOI: 10.14488/1676-1901.v16i4.2253] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
O mercado de flores no Brasil necessita de reestruturação para conseguir oferecer produtos sensíveis com maior qualidade para o consumidor. Essa reestruturação permitirá que as flores cheguem ao consumidor mais rapidamente e com mais tempo de durabilidade. O objetivo deste estudo foi analisar o lead time dos processos logísticos de uma rede varejista de flores com sede na cidade de Campinas/SP, utilizando a ferramenta MCT - Manufacturing Critical-path Time, da abordagem QRM – Quick Response Manufacturing. Algumas ferramentas auxiliaram a pesquisa, como Fluxograma, Mapa de Fluxo de Valor, Diagrama de Ishikawa e Brainstorming. Os dados coletados relacionados aos tempos de processamento das operações levantam características dos processos logísticos envolvidos na distribuição da matéria-prima, desde a sua aquisição até a entrega em cada filial. Ao fim da pesquisa foi possível propor mudanças nos locais de compras das flores e no modo de distribuição para as lojas, simulando a redução no lead time de aproximadamente 80%.
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Soulé FV, Françoso ABL, Costa LBM, Kodama TK, Bessi NC, Schiavon L, Godinho Filho M. Proposta de redução de lead time na linha de produtos termoelétricos de uma pequena empresa familiar do interior paulista. Revista PO: R Eletr de Eng de Produção e Correlatas 2016. [DOI: 10.14488/1676-1901.v16i1.2138] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
O Quick Response Manufacturing (QRM) é uma maneira de empresas manufatureiras alcançarem flexibilidade. Este é um elemento-chave para diferenciação e potencialização da competitividade. Há poucas pesquisas empíricas cujo tema permeia micro e pequenas empresas (MPEs) e flexibilidade da produção, o que pode impactar a apropriação dessa abordagem por esses importantes atores da nossa economia. Este artigo objetiva demonstrar os resultados de uma pesquisa de campo que utilizou o QRM para propor ações capazes de reduzir o lead time da linha de termoelétricos de uma pequena empresa familiar do interior paulista. Foram propostos a) o equilíbrio dos throughputs das operações lentas, reduzindo 50% dos lotes de produção seguido de reduções gradativas; b) a implantação da manufatura celular e melhorias da gestão dos estoques intermediários, utilizando o sistema POLCA e gestão visual; c) a implantação de um planejamento integrado de vendas e operações e regras para priorização de pedidos. Identificou-se que a proposta geraria uma redução de lead time de 39 para 21,3 dias e uma redução inicial de 51% no custo do estoque de matéria prima, podendo chegar até 69%. Notaram-se: a) problemas de gestão, capacidade de investimento e relação com fornecedores, frequentes em MPEs familiares; b) o QRM pode ser adaptado para as necessidades de MPEs; c) a importância da interação entre o conhecimento desenvolvido na academia e as pequenas empresas familiares.
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Costa LBM, Filho MG, Rentes AF, Bertani TM, Mardegan R. Lean healthcare in developing countries: evidence from Brazilian hospitals. Int J Health Plann Manage 2015; 32:e99-e120. [PMID: 26681656 DOI: 10.1002/hpm.2331] [Citation(s) in RCA: 52] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2015] [Revised: 11/12/2015] [Accepted: 11/13/2015] [Indexed: 11/11/2022] Open
Abstract
The present study evaluates how five sectors of two Brazilian hospitals have implemented lean healthcare concepts in their operations. The main characteristics of the implementation process are analyzed in the present study: the motivational factor for implementation, implementation time, form (consultancy or internal), team (hospital and consultants), lean implementation continuity/sustainability, lean healthcare tools and methods implemented, problems/improvement opportunities, lean healthcare barriers faced during the implementation process, and critical factors that affected the implementation and the results obtained in each case. The case studies indicate that reducing patient lead times and costs and making financial improvements were the primary factors that motivated lean healthcare implementation in the hospitals studied. Several tools and methods were used in the cases studied, especially value stream mapping and DMAIC. The barriers found in both hospitals are primarily associated with the human factor. Additionally, the results obtained after implementation were analyzed and improvements in financial aspects, productivity and capacity, and lead time reduction of the analyzed sectors were observed. Further, this study also exhibited four propositions elaborated from the results obtained from the cases that highlighted barriers and challenges to lean healthcare implementation in developing countries. Two of these barriers are hospital organizational structure (and, consequently, how the senior management works with medical staff), and outsourcing hospital activities. This study also concluded that the initialization and maintenance of lean healthcare implementation rely heavily on external support because lean healthcare subject knowledge is not yet available in the healthcare organization, which represents a challenge. Copyright © 2015 John Wiley & Sons, Ltd.
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Affiliation(s)
| | - Moacir Godinho Filho
- Department of Industrial Engineering, Federal University of São Carlos, São Carlos, São Paulo, Brazil
| | - Antonio Freitas Rentes
- Department of Industrial Engineering, University of São Paulo (USP), São Carlos, São Paulo, Brazil
| | - Thiago Moreno Bertani
- Department of Industrial Engineering, University of São Paulo (USP), São Carlos, São Paulo, Brazil
| | - Ronaldo Mardegan
- Department of Industrial Engineering, University of São Paulo (USP), São Carlos, São Paulo, Brazil
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Filho MG. Effect of lot-size reduction and continuous improvement programmes on work in process and utilisation: a study for single-machine and flow-shop environments. International Journal of Logistics Research and Applications 2012. [DOI: 10.1080/13675567.2012.741222] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Affiliation(s)
- Moacir Godinho Filho
- a Department of Production Engineering , Federal University of São Carlos , Via Washington Luiz, Km 235 – CEP 13565-905, São Carlos , SP , Brazil
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