Implementing Lean Management Techniques at a Radiation Oncology Department
Objectives: Lean management (LM) principles were first developed by a Japanese manufacturing company to maximise value and minimise waste in the automotive industry. However, these principles can also be applied in the healthcare sector. This study aimed to illustrate the process of implementing LM...
Saved in:
| Published in | Sultan Qaboos University medical journal Vol. 18; no. 3; pp. 362 - 366 |
|---|---|
| Main Authors | , |
| Format | Journal Article |
| Language | English Arabic |
| Published |
Muscat - Oman
Sultan Qaboos Uinversity : Academic Publication Board
01.08.2018
Sultan Qaboos University, College of Medicine and Health Sciences Sultan Qaboos University Sultan Qaboos University Medical Journal, College of Medicine & Health Sciences |
| Subjects | |
| Online Access | Get full text |
Cover
Loading…
| Abstract | Objectives: Lean management (LM) principles were first developed by a Japanese manufacturing
company to maximise value and minimise waste in the automotive industry. However, these principles can also
be applied in the healthcare sector. This study aimed to illustrate the process of implementing LM principles in a
radiation oncology department to streamline workflow and identify and reduce waste. Methods: This study took
place in the Department of Radiation Oncology, Royal Hospital, Muscat, Oman, in December 2016. A value stream
map (VSM) was created for the chain of processes followed in the department. A waste analysis was conducted to
determine which processes did not add value for the patient or healthcare provider. Results: Based on the VSM
analysis, only six out of 13 steps were found to be of value. Necessary and unnecessary non-value-adding activities
were identified. Sources of waste included parking and registration. In addition, variabilities in workload were noted.
Conclusion: Overall, LM principles improve workflow, reduce waste and enhance patient and staff satisfaction. In
the current study, the application of LM principles helped to improve value in a radiation oncology department |
|---|---|
| AbstractList | OBJECTIVESLean management (LM) principles were first developed by a Japanese manufacturing company to maximise value and minimise waste in the automotive industry. However, these principles can also be applied in the healthcare sector. This study aimed to illustrate the process of implementing LM principles in a radiation oncology department to streamline workflow and identify and reduce waste. METHODSThis study took place in the Department of Radiation Oncology, Royal Hospital, Muscat, Oman, in December 2016. A value stream map (VSM) was created for the chain of processes followed in the department. A waste analysis was conducted to determine which processes did not add value for the patient or healthcare provider. RESULTSBased on the VSM analysis, only six out of 13 steps were found to be of value. Necessary and unnecessary non-value-adding activities were identified. Sources of waste included parking and registration. In addition, variabilities in workload were noted. CONCLUSIONOverall, LM principles improve workflow, reduce waste and enhance patient and staff satisfaction. In the current study, the application of LM principles helped to improve value in a radiation oncology department. Objectives: Lean management (LM) principles were first developed by a Japanese manufacturing company to maximise value and minimise waste in the automotive industry. However, these principles can also be applied in the healthcare sector. This study aimed to illustrate the process of implementing LM principles in a radiation oncology department to streamline workflow and identify and reduce waste. Methods: This study took place in the Department of Radiation Oncology, Royal Hospital, Muscat, Oman, in December 2016. A value stream map (VSM) was created for the chain of processes followed in the department. A waste analysis was conducted to determine which processes did not add value for the patient or healthcare provider. Results: Based on the VSM analysis, only six out of 13 steps were found to be of value. Necessary and unnecessary non-value-adding activities were identified. Sources of waste included parking and registration. In addition, variabilities in workload were noted. Conclusion: Overall, LM principles improve workflow, reduce waste and enhance patient and staff satisfaction. In the current study, the application of LM principles helped to improve value in a radiation oncology department Lean management (LM) principles were first developed by a Japanese manufacturing company to maximise value and minimise waste in the automotive industry. However, these principles can also be applied in the healthcare sector. This study aimed to illustrate the process of implementing LM principles in a radiation oncology department to streamline workflow and identify and reduce waste. This study took place in the Department of Radiation Oncology, Royal Hospital, Muscat, Oman, in December 2016. A value stream map (VSM) was created for the chain of processes followed in the department. A waste analysis was conducted to determine which processes did not add value for the patient or healthcare provider. Based on the VSM analysis, only six out of 13 steps were found to be of value. Necessary and unnecessary non-value-adding activities were identified. Sources of waste included parking and registration. In addition, variabilities in workload were noted. Overall, LM principles improve workflow, reduce waste and enhance patient and staff satisfaction. In the current study, the application of LM principles helped to improve value in a radiation oncology department. Objectives: Lean management (LM) principles were first developed by a Japanese manufacturing company to maximise value and minimise waste in the automotive industry. However, these principles can also be applied in the healthcare sector. This study aimed to illustrate the process of implementing LM principles in a radiation oncology department to streamline workflow and identify and reduce waste. Methods: This study took place in the Department of Radiation Oncology, Royal Hospital, Muscat, Oman, in December 2016. A value stream map (VSM) was created for the chain of processes followed in the department. A waste analysis was conducted to determine which processes did not add value for the patient or healthcare provider. Results: Based on the VSM analysis, only six out of 13 steps were found to be of value. Necessary and unnecessary non-value-adding activities were identified. Sources of waste included parking and registration. In addition, variabilities in workload were noted. Conclusion: Overall, LM principles improve workflow, reduce waste and enhance patient and staff satisfaction. In the current study, the application of LM principles helped to improve value in a radiation oncology department. Keywords: Health Services Administration; Healthcare Quality Assurance; Total Quality Management; Organization and Administration; Efficiency; Oman. [...]heijunka, another LM tool, was utilised to level workload. [...]a two-shift system was introduced in order to reduce the intellect waste caused by having an excessive number of employees working at the same time. [...]the current study was conducted to implement LM principles so as to improve efficiency and reduce unnecessary waste, thereby enhancing workflow and, ultimately, ensuring the delivery of treatment in a timely manner.9,11 Prior to the application of LM techniques, the department utilised a ‘push’ system to book appointments for simulation. [...]the data were not statistically analysed in terms of the timeliness of treatment delivery, which is the ultimate goal. |
| Author | Al-Balushi , Mustafa M Al-Mandhari , Zahid |
| Author_xml | – fullname: Al-Balushi , Mustafa M – fullname: Al-Mandhari , Zahid |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/30607279$$D View this record in MEDLINE/PubMed |
| BookMark | eNpdkk9v1DAQxSNUREvpRyiKxIXLLjN2HDsXJFQoLFpUCRWJmzV2nGxWib3NH6R--zq7ZWnxxdbzz08z8_w6OfHBuyS5RFiiYoX4MNxN3XbJAFUUlsCXgPmL5IyBFAsQTJ0cz_j7NLkYhi3ExZXMUbxKTjnkIJkszpLvq27Xus75sfF1unbk0x_kqd5L6a2zG9_cTW5IaUwp_UllQ2MTfHrjbWhDfZ9-djvqx5l-k7ysqB3cxeN-nvy6_nJ79W2xvvm6uvq0XlCGalxUxsTd2YJn1iBCRXkBoNDkWcFVnqGQpVWGZYBgjBRGkWKZAJkrBcJIfp6sDr5loK3e9U1H_b0O1Oi9EPpax4oa2zodXZBhlpeVkxmBVbI0NmPoVCE5LzF6fTx47SbTudLGNnpqn5k-v_HNRtfhj855LIjPxbx_NOjDPKdRd81gXduSd2EaNMPYEQBKiOi7_9BtmHofRzVTnLFcMB4pcaBsH4ahd9WxGAS9D1_vw9dz-FHQwHUMP757-7ST46u_UUfg8gC4qLuKjoSK_wXYPwNqO_KbJ1NAjkwJ_gA6d8A2 |
| CitedBy_id | crossref_primary_10_3390_ijerph18030951 crossref_primary_10_1108_IMDS_02_2021_0120 |
| ContentType | Journal Article |
| Copyright | Copyright Sultan Qaboos University Aug 2018 Copyright 2018, Sultan Qaboos University Medical Journal, All Rights Reserved 2018 |
| Copyright_xml | – notice: Copyright Sultan Qaboos University Aug 2018 – notice: Copyright 2018, Sultan Qaboos University Medical Journal, All Rights Reserved 2018 |
| DBID | ~6Z ADJCN CGR CUY CVF ECM EIF NPM AAYXX CITATION 3V. 7X7 7XB 88E 8FI 8FJ 8FK 8G5 ABUWG AFKRA AZQEC BENPR CCPQU CWDGH DWQXO FYUFA GHDGH GNUQQ GUQSH K9. M0S M1P M2O MBDVC PIMPY PQEST PQQKQ PQUKI PRINS Q9U 7X8 5PM DOA |
| DOI | 10.18295/squmj.2018.18.03.016 |
| DatabaseName | Al Manhal All Journals Collection الدوريات العلمية والإحصائية - e-Marefa Academic and Statistical Periodicals Medline MEDLINE MEDLINE (Ovid) MEDLINE MEDLINE PubMed CrossRef ProQuest Central (Corporate) Health & Medical Collection (Proquest) ProQuest Central (purchase pre-March 2016) Medical Database (Alumni Edition) Hospital Premium Collection Hospital Premium Collection (Alumni Edition) ProQuest Central (Alumni) (purchase pre-March 2016) Research Library (Alumni Edition) ProQuest Central (Alumni) ProQuest Central ProQuest Central Essentials ProQuest Central ProQuest One Community College Middle East & Africa Database ProQuest Central Korea Health Research Premium Collection Health Research Premium Collection (Alumni) ProQuest Central Student Research Library Prep ProQuest Health & Medical Complete (Alumni) Health & Medical Collection (Alumni Edition) Medical Database Research Library Research Library (Corporate) Publicly Available Content Database ProQuest One Academic Eastern Edition (DO NOT USE) ProQuest One Academic ProQuest One Academic UKI Edition ProQuest Central China ProQuest Central Basic MEDLINE - Academic PubMed Central (Full Participant titles) DOAJ Directory of Open Access Journals |
| DatabaseTitle | MEDLINE Medline Complete MEDLINE with Full Text PubMed MEDLINE (Ovid) CrossRef Publicly Available Content Database Research Library Prep ProQuest Central Student ProQuest Central Essentials ProQuest Health & Medical Complete (Alumni) ProQuest Central (Alumni Edition) ProQuest One Community College Research Library (Alumni Edition) ProQuest Central China ProQuest Central Health Research Premium Collection Middle East & Africa Database Health and Medicine Complete (Alumni Edition) ProQuest Central Korea ProQuest Research Library ProQuest Medical Library (Alumni) ProQuest Central Basic ProQuest One Academic Eastern Edition ProQuest Hospital Collection Health Research Premium Collection (Alumni) ProQuest Hospital Collection (Alumni) ProQuest Health & Medical Complete ProQuest Medical Library ProQuest One Academic UKI Edition ProQuest One Academic ProQuest Central (Alumni) MEDLINE - Academic |
| DatabaseTitleList | MEDLINE - Academic MEDLINE CrossRef Publicly Available Content Database |
| Database_xml | – sequence: 1 dbid: DOA name: DOAJ Directory of Open Access Journals url: https://www.doaj.org/ sourceTypes: Open Website – sequence: 2 dbid: NPM name: PubMed url: https://proxy.k.utb.cz/login?url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed sourceTypes: Index Database – sequence: 3 dbid: EIF name: MEDLINE url: https://proxy.k.utb.cz/login?url=https://www.webofscience.com/wos/medline/basic-search sourceTypes: Index Database – sequence: 4 dbid: BENPR name: ProQuest Central url: https://www.proquest.com/central sourceTypes: Aggregation Database |
| DeliveryMethod | fulltext_linktorsrc |
| Discipline | Medicine |
| DocumentTitleAlternate | تطبيق تقنيات إدارة لين في قسم طب الأورام الإشعاعي |
| EISSN | 2075-0528 |
| EndPage | 366 |
| ExternalDocumentID | oai_doaj_org_article_b2412146dfe74a0c87dbc421e89733d1 10_18295_squmj_2018_18_03_016 30607279 852802 131285 |
| Genre | Journal Article |
| GeographicLocations | Oman United States--US |
| GeographicLocations_xml | – name: Oman – name: United States--US |
| GroupedDBID | 2WC 3V. 5VS 7X7 88E 8FI 8FJ 8G5 ABDBF ABUWG ADBBV AEGXH AFKRA AFWDF AKALU ALMA_UNASSIGNED_HOLDINGS AOIJS AQQWJ AZQEC BAWUL BCNDV BENPR BPHCQ BVXVI CWDGH DIK DWQXO EOJEC FRP FYUFA GNUQQ GROUPED_DOAJ GUQSH GX1 HYE IAO IHR INR IPNFZ KQ8 L7B M1P M2O M~E OBODZ OK1 PIMPY PQEST PQQKQ PQUKI PROAC PSQYO RIG RNS RPM TR2 UKHRP W2D ~6Z ADJCN ALIPV CCPQU HMCUK CGR CUY CVF ECM EIF NPM AAYXX CITATION 7XB 8FK K9. MBDVC PRINS Q9U 7X8 5PM |
| ID | FETCH-LOGICAL-a418t-fbb418ec934cb110fa690081b6493864157dc8b24010bb75b8a82450768805b73 |
| IEDL.DBID | RPM |
| ISSN | 2075-051X |
| IngestDate | Thu Jul 04 21:09:58 EDT 2024 Tue Sep 17 21:15:49 EDT 2024 Fri Jun 28 04:26:21 EDT 2024 Fri Sep 13 02:25:00 EDT 2024 Fri Aug 23 00:47:01 EDT 2024 Thu May 23 23:35:56 EDT 2024 Thu Sep 12 21:32:08 EDT 2024 Tue Apr 18 16:43:06 EDT 2023 |
| IsDoiOpenAccess | true |
| IsOpenAccess | true |
| IsPeerReviewed | true |
| IsScholarly | true |
| Issue | 3 |
| Keywords | Total Quality Management Organization and Administration Health Services Administration Efficiency Healthcare Quality Assurance Oman |
| Language | English Arabic |
| LinkModel | DirectLink |
| MergedId | FETCHMERGED-LOGICAL-a418t-fbb418ec934cb110fa690081b6493864157dc8b24010bb75b8a82450768805b73 |
| Notes | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 |
| OpenAccessLink | https://doaj.org/article/b2412146dfe74a0c87dbc421e89733d1 |
| PMID | 30607279 |
| PQID | 2163226523 |
| PQPubID | 2046015 |
| PageCount | 5 |
| ParticipantIDs | proquest_journals_2163226523 proquest_miscellaneous_2164100170 emarefa_primary_852802 pubmedcentral_primary_oai_pubmedcentral_nih_gov_6307637 pubmed_primary_30607279 almanhal_primary_131285 doaj_primary_oai_doaj_org_article_b2412146dfe74a0c87dbc421e89733d1 crossref_primary_10_18295_squmj_2018_18_03_016 |
| PublicationCentury | 2000 |
| PublicationDate | 2018-08-01 |
| PublicationDateYYYYMMDD | 2018-08-01 |
| PublicationDate_xml | – month: 08 year: 2018 text: 2018-08-01 day: 01 |
| PublicationDecade | 2010 |
| PublicationPlace | Muscat - Oman |
| PublicationPlace_xml | – name: Muscat - Oman – name: Muscat, Oman – name: Oman – name: Muscat |
| PublicationTitle | Sultan Qaboos University medical journal |
| PublicationTitleAlternate | Sultan Qaboos Univ Med J |
| PublicationYear | 2018 |
| Publisher | Sultan Qaboos Uinversity : Academic Publication Board Sultan Qaboos University, College of Medicine and Health Sciences Sultan Qaboos University Sultan Qaboos University Medical Journal, College of Medicine & Health Sciences |
| Publisher_xml | – name: Sultan Qaboos Uinversity : Academic Publication Board – name: Sultan Qaboos University, College of Medicine and Health Sciences – name: Sultan Qaboos University – name: Sultan Qaboos University Medical Journal, College of Medicine & Health Sciences |
| SSID | ssj0000387615 |
| Score | 2.1612248 |
| Snippet | Objectives: Lean management (LM) principles were first developed by a Japanese manufacturing
company to maximise value and minimise waste in the automotive... Lean management (LM) principles were first developed by a Japanese manufacturing company to maximise value and minimise waste in the automotive industry.... Objectives: Lean management (LM) principles were first developed by a Japanese manufacturing company to maximise value and minimise waste in the automotive... [...]heijunka, another LM tool, was utilised to level workload. [...]a two-shift system was introduced in order to reduce the intellect waste caused by having... OBJECTIVESLean management (LM) principles were first developed by a Japanese manufacturing company to maximise value and minimise waste in the automotive... |
| SourceID | doaj pubmedcentral proquest crossref pubmed emarefa almanhal |
| SourceType | Open Website Open Access Repository Aggregation Database Index Database Publisher |
| StartPage | 362 |
| SubjectTerms | Automobile industry Clinical & Basic Research Customer satisfaction Defects Efficiency, Organizational - trends Health care Hospital Departments - methods Hospital Departments - trends Humans MEDICAL CARE NEOPLASMS OMAN Oncology Patient satisfaction Quality Assurance, Health Care - methods Quality control Quality management Radiation Oncology - instrumentation Radiation Oncology - methods Radiation Oncology - standards Radiation therapy RADIOTHERAPY Total Quality Management - methods Workloads الأورام الرعاية الطبية العلاج بالأشعة عمان |
| SummonAdditionalLinks | – databaseName: DOAJ Directory of Open Access Journals dbid: DOA link: http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwrV3NaxUxEB-kB_EiVq2uVongde3ma5M9-lVKsQrSwruFfFqlTbXvvUP_eyfZfa_vieDF07JJCGRmkt8MmfwG4LVElInJhzboJFuRqG-HoGlrqfJMpsRVfSF38rk_OhPHMznbKPVVcsJGeuBRcAcOIaYUnw4pKmE7r1VwXjAa9aA4D2PgQ-VGMFXPYI67vJYvYIiJLVrebHq-o9kgD-a_lpc_Sl6XxoZKckorRfPFpc3nJSFyA6MqlX99r2vx3_7NE_0zoXIDoQ4fwP3JtSRvxyXtwp2YH8Ldk-ny_BEcVybgmh6Uv5FP0WZym_xCTldkrnNiF8SSr4W0oGiNfMmV2fqGfEDouq5Z6Y_h7PDj6fujdiql0FpB9aJNzuE3-oEL7xDxk8WoGL0B14uB6x5RXAWvUdYYnjmnpNNWMyHLNZ3upFN8D3byVY5PgXQ0Co5-WFJiECJ2WgQmrLR-CCk4Lhp4spKj-TkyZhjKEQZlA29WYr3twRikqMRUlZiiEmwwHTeokgbeFeGvBxcq7NqABmImAzH_MpAG9ibVrefRkumONbC_0qSZNu7cMPRP0SPF8LyBV-tu3HLlHsXmeLWsYwStxEO41lHx66kxAuvQJRwaUFsmsbWG7Z78_bzSevd43PZcPfsfi34O94oox0zFfdhZXC_jC_SeFu5l3Si_AdeTEpY priority: 102 providerName: Directory of Open Access Journals – databaseName: Health & Medical Collection (Proquest) dbid: 7X7 link: http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwfV1Lb9QwEB6VIiEuiFchUFCQuIaNX7FzQryqVUVBQq20N8vPtohm293sgX_P2JvsdhHiFMW2otgz9nz2jL8BeCvQyoTofOVVFBWPxFWtV6QyRDoqYmQy35A7-dZMz_jxTMz2YDrehUlhleOamBdqP3fpjHxCETggVMB908TYdArg-sn765sq5Y9KftYhmcYduEsowgrUbDmTm9OW5KRtcjoDijayQk2cDdd5FG3FZHmzuvqZ4rwUFmTSU5Ipm39dme4iBUjeslmZ2j_f3zX4bv6FTP8OsLxlsY4ewoMBapYf1rrxCPZC9xjunQzO9CdwnJmBc7hQd15-DaYrt8Ew5elI7rosTV-a8kciMUhSLL93men6d_kZTdkiR6k_hbOjL6efptWQWqEynKi-itbiM7iWcWcRAUSDu2REB7bhLVMNWnXpnbJo7kltrRRWGUW5SG47VQsr2QHsd_MuPIeyJoEzxGVR8pbzUCvuKTfCuNZHbxkv4Nk4jvp6zaChCUOzKAp4Nw7rtgb3JEkkOotEJ5Fgga6ZRpEU8DEN_qZxosbOBfPFuR5mmsafJilbuY9BclM7Jb11nJKgWsmYJwUcDKLbfEcJqmpawOEoST1M5KXeql0BbzbVOAWTX8V0Yb7KbTjJRETY17XgN5_GHVmNELEtQO6oxE4fdmu6y4tM893g8tsw-eL_v_US7qdBWsckHsJ-v1iFV4iTevs6T4E_UbQOEA priority: 102 providerName: ProQuest |
| Title | Implementing Lean Management Techniques at a Radiation Oncology Department |
| URI | http://platform.almanhal.com/Summon/Preview/?id=2-131285 https://search.emarefa.net/detail/BIM-852802 https://www.ncbi.nlm.nih.gov/pubmed/30607279 https://www.proquest.com/docview/2163226523/abstract/ https://search.proquest.com/docview/2164100170 https://pubmed.ncbi.nlm.nih.gov/PMC6307637 https://doaj.org/article/b2412146dfe74a0c87dbc421e89733d1 |
| Volume | 18 |
| hasFullText | 1 |
| inHoldings | 1 |
| isFullTextHit | |
| isPrint | |
| link | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV1Lb9wgEB4lqVT1UvWV1m26olKv3jUGFnxs0kRR1E2jKJH2hgDjPJRl030c-u87sPZmt-qpJ8tgW4aZ8TeYjw-ArwJRxjeuzmvViJw31OVVrWhuqHSlaBom0wq50fnw9JqfjcV4B0S3FiaR9p2964eHST_c3SZu5ePEDTqe2OBidDRExxwyOdiFXcnYxhA9fX4ZBnjauaBEOMzR6cbtyh1VVmIw_7Wc3EdKl8KCpG9K4zZGmDkXCOUx0TQPExNuIy1yA6mSoH9atWvw3PwrH_2bVrmBUyev4GWbYJJvq4a8hh0f3sDzUTuF_hbOkh5wIgmFG_LDm0CeKDDkqpN0nROzIIZcRumCaDvyMyR969_kOwLYLHHT38H1yfHV0WnebqiQG07VIm-sxaN3FePOIu43BsfGmBPYIa-YGiKWy9opiyBPC2ulsMqokos4WacKYSXbh70wDf4DkIJ6zjAbaySvOPeF4nXJjTCuqpvaMp7B-64f9eNKN0NThmAoMuh33fpUgyORaB2drKOjdbBAF0yjdTI4jJ2_vjgKYqeC6exGt26h8aVp3KO8brzkpnBK1tbxknpVoYvUNIP91nTr5yhRqqLM4KCzpG7Dd65LzFIxL8VBegZf1tUYeHE2xQQ_XaZrOE3yQ9jWleHXj-68KQO55RJbbdiuQV9P4t6tb3_87zs_wYvYfyuS4gHsLWZL_xkTp4XtYbiMZQ-eHR6fX1z20u-HXgqePxOsFts |
| link.rule.ids | 230,315,733,786,790,870,891,2115,12083,21416,27957,27958,31754,31755,33779,33780,43345,43840,53827,53829,74102,74659 |
| linkProvider | National Library of Medicine |
| linkToHtml | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwfV1Lb9QwELagSMAF8SoEChiJa2gc27FzQryqpewWCW2lvVl-tiCabfdx4N8z9jrZLkKcothRlHhsf2PP528QesMBZXywrnQy8JIFYsvWSVJqImzNQ6AinZCbnDSjU3Y847O84bbMtMp-TkwTtZvbuEd-WIPjAK4CrJveXV6VMWtUjK7mFBo30S1GKYuUPjETwx5LDM02KYlBDchYQv-b5UM8sm754fJqffEzsrskFCSpU5KEmn9d6O480iKvIVUS9E-ndjXc63_5o3_TKq_h1NF9dC87mPj9pkc8QDd89xDdnuQQ-iN0nPSAE0moO8Njrzu8pcDgaS_pusR6hTX-HqULou3wty7pW__GnwDAFomb_hidHn2efhyVOaFCqRmRqzIYA1dvW8qsAdwPGtbG4BOYhrVUNoDlwllpAORJZYzgRmpZMx6DdbLiRtB9tNfNO_8U4Yp4RsEbC4K1jPlKMlczzbVtXXCGsgI96dtRXW50MxShAIa8QG_7Zt3WwEokmkQlk6hoEihQFVVgkgJ9iI0_PBwFsVPBfHGm8vhS8NEk5ih3wQumKyuFM5bVxMtWUOpIgfaz6Yb3SF7Lqi7QQW9JlYfvUm07W4FeD9Uw8GI0RXd-vk7PMJLkh-BfN4YfXg3rsAocw7ZAYqdL7PzDbk334zyJezcw6TZUPPv_Z71Cd0bTyViNv5x8fY7uxgbbsBIP0N5qsfYvwFNamZdpOPwBGRkNQw |
| linkToPdf | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwfV1Lb9QwELaglSouiFdp2gJG4ho2ju3YOSFKuyqlXaqqlfZm2bHdgmi23ceBf8_Y62S7CHGKYkdR4pnxjD2fv0HoAwcv43xjcys9z5knTV5bSXJNRFNy76mIJ-TORtXxFTsZ83HCP80SrLKbE-NEbSdN2CMflBA4QKgA66aBT7CI88Php7v7PFSQCpnWVE7jMdoUrOKg4ZsHR6Pzi37HJSRqq1jSoAQ_mYM2jtORHlnWfDC7X9z-DFgvCQ2R-JRE2uZft7q9CSDJB34r0vvHM7wa7vW_otO_QZYPvNbwGXqawk38eakfz9Ej175AW2cpof4SnUR24AgZaq_xqdMtXgFi8GVH8DrDeo41vghEBkGS-Hsb2a5_40NwZ9OIVH-FroZHl1-O81ReIdeMyHnujYGra2rKGgNRgNewUoYIwVSsprICzy5sIw24fFIYI7iRWpaMh9SdLLgRdBtttJPW7SBcEMcoxGZesJoxV0hmS6a5bmrrraEsQ6-7cVR3SxYNRSi4Rp6hj92wrnpgXRJEoqJIVBAJNKiCKhBJhg7C4PcPB3rs2DCZXqtkbQo-moSK5dY7wXTRSGFNw0riZC0otSRD20l0_XskL2VRZmi_k6RKxjxTK9XL0Pu-G8ww5FZ06yaL-AwjkYwI_nUp-P7VsCorIEysMyTWVGLtH9Z72h83keq7gim4omL3_5_1Dm2BLajTr6Nve-hJGK8lRHEfbcynC_cGwqa5eZvs4Q-yChLm |
| openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Implementing+lean+management+techniques+at+a+radiation+oncology+department&rft.jtitle=Sultan+Qaboos+University+medical+journal&rft.au=al-Blushi%2C+Mustafa+Mahmud&rft.au=al-Mundhiri%2C+Zahid&rft.date=2018-08-01&rft.pub=Sultan+Qaboos+University%2C+College+of+Medicine+and+Health+Sciences&rft.issn=2075-051X&rft.eissn=2075-0528&rft.volume=18&rft.issue=3&rft.spage=362&rft.epage=366&rft_id=info:doi/10.18295%2Fsqumj.2018.18.03.016&rft.externalDBID=ADJCN&rft.externalDocID=852802 |
| thumbnail_s | http://utb.summon.serialssolutions.com/2.0.0/image/custom?url=https%3A%2F%2Fstatic.almanhal.com%2Fcovers%2Ftitl%2F131285%2Fcover-lg.jpg |