Creation and implementation of a lean improvement process (6S) designed to improve pharmacy work space organization and standardization
Keywords:
lean improvement, 5S, 6S, pharmacy work space, standardizationAbstract
Northwestern Memorial Hospital (NMH) is an 894-bed academic medical center hospital in Chicago that is the primary teaching affiliate for the Feinberg School of Medicine and has nearly 1,900 affiliated physicians representing virtually every medical specialty. The central pharmacy at NMH underwent a 6S initiative in order to improve the workplace. 6S is a lean improvement process designed to improve work space organization and standardization. A Project 6S team was assembled to coordinate implementation and maximize efficiency throughout the project. The following discusses the steps followed and projects completed in order to apply the 6S methodology at Northwestern Memorial Hospital. 6S is a lean improvement process designed to improve work space organization and standardization. A lean process is a system for continuous advancement and was originally a management philosophy developed by the Toyota Production System. 5S organization method that is derived from five Japanese words that describe how to organize a workplace for efficiency and effectiveness. The 5S’s are sort, straighten, scrub, standardize, and sustain. 6S is a modification of the 5S’s, but adds safety as the sixth S. Overall, 6S is a process for creating and maintaining an organized, clean, high performance workplace. It promotes activities of continuous improvement in an organization.
References
Amerisource Bergen. Cubixx Solutions. 2018. Available at: https://www.cubixxsolutions.com/
Kitcheck. Kitcheck tour. 2018. Available at: https:// kitcheck.com/
Institute for Healthcare Improvement. Improvement report: lean thinking applied to pharmacy processes. 2003. Available at: http://www.ihi.org/resources/Pages/
ImprovementStories/MemberReportLeanThinkingAppliedtoPharmacyProcesses.aspx
Institute for Safe Medication Practices. FDA and ISMP lists of look-alike drug names with recommended tall man letters. 2016. Available at: https://www.ismp.org/ tools/tallmanletters.pdf
Mann J, Dipper A, Rowe E, et al. Lean Six Sigma in the Pharmacy Department. Pharmacy Times. 2014. Available at: http://www.pharmacytimes.com/publications/
health-system-edition/2014/september2014/lean-six-sigma-in-the-pharmacy-department
McMahon T. Introduction to 6s. 2008. Available at: https://www.slideshare.net/ALeanJourney/introduction-to-6s
Northwestern Medicine. Northwestern Memorial Hospital. Available at: https://www.nm.org/locations/
northwestern-memorial-hospital
Omnicell Inc. Lean thinking in the pharmacy and the role of omnicell technology. 2014. Available at: https://www.scottsdaleinstitute.org/docs/sponsors/Omnicell/2014-03.Lean-Thinking-in-the-Pharmacy.pdf
Osakue EE, Smith D. A 6S Experience in a Manufacturing Facility. 2014. Available at: https://www.
asee.org/file_server/papers/.../file/.../6S_EXPERIENCE_DRAFT-B.pdf
The Pharmaceutical Journal. Using the Lean approach to transform pharmacy services in an acute trust. Available at: https://www.pharmaceutical-journal.com/
news-and-analysis/using-the-lean-approach-to-transform-pharmacy-services-in-an-acute-trust/10884114.article
Shiu J, Mysak T. Pharmacist clinical process improvement: applying lean principles in a tertiary care setting. Can J Hosp Pharm 70: 138–143, 2017.
Talyst. Solutions: medication inventory software. 2018. Available at: http://www.talyst.com/
Downloads
Additional Files
Published
Issue
Section
License
Authors who publish with the American Journal of Experimental and Clinical Resaerch (AJECR) agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License (CC BY-NC-ND) that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).



