Marotta et al.
Reduction of cost processing information. It calls for huge cost to implement a system that provides production schedule to all the processes and suppliers; Rapid and precise acquisition of supplies; Limiting surplus capacity of preceding shops. 2.4 Pareto analysis A quality tool called “Pareto analysis” is commonly referred as a statistical technique in decision making for the selection of a limited number of tasks that produce significant overall effect. It is a relatively simple methodology used when trying to determine which tasks or factors in an organization will have the greatest impact (Cervone, 2009). It ranks the data/factors in the descending order from the highest frequency of occurrences to the lowest frequency of occurrences. The total frequency is summed to 100 percent. The “vital few” items occupy a substantial amount (80 percent) of cumulative percentage of occurrences and the “useful many” occupy only the remaining 20 percent of occurrences, which is also known as the 80-20 rule. Results of a Pareto analysis are represented in a bar graph in the form of a descending order and helps to predict easily which factors are vital few and those factors which have least amount of benefits (Talib et al.,. 2011). 3. METHODOLOGICAL PROCEDURES This is an action research study, in which we identified a problem, used problem analysis tools and defined a value proposal, as stated by Shook J and Rother M, (1999). In this part of the article will be presented a local case study and it's service procedures. 3.1.1 First generation of Value Stream Map Chemotherapy - 2011 The chemotherapy treatment process involves many steps as follows: First the patient arrival at front desk, where patient chart is prepared; Second, the triage start the process for vital signs and basic interview; Then, start 3the medical appointment where he or she will be evaluated and a prescription is filled with the required drugs for chemotherapy treatment; Following, the prescription is checked and treatment is scheduled, usually for the same day; Then, the nurse checks the prescription again (a double check for right name, dose, age, and other safety barriers); After, the prescription is sent to the pharmacy; Then, there is another crosscheck by the pharmacist and finally it is filled; At the treatment room, the patient is evaluated by a nurse before the chemotherapy is started. Each treatment plan requires different criteria of evaluation; Then, if the patient is cleared, chemotherapy and medication is administered; By the end of the treatment, the patient is reassessed for clinical condition; Finally, the patient is discharged and leaves the unit.
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