Comparing the Workplace Organization Method 5s with the 7 Wastes (Muda) in Waste and Failure Management Tool, in the Health Care Quality Management

Comparing the Workplace Organization Method 5s with the 7 Wastes (Muda) in Waste and Failure Background and Objective: The main theme of this article is to discuss and compare the workplace organization method 5S with the 7 wastes (Muda) in waste and failure management tool, in the health care quality management. Methods: The Author of this article has chosen literature review methodology of 18 random research articles and quality management websites. By reviewing the literature, we have chosen 10 different points in 18 articles discussing or agreeing on where 5S and 7 Muda are beneficial. Most of the chosen articles discusses the quality management in the health sector and their benefits. Results: There is a table and SPSS diagram representing the literature review regarding 18 articles including quality management website. Table title is (18 journal articles discusses and agrees to the following 10 points). SPSS diagram clearly shows the number of times each article discusses the chosen 10 points. The 10 points includes the agreement of points beneficial for health sector by using 5S and 7 Muda methodology. Conclusion: To conclude the article, 18 of the articles including the quality management websites agrees on the use of 5S and 7 Muda methodology. Different organization around the globe are using 5S and 7 Muda methodology to get benefits for improvement of their health care system. The step-by-step process of 5S and 7 Muda methodology is smart way to start, monitor, finish and follow up the broken health system in several countries.


Introduction
The 5S is a workplace organization system [1] designed to help build a quality work environment, both physically and mentally. The    (Marc Karschies, 2017) "When in doubt, move it out" [2].

5S -Step 1 -Sort: Eliminate Items
Inventories can hold significant values of overstocked, expired and/or useless items. Sort items by logical grouping and get rid of unnecessary or expired items to make space for everything else. If you are not sure about something, put it aside for a few days and see if anyone needs it. Sorting Categories includes: [2] 1. Expired stock (Discard),

3.
Does not belong/ To be returned (Returned to correct dept)

4.
Stored elsewhere (Move to correct storage)

5.
Overstock to be used (Block reorder until used -Kanban),

7.
Rarely used (Move to less prominent storage location),

5S -Step 2 -Set in Order, Arrange Items
"A place for everything and everything in its place" [2]. Use containers that hold exactly the right quantity to prevent overstock. Use to bin system -time to restock + buffer = bin size; empty bin = reorder. Label items (with pictures) so everyone can find them or put them away ( Figure 4).

5S -Step 3 -Shine. Neat & Clean
Spot problems quickly by keeping the area spotless [2]. Shine regularly. If something is always in the wrong spot, maybe it needs a new home.

5S -Step 4 -Standardize. Consistent Approach
Make sure everyone is doing things the same way [2]. All drawers organized the same way.

5S -Step 5 -Sustain. Maintain Correct Procedures
When clean in the normal, it is time to see what else you can improve [2]. Perform 5S Audits (e.g with laminated preprinted test scripts like "find XYZ". Is everything in the right place? Is everything in the right quantity? Perform team huddles to identify further improvement opportunities.

Toyota's (Ohno's) Seven Forms of Waste [3]
Taiichi Ohno "father" of the Toyota Production System originally identified seven forms of Muda or waste [3].

Transportation
Every time a product is touched or moved unnecessarily there is a risk that it could be damaged, lost, delayed, etc. as well as being a cost for no added value.

Inventory
Whether in the form of raw materials, work-in-progress (WIP), or finished goods, represents a capital outlay that cannot yet produce an income [3].

Motion refers to the damage and costs inflicted on what
creates the product. This can include wear and tear for equipment, repetitive strain injuries for workers or unnecessary downtime.

Waiting
Whenever the product is not in transportation or being processed, it is waiting (typically in a queue).

Overproduction
Making more of a product than is required results in several forms of waste, typically caused by production in large batches.

Over processing
Doing more to a product than is required by the end-customer results in it taking longer and costing more to produce [3].

Defects
Having to discard or rework a product due to earlier defective work [3] ( Figure 5). The 5S management method [4] (where 5S stands for sort, set in order, shine, standardize, and sustain) was originally implemented by manufacturing enterprises in Japan. It was then introduced to the manufacturing sector in the West and eventually applied to the health sector for organizing and standardizing the workplace.
5S has recently received attention as a potential solution for [4] improving government health-care services in low-and middleincome countries. The 5S has the potential to improve [5] client satisfaction at resource-poor health facilities and could therefore be recommended as a strategic option for improving the quality of healthcare service in low-and middle-income countries. To explore more effective intervention modalities, further studies need to address [5] the mechanisms by which 5S leads to attitude changes in healthcare staff.     better understand the factors of success and the barriers to their [11] implementation, as well as their long-term impact.

Discussion
The Medical record department (MRD) [12] is the critical department for the hospital information system and, therefore, the continuous improvement of its services and processes, through scientific methods such as Lean management, are essential. The benefits of Lean for healthcare organizations are that first, the quality of the outcomes in terms of mistakes and errors improves.
The second is [12]  third, a treatment is proposed and implemented; and fourth, checks are [13] made to determine if the treatment was effective.
The role of Six Sigma philosophy in improvement [14] of the quality of healthcare services is recognized both by researchers and by quality practitioners; discrete-event simulation models are commonly used to improve the key performance measures of patient care delivery. The two approaches are seldom referenced and implemented together however, they [14] could be successfully integrated to carry out quality improvement programs. Six Sigma's data measurement and process [15] improvement methodology is the impetus for health care organizations to rethink their workflow and reduce malpractice. It involves measuring, recording and reporting data on a regular basis. This enables the administration to monitor workflow continuously. Implementation of the design, measure, analyse, improve and control (DMAIC) improvement cycle, workflow chart, fishbone diagrams and Pareto charts [15] were employed, together with rigorous data collection in the department [16][17][18].

Conclusion
To conclude the article, 18 of the articles including the quality management websites agrees on the use of 5S and 7 Muda methodology. Different organization around the globe are using 5S and 7 Muda methodology to get benefits for improvement of their health care system. The step-by-step process of 5S and 7 Muda methodology is smart way to start, monitor, finish and follow up the broken health system in several countries.

Conflicts of Interest
None.