The Importance of Just in Time (JIT) Methodology and its Advantages in Health Care Quality Management Business – A Scoping Review

The Importance of Just (JIT) Methodology and its Advantages organization should use the JIT methodology and some of the disadvantages of the JIT methodology. Articles are specially selected from the PubMed NIH website focusing only on healthcare JIT methodology. Results: There are four tables providing details about the 10 steps of the JIT methodology and its benefits/advantages. Remaining two tables provide the details about who should use the JIT methodology and its disadvantages. Author has provided the data analysis and diagrammatic presentation by using SPSS software. Four diagrams show the bar charts and the frequencies of the 30 articles of the steps, advantages, disadvantages and who should use the JIT methodology. Conclusion:

for successfully implementing JIT in (MIC). The results of the randomized trial strongly support (Christopher M, et al. [2]) the efficacy of just-in-time evidence-based reminders as a means of changing clinical practice among home health nurses who are geographically dispersed and spend much of their time in the field.
Both the basic and the augmented interventions greatly increased the practice of evidence-based care according to patient records in the areas of patient assessment and instructions about HF disease management. While not all results were statistically significant at (Christopher M, et al. [2]) conventional levels intervention effects were positive in virtually all cases and effect magnitudes frequently were large (Figure 1). The JIT and stockless approach to provider supplier relationships (Lynch D [3]) has proven to be a win-win proposition for the partners that have implemented it in many manufacturing industries and health care organizations as well. This strategy will fundamentally impact the entire cost structure within the hospital supply distribution chain. The sweeping changes the health care industry experienced during the 1980s are leading creative materiel managers to seize the initiative to improve the current operating (Lynch D [3]) costs of their hospitals. They do not want to be left behind "holding the inventory." JIT leads to waste reduction improves productivity and (Kaswan S, et al. [4]) provides highquality patient care. The practical implementation of JIT depends on vital factors known as enablers. Grey Relational Analysis (GRA) has been used in the present study to rank enablers and ranks were further validated using the fuzzy technique for (Kaswan S, et al. [4]) order of preference by similarity to ideal solution (TOPSIS) and sensitivity analysis. Clinical nurse educators are expected to (White,et al. [5]) prepare students for the realities of practice while providing meaningful learning experiences.
However, shortened patient stays in the acute care setting often lead to wasted and useless effort for both instructors and students. The application of Just-in-Time principles offers a viable and alternative solution for clinical (White,et al. [5]) practice preparation in today's rapidly changing healthcare environment. Different organization around the globe are using 5S (Ahsan Siddiqui [6]) 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.
Lean management and Lean six sigma methodology has shown promising results to improve the quality of health care system.
Lean six sigma methodology works by reducing 8 wastes including overproduction, inventory, waiting, Motion, Transportation, rework, over processing and non-utilized talent. The 5 (Ahsan Siddiqui [6]) principles of lean model include value, value stream, flow, pull and perfection.
Healthcare providers are critical to disaster response (Ahsan Siddiqui [7]) throughout the world. Increasingly, there are government and nongovernment sponsored opportunities for providers to participate in disaster response as members of disaster response teams. Training opportunities on-line and in-person are readily available but not usually for a specific disaster at the time it occurs. Just-in-time disaster specific training prepares providers for imminent deployment for a real-time disaster. Particularly for disaster response (Ahsan Siddiqui [7]) in an austere environment just-in-time disaster specific training optimizes preparation and response.

Methods
The Author of this article has chosen the scoping review of the 37 articles and the websites to discuss details about the Just in time methodology. Scoping review focuses more on to discuss the  Just-in-Time Logistics extends the JIT concept in manufacturing to business logistics an area (Kee h, et al. [13]) that has been observed to account for more than 30 per cent of sales revenue for some firms. The price of alirocumab would have to be reduced (Dhruv S, et al. [14]) considerably to be cost-effective. Because substantial reductions already have occurred, we believe that timely independent cost effectiveness analyses can inform clinical and policy discussions of new drugs as they enter the market. Compared        There is no spare finished product available to meet unexpected orders because all product is made to meet actual  What key factors (Gary LF, et al. [21]) are likely to influence the success or failure of initiated JIT exchanges. We conclude that in a hospital with a sophisticated material (Epstein R, et al. [22]) management information system OR managers will probably achieve greater cost reductions from focusing on negotiating less expensive purchase prices for items than on trying to link the OR information system with the hospital's material management information system to achieve just-intime inventory control.
Because expensive items typically have different models and sizes each of which is used by a hospital less often than this for almost all items there will be (Epstein R, et al. [22]) no benefit to

Discussion
The analysis was conducted in a systematic manner and (Gary Jarrett [24]) compared the anticipated benefits with benefits validated in other industries from the implementation of JIT.
In this particular study the cost and benefit outcomes achieved from a health care JIT implementation were compared with those achieved by the manufacturing service and retail industries. Chiefly, it was found that the health service market must be restructured  [28]) are under more pressure than ever to be more cost efficient. In order to accomplish these hospitals must explore new business models that will help them reduce costs while at the same time increasing productivity. The just-in-time (JIT) inventory system is selected in this project as a potential cost saving strategy for hospitals. This project explores the feasibility of adopting a JIT inventory system (Yitteck Walker [28]) in a hospital setting through a detailed review and comparison of 20 articles. Lean management aims to add value to the patient (Tomasz K [29]) and the healthcare unit by eliminating superfluous and non-value adding activities. The purpose of the article is to discuss the implementation of lean management/lean healthcare solutions to the healthcare units thanks to the use of a value-adding Just-in-Time (JIT) method in hospital inventory management. The article is based on [29][30][31][32][33][34][35][36][37][38][39] an up-to-date subject literature and was conducted by means of desk research analysis.

Conclusion
To conclude, just in time methodology (JIT) is a lean methodology to provide economic comfort to the organization.
JIT has proven that it could save lot of wastes for the organization and provided affective savings for the organization. The method to get the benefit is to order only what is needed and do not waste the time and money in inventory stocks. Toyota motors, Apple, McDonald and others are successful organizations taking huge benefits from the JIT methodology from decades. Small businesses should practice JIT methodology, which is convenient to use and sensible, easy to implement in the organizations.