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    Sustainability and Kaizen: Business Model Trends in Healthcare

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    [EN] Kaizen, or continuous improvement, is a management tool that allows the identification of activities that have no value in the processes examined. This identification leads to the improvement of these processes within any organization and promotes economic and social sustainability, and to a lesser extent environmental sustainability. Kaizen, already widely and successfully employed in the industrial sector, is now being applied in the health sector. However, the health sector tends to publish only the results of how processes have been improved in finely focused areas and the resulting benefits. The majority of the benefits focus on time and cost reduction. In this study, the authors carried out a bibliometric analysis using the Scimat program, which maps the thematic evolution of Kaizen in the health sector and its relationship with sustainability, in order to promote the interest of the health sector for this type of process improvement. The findings confirm that the implementation of Kaizen is recent and constantly evolves and grows, and that it can help economic and social sustainability, and to a lesser extent environmental sustainability.Morell-Santandreu, O.; Santandreu Mascarell, C.; García Sabater, JJ. (2020). Sustainability and Kaizen: Business Model Trends in Healthcare. Sustainability. 12(24):1-28. https://doi.org/10.3390/su122410622S1281224Sepetis, A. (2019). Sustainable Health Care Management in the Greek Health Care Sector. Open Journal of Social Sciences, 07(12), 386-402. doi:10.4236/jss.2019.712030Sustainable Healthcare—Working towards the Paradigm Shift https://www.anhinternational.org/wp-content/uploads/old/files/100617SustainableHealthcare_White-Paper.pdfWeisz, U., Haas, W., Pelikan, J. M., & Schmied, H. (2011). Sustainable Hospitals: A Socio-Ecological Approach. GAIA - Ecological Perspectives for Science and Society, 20(3), 191-198. doi:10.14512/gaia.20.3.10McGain, F., & Naylor, C. (2014). Environmental sustainability in hospitals – a systematic review and research agenda. Journal of Health Services Research & Policy, 19(4), 245-252. doi:10.1177/1355819614534836D’Andreamatteo, A., Ianni, L., Lega, F., & Sargiacomo, M. (2015). Lean in healthcare: A comprehensive review. Health Policy, 119(9), 1197-1209. doi:10.1016/j.healthpol.2015.02.002Norazlan, A. N. I., Habidin, N. F., Roslan, M. H., & Zainudin, M. Z. (2014). Investigation of kaizen blitz and sustainable performance for Malaysian healthcare industry. International Journal of Quality and Innovation, 2(3/4), 272. doi:10.1504/ijqi.2014.066381Patient Safety in Developing and Transitional Countries 2012 www.who.int/patientsafety/research/emro_afro_report.pdfElmontsri, M., Almashrafi, A., Banarsee, R., & Majeed, A. (2017). Status of patient safety culture in Arab countries: a systematic review. BMJ Open, 7(2), e013487. doi:10.1136/bmjopen-2016-013487Paul Brunet, A., & New, S. (2003). Kaizenin Japan: an empirical study. International Journal of Operations & Production Management, 23(12), 1426-1446. doi:10.1108/01443570310506704Ferreira, D. M. C., & Saurin, T. A. (2019). A complexity theory perspective of kaizen: a study in healthcare. Production Planning & Control, 30(16), 1337-1353. doi:10.1080/09537287.2019.1615649Chahal, H., & Fayza, N. A. (2016). An exploratory study on kaizen muda and organisational sustainability: patients’ perspective. International Journal of Lean Enterprise Research, 2(1), 81. doi:10.1504/ijler.2016.078249Ishijima, H., Nishikido, K., Teshima, M., Nishikawa, S., & Gawad, E. A. (2019). Introducing the «5S-KAIZEN-TQM» approach into public hospitals in Egypt. International Journal of Health Care Quality Assurance, 33(1), 89-109. doi:10.1108/ijhcqa-06-2018-0143Mazzocato, P., Stenfors-Hayes, T., von Thiele Schwarz, U., Hasson, H., & Nyström, M. E. (2016). Kaizen practice in healthcare: a qualitative analysis of hospital employees’ suggestions for improvement. 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(2019). El profesional de la información (EPI): Bibliometric and thematic analysis (2006-2017). El Profesional de la Información, 28(4). doi:10.3145/epi.2019.jul.17WOS Database Available from the Spanish Foundation for Science and Technology https://www.recursoscientificos.fecyt.es/Fundación Española para la Ciencia y la Tecnología (FECYT) www.fecyt.esJiménez-García, M., Ruiz-Chico, J., Peña-Sánchez, A. R., & López-Sánchez, J. A. (2020). A Bibliometric Analysis of Sports Tourism and Sustainability (2002–2019). Sustainability, 12(7), 2840. doi:10.3390/su12072840Chiarini, A., Baccarani, C., & Mascherpa, V. (2018). Lean production, Toyota Production System and Kaizen philosophy. The TQM Journal, 30(4), 425-438. doi:10.1108/tqm-12-2017-0178Garcia, J. A. M., Sabater, J. J. G., & Bonavia, T. (2009). The impact of Kaizen Events on improving the performance of automotive components’ first-tier suppliers. 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    Food Supply without Risk: Multicriteria Analysis of Institutional Conditions of Exporters

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    [EN] International trade in food knows no borders, hence the need for prevention systems to avoid the consumption of products that are harmful to health. This paper proposes the use of multicriteria risk prevention tools that consider the socioeconomic and institutional conditions of food exporters. We propose the use of three decision-making methods-Technique for Order Preference by Similarity to the Ideal Solution (TOPSIS), Elimination et Choix Traduisant la Realite (ELECTRE), and Cross-Efficiency (CE)-to establish a ranking of countries that export cereals to the European Union, based on structural criteria related to the detection of potential associated risks (notifications, food quality, corruption, environmental sustainability in agriculture, and logistics). In addition, the analysis examines whether the wealth and institutional capacity of supplier countries influence their position in the ranking. The research was carried out biannually over the period from 2012-2016, allowing an assessment to be made of the possible stability of the markets. The results reveal that suppliers' rankings based exclusively on aspects related to food risk differ from importers' actual choices determined by micro/macroeconomic features (price, production volume, and economic growth). The rankings obtained by the three proposed methods are not the same, but present certain similarities, with the ability to discern countries according to their level of food risk. The proposed methodology can be applied to support sourcing strategies. In the future, food safety considerations could have increased influence in importing decisions, which would involve further difficulties for low-income countries.Ministry of Science and Innovation (Spain) and European Commission-ERDF. Project "Strengthening innovation policy in the agri-food sector" (RTI2018-093791-B-C22).Puertas Medina, RM.; Martí Selva, ML.; García Alvarez-Coque, JM. (2020). Food Supply without Risk: Multicriteria Analysis of Institutional Conditions of Exporters. International Journal of Environmental research and Public Health. 17(10):1-21. https://doi.org/10.3390/ijerph17103432S1211710Walker, E., & Jones, N. (2002). An assessment of the value of documenting food safety in small and less developed catering businesses. Food Control, 13(4-5), 307-314. doi:10.1016/s0956-7135(02)00036-1Sun, Y.-M., & Ockerman, H. W. (2005). A review of the needs and current applications of hazard analysis and critical control point (HACCP) system in foodservice areas. Food Control, 16(4), 325-332. doi:10.1016/j.foodcont.2004.03.012Rohr, J. R., Barrett, C. B., Civitello, D. J., Craft, M. E., Delius, B., DeLeo, G. A., … Tilman, D. (2019). Emerging human infectious diseases and the links to global food production. 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    Architectural design projects are characterised by a high number of constraints. Along with planning, energy performance and fire safety regulations, current designers have to face constraining factors related to budget, acoustics, orientation, wind turbulence, accessibility for the disabled, and so forth. These constraints steer the design process implicitly and explicitly in certain directions as soon as architectural designers aim at satisfying design briefs. We aim in this article at analysing the impact of such constraints on the design process. At this end, we have studied four design sessions in a particular (student) design use case. In analysing these four sessions, we used linkography as a method, because this appeared to be one of the better options to obtain a more quantitative assessment of the design process. The linkography method was combined with an interview of the student design team, in order to check the correctness of our conclusions

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    There has been much evidence that valuing variations in construction projects can lead to conflicts and disputes leading to loss of time, efficiency, and productivity. One of the reasons for these conflicts and disputes concerns the subjectivity of the project stakeholders involved in the process. One way to minimise this is to capture and collate the knowledge and perceptions of the different parties involved in order to develop a robust mechanism for valuing variations. Focusing on the development of such a mechanism, the development of a Knowledge Based System (KBS) for valuing variations in civil engineering work is described. Evaluation of the KBS involved demonstration to practitioners in the construction industry to support the contents of the knowledge base and perceived usability and acceptance of the system. Results support the novelty, contents, usability, and acceptance of the system, and also identify further potential developments of the KBS

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