Pragmatic evaluation of the Toyota Production System (TPS) analysis procedure for problem solving with entry-level nurses
Abstract: Medication errors
occurring in hospitals are a growing national concern. These medication errors
and their related costs (or wastes) are seen as major factors leading to
increased patient safety risks and increased waste in the hospital setting. This article presents a study in which
sixteen entry-level nurses utilized a Toyota Production System (TPS) analysis
procedure to solve medication delivery problems at one community hospital. The
objective of this research was to study and evaluate the TPS analysis procedure
for problem solving with entry-level nurses. Personal journals, focus group
discussions, and a survey study were used to collect data about entry-level
nurses’ perceptions of using the TPS problem solving approach to study medication
delivery. A regression analysis was used to identify characteristics that
enhance problem solving efforts. In addition, propositions for effective
problem solving by entry-level nurses to aid in the reduction of medication
errors in healthcare delivery settings are offered.
Keywords: medication errors,
problem solving, nurses, analysis, improvement, Toyota Production System
Author: Lukasz Maciej Mazur,
Shi-Jie (Gary) Chen, Barbara Prescott
Journal Code: jptindustrigg080008