Understanding 5 S How does Visual Management activate

Understanding 5 S: How does Visual Management activate our brain? Gabriela Salim Spagnol Nurse & MSc student, School of Medical Sciences Research Group for Innovation and Healthcare Management, University of Campinas – Brazil Co-Authors: Brunno M. de Campos, Research Physicist & Ph. D Student and Li Min Li, MD, Ph. D, BBA Professor, School of Medical Sciences, Brazil 1

1. Visual Management BEFORE AFTER “If I can see it, I can fix it” Dr. Thoralf Sundt of Mayo Clinic (Shook, 2012) 2

The 5 S event (Spagnol, 2015) 3

The 5 S event in healthcare United States India Jordan Sri Lanka, Tanzania and Senegal 5 S: officially adopted as a national strategy Improves process flow Increases capacity Reduces infection rate Releases time for direct care of patients Improves patient and professional satisfaction 4 (Kanamori et al, 2015) 4

Neuroscience & Visual Management Hypothesis: Neuroscience can provide further understanding to improve visual management. Image: BRAINN website 5

Oxyhemoglobins O 2 ≠ Deoxyhemoglobins Magnetic susceptibility http: //www. wpclipart. com/ Oxygen Blood-Oxygen-Level Dependent signal 6

Research questions Q 1 - What is the best visual arrangement for performance improvement and error reduction? Investigation of subjects performance when required to search objects in images that illustrate different steps of 5 S. Q 2 - What are the neural correlates of information processing in different stages of 5 S? Investigation of brain activation in subjects when required to search objects in images that illustrate different steps of 5 S. 7

Lean Education Course A courtesy of Prof. Murmann, MIT 8

2. Methods Participants 40 (22 female): university community Age = 26 years [SD=8. 0]; 19– 50 years; 10 s to read instruction (a courtesy of Prof. Murmann, MIT) 20 s to circle objects 9

Image acquisition and processing 3 Tesla MRI scanner (Philips Achieva) Analysis in SPM 8 (Statistical Parametric Map) for Mat. Lab Functional Image: BOLD signal Structural Image (Arcuri & Mc. Guire, 2001) 10

Paradigm of stimuli presentation 11

3. Results – Q 1: Performance of Participants Number of correct objects Significant differences (p<0. 001, paired t-test): T 5 T 2 T 4 T 1 12

13 Number of incorrect objects

Results – Q 2: Brain Activation (Task 5 – Task 1) Left lateral view Left posterior superior view Right lateral view 14

Middle Temporal Gyrus 標準 Recognition of patterns Superior and Inferior Parietal Lobule Cognitive intelligence: problem solving, comprehension of communication and spatial relations (Achenson & Haggort, 2013; Sakurai et al, 2008) 15

4. Discussion This study shows. . . Q 1 - a major increase in performance was achieved when all 5 S`s were implemented. Q 2 - a significantly higher activation in specific pathways during T 5 when compared to T 1: Recognition of patterns Problem solving, communication and spatial relations Suggesting that… - visual attention targets individual objects, which are perceived as patterns, not their categories. 16

5. Conclusion Most important. . . Visual arrangement must place objects individually, not only in categories, applying all steps of 5 S to fully achieve its advantages. 17

Gabriela Spagnol, RN, MSc Student School of Medical Sciences Research Group for Innovation and Healthcare Management University of Campinas – Brazil gabrielaspagnol 21@hotmail. com 18