title: Lean manufacturing and Toyota Production System terminology applied to the procurement of vascular stents in interventional radiology.
abstract: OBJECTIVES: To apply the economic terminology of lean manufacturing and the Toyota Production System to the procurement of vascular stents in interventional radiology.  METHODS: The economic- and process-driven terminology of lean manufacturing and the Toyota Production System is first presented, including information and product flow as well as value stream mapping (VSM), and then applied to an interdisciplinary setting of physicians, nurses and technicians from different medical departments to identify wastes in the process of endovascular stent procurement in interventional radiology.  RESULTS: Using the so-called seven wastes approach of the Toyota Production System (waste of overproducing, waiting, transport, processing, inventory, motion and waste of defects and spoilage) as well as further waste characteristics (gross waste, process and method waste, and micro waste), wastes in the process of endovascular stent procurement in interventional radiology were identified and eliminated to create an overall smoother process from the procurement as well as from the medical perspective.  CONCLUSION: Economic terminology of lean manufacturing and the Toyota Production System, especially VSM, can be used to visualise and better understand processes in the procurement of vascular stents in interventional radiology from an economic point of view.
authors.affiliation: Charité - University Medicine Berlin, Charité Platz 1, 10117 Berlin, Germany.
authors.forename: Maximilian
authors.initials: M
authors.lastname: de Bucourt
authors.forename: Reinhard
authors.initials: R
authors.lastname: Busse
authors.forename: Felix
authors.initials: F
authors.lastname: Güttler
authors.forename: Christian
authors.initials: C
authors.lastname: Wintzer
authors.forename: Federico
authors.initials: F
authors.lastname: Collettini
authors.forename: Christian
authors.initials: C
authors.lastname: Kloeters
authors.forename: Bernd
authors.initials: B
authors.lastname: Hamm
authors.forename: Ulf K
authors.initials: UK
authors.lastname: Teichgräber