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5s HOSEKEEPING APPLCAITON IN HOSPITALS

GROUP MEMBERS:

SHAKELA JAVED ROSHELA KHAN RAFIA HANI BUTT KAMRAN AHMED SAIRA BIBI M.SHOAIB

SUBMITTED TO:

CDR (R) AZHAR NISAR

LETTER OF TRANSMITTAL
COMMANDER (Rtd) AZHAR NISAR (Course Instructor) Total Quality Management BBA 7D

Subject: Report Submission Sir, This report examines the application of 5s of Housekeeping in a Hospital. The object of this study is Aga Khan Hospital, Stadium Road, Karachi. An effort has been made to make this report as all-inclusive as possible, keeping in view the time constraints and limitations of the study. However, main focus has been on the overall application of 5s of Housekeeping and the strategy adopted to achieve the objective at Aga Khan Hospital. With the help of different books, assistance from different web sources and by the visit of Aga Khan Hospital we have gathered the information for this report. I hope you find this report satisfactory any deficiencies observed in this study would be viewed with due leverage for inexperience on the part of researchers in carrying out study. Sincerely yours, Rafia Hanif Butt Shakila Javed Roshela Khan (REG#16420) (REG#16450) (REG#16429)

Muhammad Shoaib (REG#16397) Kamran Ahmed Saira Bibi BBA 7D (REG#16365) (REG#14217)

5s HOUSEKEEPING APPLICATION IN HOSPITALS

ACKNOWLDEGMENT
We would first and foremost like to thanks ALMIGHTY ALLAH who in HIS infinite mercy gave us a bountiful courage and strength. We would like to acknowledge Mr. Deedar Panjwani Manager housekeeping at Aga Khan Hospital, He patiently answered all of our questions .We are very thankful to him that he gave us his precious time and shared his worthless experience and knowledge with us and helped us in successfully completing the project. Our deepest thanks to our Lecturer,CDR (RETD.) AZHAR NISAR who & provided his major support. He has taken pain to go through the whole exercise along with us and made necessary adjustments as and when needed. We also express our thanks to, Bahria University Karachi campus for extended support.

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ABOUT AUTHORS
ROSHELA KHAN
Father name: Shamshear Ahmed khan PROFESSIONAL QUALIFICATION AND EDUCATION: BACHELOR OF BUSINESS ADMINISTRATION-MARKETING Bahria University (Karachi Campus) Semester (I) GPA: 3.92 CGPA:3.92 Semester (II) GPA:3.93 CGPA:3.92 Semester (III) GPA:3.92 CGPA:3.92
Year

E-mail ID: Roshela@live.com

2009 2012 (Under-process) Semester (IV) GPA:4 CGPA:3.94

Semester (V) GPA:3.86 CGPA:3.92 Semester (VI) GPA:3.67 CGPA:3.86


Grade

Education

Institution

2008 Grade A F.Sc Pre-medical Govt.Degree College (Karachi Board) SRE majeed 2006 Grade A -ONE Matriculation (Karachi Bangalore town secondary school Board) WORKING EXPERIENCE: I have completed an Internship with Aerolube Private Limited, for a period of Six weeks with effect from July 23, 2010 till August 30, 2010.

MAJOR PROJECT: Marketing Plan on NEW PRODUCT DEVOLEMENT (Hair sun block) in Marketing project Credit Rating & performance of JS GROWTH FUND in Finances project Swot analysis on the McDonalds. In Media course made documentary. The working process of HRM in Aga khan university hospital in my HRM project. Business plan development (Breakfast express) in entrepreneurship. Organized an event for charity in Change management course.

SHAKILA JAVED
Fathers Name: Nasir Ali Javed
Academic Qualification: Education BBA(FINANCE) Year 2009- date 2008 2006 Institution Bahria University CGPA/Div/Grade 3.67 Grade A Grade A

Address: CPO-63, Street-10 SABIR S.R.E Korangi Road Karachi.

F.Sc Pre-medical (Sind Board) Matriculation (Federal Board)

D.A Higher Secondary School for Girls F.G Minwala Girls Secondary School

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5s HOUSEKEEPING APPLICATION IN HOSPITALS


Work Experience: six (06) weeks internship at Allied Bank Limited Corporate, Branch (0428)

Karachi in the field of General Banking. Achievements: Awarded certificate for organizing event, Charity for a Cause at Bahria University.

RAFIA HANIF BUTT


Email: rafiabutt808@hotmail.com Professional and Academic Qualification
DEGREE BBA.Hons-Finance (in process) IntermediateCommerce Matriculation YEAR 2012 INSTITUTION Bahria University, Karachi GRADE/CGPA 3.82

2008 2006

CAMS Girls College. Shamsi Society Model School

A A-ONE

Academic Achievements: Awarded Merit Scholarship in university for outstanding academic achievements. Awarded certificate for organizing event, Charity for a Cause at Bahria University.

KAMRAN AHMED ABBASI

EDUCATION BBA (HONS)-finance Intermediate

YEAR In process 2007

INSTITUION Bahria university Karachi Cadet College Larkana

Matriculation 2005 Cadet College Larkana EXPERIENCE: I have experience of 1 month at MCB as internee.

MUHAMMAD SHOAIB
Fathers Name: Abdul Sattar PROFESSIONAL QUALIFICATION AND EDUCATION: BACHELOR OF BUSINESS ADMINISTRATION MAJORS FINANCE (CGPA 2.85) 2009 2012 (Under-process) E-mail ID: shoaibrajput90@yahoo.com

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5s HOUSEKEEPING APPLICATION IN HOSPITALS Bahria University (Karachi Campus) HIGHER SECONDARY CERTIFICATE (H.S.C) Govt. Collage of commerce shahra e Faisal Board of Intermediate Education Karachi, With Accounting, economics, statistics SECONDARY SCHOOL CERTIFICATE (S.S.C) P.N Model School MAJEED SRE 3 Board of Secondary Education Karachi, With Mathematics, Physics, Biology WORKING EXPERIENCE: I am working as head of accounts in an event management company Worked as assistant operation manager in management company MAJOR PROJECT: Marketing Plan on NEW PRODUCT DEVOLEMENT in Marketing Management In Media course made documentary. The working process of HRM in Pakistan international Airline in my HRM project. Business plan development (Breakfast express) in entrepreneurship. Organized an event for charity in Change management course

2008 B grade 2006

B grade

SAIRA BIBI
. Fathers Name: FAZAL KAREEM E-mail: Sairarana12@yahoo.com Education details:
DEGREE BBA Hons-marketing (in process) Intermediate Matriculation YEAR 2012 INSTITUTION Bahria University, Karachi GRADE/CGPA

2008 2006

Bahria College Bahria College

1st Division 1st Division

Projects: Report on MCB Bank, Report on Marriot hotel Karachi, Report on GBL Company, organize seminar on secrets behind success and report on marketing plain Computer skills: MS Office 2007 and Photoshop.

5s HOUSEKEEPING APPLICATION IN HOSPITALS

ASSESSORS COMMENTS
____________________________________________________ ____________________________________________________ ____________________________________________________ ____________________________________________________ ____________________________________________________ ____________________________________________________ ____________________________________________________ ____________________________________________________ ____________________________________________________ ____________________________________________________ ____________________________________________________ ____________________________________________________ ____________________________________________________ ____________________________________________________ ____________________________________________________ ____________________________________________________ ____________________________________________________ ____________________________________________________ ____________________________________________________ ____________________________________________________ ____________________________________________________ ____________________________________________________ ____________________________________________________ ____________________________________________________ ____________________________________________________

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5s HOUSEKEEPING APPLICATION IN HOSPITALS

PREFACE
Quality Assurance and Housekeeping has mean and ends relationship. 5s is an effective tool to enhance the level of Housekeeping in a workplace. Implementing a good housekeeping plan not only helps to build a clean, tidy and organized work environment, but also helps to mitigate losses and reduce workplace accidents resulting from poor housekeeping. Through out the course of writing this report, the research team has tried utmost to include all available information. This research study covers the, 5s Housekeeping Application in Hospitals Hospitals covered are Jinnah Hospital Karachi & Aga Khan University Hospital Karachi to understand its insinuation in these hospitals. The underlying report gives an insight to the extent and effect of 5s housekeeping in hospitals.

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5s HOUSEKEEPING APPLICATION IN HOSPITALS

EXECUTIVE SUMMARY
Our group conducted the research on 5s housekeeping application in hospitals and this is the objective of our report. The basic purpose of 5s application is PLACE FOR EVERYTHING & EVERYTHING IN ITS PLACE & it promotes Quality, Safety, Productivity and Clean environment. We visited Jinnah Hospital for observation and Aga Khan University Hospital Karachi to interview the official of housekeeping department to examine to what extend they are implementing 5s application & how effective they are. In the interview we conducted at AKUH, they showed and described that they are implementing 5s application with certain modifications according to culture & environment and adhere to polices they use for maintaining standards and give high-quality services to their customers.

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5s HOUSEKEEPING APPLICATION IN HOSPITALS

Table of Contents
LETTER OF TRANSMITTAL................................i ACKNOWLEGEMENT..ii ABOUT THE AUTHORS..iii ASSESSORS COMMENTS...vi PREAFCE..vii EXECUTIVE SUMMARY .......................................................................................................... viii AIMS OF THE RESEARCH...1 OBSTACLES FACED2 INTRODCUTION...3 OVERVIEW OF AGA KHAN HOSPITAL..3 OVERVIEW OF JINNH HOSPITAL....3 ABOUT 5S HOUSEKEEPING...4 RESEARCH METHODOLY......5 DATA ANALYSIS.7 APPLICTAION OF 5S HOUSEKEEPING AT AKIH.7 APPLICATION OF 5S HOUSEKEEPING AT JINNAH HOSPITAL...13 COMPARISON & EFFECTIVEESS OF 5S HAUEKEEPING APPLICATION...14 CONCLUSION.18 RECOMMENDATION20 REFERENCE MATTERIAL21 BIBLIOGRAPHY.22

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5s HOUSEKEEPING APPLICATION IN HOSPITALS

TABLE OF FIGURES
Figure 1 ........................................................................................................................................... 7 Figure 2 ........................................................................................................................................... 8 Figure 3 ........................................................................................................................................... 8 Figure 4 ........................................................................................................................................... 9 Figure 5 ........................................................................................................................................... 9 Figure 6 ......................................................................................................................................... 10 Figure 7 ......................................................................................................................................... 10 Figure 8 ......................................................................................................................................... 11 Figure 9 ......................................................................................................................................... 11 Figure 10 ....................................................................................................................................... 12 Figure 11 ....................................................................................................................................... 13 Figure 12 ....................................................................................................................................... 13 Figure 13 ....................................................................................................................................... 14 Figure 14 ....................................................................................................................................... 14 Figure 15 ....................................................................................................................................... 15 Figure 16 ....................................................................................................................................... 15 Figure 17 ....................................................................................................................................... 15 Figure 20 ....................................................................................................................................... 16 Figure 18 ....................................................................................................................................... 16 Figure 19 ....................................................................................................................................... 16 Figure 21 ....................................................................................................................................... 17 Figure 22 ....................................................................................................................................... 17 Figure 23 ....................................................................................................................................... 17

5s HOUSEKEEPING APPLICATION IN HOSPITALS

THE PROJECT
5s HOUSKEEPING APPLICATION IN HOSPITALS
AGA KHAN NVIERSITY HOSPITAL, & JINNAH HOSPITAL KARACHI

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Aims and Objectives:


The aim of working on this research topic is to: Get the knowledge of practical application of 5s and learn how this Japanese Concept is implemented in well known hospitals such as Aga Khan University Hospital & Jinnah Hospital with an objective to make recommendations for further improvements. Investigate and understand the benefits 5s housekeeping applications. Deep Knowledge of TOTAL QUALITY MANAGEMENT and its concepts that how high quality methods can be embed in different systems of the work place.

5s HOUSEKEEPING APPLICATION IN HOSPITALS

OBSTACLES FACED DURING STUDY:


It would be suitable to mention the hurdles we faced in conducting the study at this stage. Problem in getting appointment due to some official requirements. Delay in conducting personal interview due to strikes & bad law and order situation of the city. Due to time constraints & other issues, only one respondent was interviewed & other information was collected through observation. Respondent didnt allow us to take photograph of policy charts, sheet because of security & other issues. Secondary data available comprises of issues which are less relevant to our objective of research.

5s HOUSEKEEPING APPLICATION IN HOSPITALS

INTRODUCTION:
At its core, Total Quality Management (TQM) is a management approach to longterm success through customer satisfaction. (1)In a TQM effort, all members of an organization participate in improving processes, products, services and the culture in which they work. TQM views an organization as a collection of processes. It maintains that organizations must strive to continuously improve these processes by incorporating the knowledge and experiences of workers. The simple objective of TQM is Do the right things, right the first time, every time. (2)

Aga Khan University Hospitals' Overview:


Aga Khan University Hospitals in Karachi, Pakistan and Nairobi, Kenya are philanthropic & private institutions providing high quality health care. Aga Khan University Hospital, Karachi, started operations in 1985.This University Hospital provides services to over 50,000 hospitalized patients and to over 600,000 outpatients annually with the help of professional staff and facilities that are among the best in the region. Aga Khan University Hospital, Karachi is committed to providing exemplary health care, as a teaching hospital their patients benefit from the expertise of the competent health care professionals dedicated to improving the health quality in Pakistan.(3) The decision to implement Quality was made and in November the Joint Staff Committee (JSC) one of its sub-committee titled Quality Assurance Coordinators Committee (QAAC) was formed. 1985 onwards basic Quality Assurance methodologies were introduced in different department with reporting mechanisms to QAAC, JSC and the Board. April 1993 TQM workshop in Nairobi was conducted by Dr. Don Berwick. March 1994, training of 21 key staff members as facilitators by Juran Institute/ Qimpro associates. In 1985 before starting of its complete operations staff were as trained by Chicago based American company named as SERVICE MASTER COMPANY. (4)

Jinnah Hospital Overview:


The JPMC is a public hospital. The hospital was established in 1959. In the beginning the hospital operated in a building, which was actually an army barracks constructed in 1865 and transferred to the Jinnah Postgraduate Medical Centre in 1959.

5s HOUSEKEEPING APPLICATION IN HOSPITALS JPMC is arguably Pakistan's largest hospital. It has a large number of wards and the doctors are proficient. (5)

ABOUT 5S HOUSEKEEPING APPLICATION:


Housekeeping does not mean only cleanliness, it means much more than only cleanliness. Good housekeeping means cleanliness, tidiness and PLACE FOR EVERYTHING & EVERYTHING IN ITS PLACE. Good housekeeping promotes Quality, Safety, Productivity and Clean environment. Good housekeeping ensures that there is a place for everything which means that the company has inventory of every needed item and can get rid of unwanted material, having low unneeded inventory ultimately means lesser cost. Good housekeeping also helps in ensuring that everything is in its place which results in discipline and identification system in the department and ultimately eliminates searching time with improved productivity and high moral.(6) 5S is a systematic approach towards housekeeping. The concept of good housekeeping has been with Japanese for a very long time. It was only in the early 1980s that good housekeeping became a pertinent issue in Japanese industries, as companies realised its powerful contribution to productivity and quality improvement. The basis for good housekeeping in Japanese companies is a concept popularly known as 5s. This stands for five good housekeeping concepts in Japanese Japanese Concept of 5S: SEIRI SEITON SEISO SEIKETSU SHITSUKE (Sort Out The Item and Discard The Unwanted) (Place For Everything) (Clean The Place Thoroughly and Keep Everything In It`s Place) (Maintain High Standards of Housekeeping at Workplace at all Times) (Train People to Follow Good Housekeeping Discipline).(6.1)

5s HOUSEKEEPING APPLICATION IN HOSPITALS

RESEARCH METHODOLOGY
Research objectives: Objective is to study application, benefits as well as effectiveness of application of 5s housekeeping in hospital. Possible Scheme of Approach: Owing to the considerations, following complimentary approaches to research are possible: 1. Personal interview: In personal interview interviewer & respondents sits face to face. 2. Observation: A method of data collection in which the relevant situation & behaviors facts, actions and are recorded. 3. Secondary data (literature review): Secondary data has historical importance and is good basis for deducing and pin pointing the short comings SELECTED APPROACH: Research design: To achieve objective of study exploratory research method was selected. Exploratory research: Utmost information, data, was gathered through an exploratory research. This was accomplished by the use of: Web sites, Personal Interviews, observations. Sample design: Due to many constraints whole population cant be studied. Therefore a small representative of population was selected. Population/universe: in this research population is limited to housekeeping departments of hospitals. Sampling technique: To conduct sampling non-probabilistic sampling was carried out. In which Snow ball sampling was conducted to get experts opinion. In this study deliberate sampling was used because of nature of study. Research tool: data collection

Primary data:
Observation: In collection of data for research, personal observation was carried out. We observed the environment, different areas of our interest such as cleanliness of patient rooms, cafeterias etc. Through this approach many useful information was gathered. Observed hospitals: Jinnah hospital Karachi Aga Khan Hospital Karachi.

5s HOUSEKEEPING APPLICATION IN HOSPITALS Schedule: Survey was conducted on 10th May 2012 (afternoon) at Jinnah hospital Karachi, 24th march 2012 at Aga khan university hospital. Personal interview: Using snow ball technique of sampling, personal interview was conducted with the expert of manager housekeeping at AKUH who has experience of more than 20 years of this field. This method of collecting data is usually carried out in a structured way where output depends upon the ability of the interviewer to a large extent. Interview Schedule: The interview was conducted on 24 March 2012, at Aga khan hospital at evening according to respondents convenience. Respondent: Mr. Deedar Panjwani Manager housekeeping at Aga Khan Hospital. Interview details: Questions that were asked during interview are mention at the Reference section.

Secondary Data:
Literature review: We gathered material by searching on internet about 5s housekeeping application of already published reports related to our topic & we also watched several videos to get the better understanding of the topic. ORGANIZTION & ANALYSIS OF DATA: After the data collection, the procedure turns to the task of analyzing them. The analysis of data requires a number of activates, we the researcher then classify the raw data into some purposeful and usable categories which is provided in the next section.

5s HOUSEKEEPING APPLICATION IN HOSPITALS

ANALYSIS OF APPLICATION OF 5S AT AKUH:


Aga Khan Hospital implements 5s housekeeping by constituting and modifying the concepts of 5s. The housekeeping at AKUH does not directly follow the steps of 5s housekeeping, but their methodology falls under the umbrella of 5s housekeeping. As the concept is Japanese and any is rather unfamiliar in Pakistani environment, hence concept is comparatively difficult to apply with its originality. Therefore, AKUH has made certain amendments in accordance with the local culture and environment. Through interview the following housekeeping application at AKUH has been highlighted:

1: SEIRI

(Sort Out the Item and Discard the Unwanted)

The housekeeping department at AKUH has 522 employees including 80 females, comprising of 15 supervisors, 2 secretaries, and 1 assistant secretary. They are scheduled into three shifts. They are then sorted, meaning that the worker is appointed for cleaning of a certain place, he/she has to clean the same place same time every day. This prevents the workers from not completing their task and leaving it for others to complete. There are three types of ward at AKUH, the General ward, Semi-private ward, and Isolation ward as shown in fig.no1.

Figure 1

General ward

The Mobs & dusters used in GENERAL WARD are sanitized & reused.

Semi-private ward

Mobs used in SEMI PRIVATE WARD are also sanitized & resused.

Isolation ward

All Mobs & dusters used in thirs ward are not re-used rather they are burned. as isolation ward has critcial patient So to prevent germs from spreading they ar burned.

5s HOUSEKEEPING APPLICATION IN HOSPITALS AKUH has a unique method of getting rid of /disposing of waste: as shown in fig no2. These bags includes the dicsarded material which has avery high potential of transfering diseases e-g used syrings,gloves,mas ks,vaccinations etc.

GREEN BAGS

Thes include all wastages which are less infected like specimen,liquid& solid waste etc.

BLUE BAGS

RED BAGS

These bags include all wasted food.

Figure 2

Red bags AKU never disposes of these red bags in the ordinary way, in order to avoid their re use and recycling, these bags are burnt out at AKU insulators. As per MR. Deedar AKU recently outsourced pollution free insulator from France. Both green and blue bags are further packed in the cartons and given to the contractors to discard. The material being wasted after chemography and radiology are retained for up to 3-4 months in the hospital and then a team is being outsourced from abroad to discard this waste. Apart from all activities of housekeeping, there is a special activity at AKUH known as PROJECT WORK. It is periodical, done every Friday. It includes, shampooing, scrubbing & polishing.

Figure 3

5s HOUSEKEEPING APPLICATION IN HOSPITALS

For this the housekeeping workers are divided into 4 types.


Type 4: does all the 3 types of work &have capability & the responsility to b the supervisor in case the supvisor is absent.

Type 1: Clean the place, and dry mop

Type 2:Floor scribbing by using ,3 types of scrubers are used.

Type 3:Plolsih the place

Figure 4

2: SEITON

(Place for Everything)

Organzing at AKUH: Everything was so organized by ensuring that there is place for everything. We obsereved from corridor to wards ,from library to labotaries,cafeteria everyhting was organized in a best way.

Figure 5

The inventory related to housekeeping is outsourced from FAISALABADs Sitara chemical in large containers on monthly basis. The expiry period is being tagged on each container; the chemical (sodium hypochlorite) is to be used in ratios daily for making the solution i.e1/39. This solution has to be used within 24 hours and the remaining is discarded as it becomes ineffective. Moreover the inventory includes dusters, mops (dry and wet) and discarded mops. The workers are guided to ensure first that the patients donor have any allergy to these chemicals such as asthma and then start cleaning the rooms. All stuff necessary for operations & functioning of services were at its place in excellent manner.

5s HOUSEKEEPING APPLICATION IN HOSPITALS

3: SEISO (Clean the Place Thoroughly and Keep Everything in Its Place)
AKUH is one of the best hospitals in Pakistan for its cleanliness & hygiene environment. View of Aga Khan Hospital entrance, which looks to be totally clean and green. The idea behind making the hospitals clean is to make the patients feel better as they step in the hospital. We can say that third step of 5s that is sieso (Clean) is followed in its true sense in the Aga Khan Hospital.

Figure 6

AKUH gives utmost importance to cleanliness and hygiene. As the turnover of patients daily is 125-130, therefore, whenever a patient is discharged, the bed sheets, the mattress and the bed is sanitized. It is then hygienically ready for the next patient. The disinfectants and sanitizers are properly tested and then used for cleaning. AKUH uses Sodium Hypo chloride as disinfectant, which is supplied by Sitara Chemicals in Faisalabad. The level of chlorine should be 5-7 in this chemical. The Inspection Control Team maintains the record and is responsible for this. For cleaning of the floor fig.7 shown process is used. This has to be used with great care as it can spoil clothe, materials, but it is the most effective disinfectant.
SEISO(cleaning) Achieved through

Disinfectant (Sodium Hypochlorite)

Sanitizer

For Regular Cleaning (Dilution: 1:39)

For Blood Spills, Body Fluid Spills (Dilution: 1:3)

Figure 7

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5s HOUSEKEEPING APPLICATION IN HOSPITALS

4: SEIKETSU (Maintain High Standards of Housekeeping at Workplace at all Times)


To maintain high standards of housekeeping at workplace at all times AKUH has a 7 step

cleaning procedure as follows:


1.High dusting 2.Sanitation 3.Dry Mop 4.Wet Mop 5.Machine usage 6.Shampooing of floor 7.Self cleaning
Figure 8

For sustaining the best practices of standardization in housekeeping, AKUH has allotted time to workers to complete their task on time. A standard is also maintained with the diluted disinfectant that is it cannot be used after 24 hours of its dilution. This is done to achieve maximum effectiveness of the disinfectant. Short circuit cameras are used to inspect and overcome the problem of theft.

5: SHITSUKE

(Train People to Follow Good Housekeeping Discipline)

To maintain and sustain good housekeeping services, the housekeeping staff at AKUH at its inception was trained by SERVIVE MASTER COMPANY, which is one of the best Chicago, based Service Company. They were skilled with best services of housekeeping which has led AKUH to a standard. The management of housekeeping believes that it is their responsibility to first practice the housekeeping application themselves, which will set the example for the rest of the workers to follow the same, otherwise the workers take advantage of this.

Educate

Train

Sustain

Figure 9

11

5s HOUSEKEEPING APPLICATION IN HOSPITALS When new workers are appointed, they are trained and then allotted specified work. The workers are disciplined and it is evident from the fact that 35 workers perform their task at night without supervisor.

Figure 10

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5s HOUSEKEEPING APPLICATION IN HOSPITALS

ANALYSIS OF APPLICATION OF 5S AT JINNAH HOSPITAL KARACHI


Jinnah Hospital Karachi unlike Aga Khan University Hospital lacks application of 5s housekeeping. Though it is one of the oldest and government owned hospital, still it has no proper housekeeping application system, making it depict an unhealthy ambiance. Jinnah Hospital rely heavily on the traditional housekeeping practices of cleaning the hospital daily, sometimes occasionally, that is whenever there is inspection from any government official the hospital is made spic and span, and might even shine. But this courtesy of cleanliness is not maintained by the housekeeping department at Jinnah. There is no sorting of the workers and their task, no scheduling, which gives the worker upper hand to make their own wills of doing or not doing work. The emergency department, patient wards, patient beds, floors, walls, corners etc. all are unclean either with dust, or other littering material. This makes the hospital an unhygienic and unhealthy place, or one might say the hospital deviates from its purpose of providing health facilities at their best.

Start

Clean the workplace

End

Figure 11

It has been well said that standards precede from upper management, the housekeeping management at Jinnah Hospital lacks interest in maintaining a proper system and ensuring that it is being carried out at all levels, thereby making the hospital inefficient in providing quality

services to its customers.


Figure 12

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5s HOUSEKEEPING APPLICATION IN HOSPITALS

Effectiveness of 5s in Aga Khan Hospital and Jinnah Hospital Karachi


5s has effectively contributed towards hospitals management in their smooth running. It has made the work of doctors much easier, rather made their work mistake proof. Aga khan has made wonderful contribution towards implementation of 5s in its hospital and trying to improve as much as it can. The extent to which they are implementing is reflected as we visit the hospital, totally green, clean and clear, everything looks to be in its place. Whereas the case seems to be totally different, when you visit Jinnah hospital in which most of peoples access is easy because of it low cost. Any emergency case of this metropolitan city is handled by Jinnah hospital, where everything should be of standards of health regulation but it is not so. There you will find contaminated environment, no sign of cleanliness and everything untidy. We have collected different pictures from different sources to defend above said reality.

A Glance at Jinnah Hospital and Aga Khan Hospital

As it is said prevention is more than cure, but here at Jinnah hospital it seems to be untrue. Patients are welcomed by different diseases borne from this water. This stagnant water is the best place for the mosquitos growth as well as different diseases also arises from here.

Figure 13

This is view of Aga Khan Hospital entrance, which looks to be totally clean and green. The idea behind making the hospitals clean is to make the patients feel better as they step in the hospital. We can also conclude that third step of 5s that is sieso (Clean) is followed in its true sense in the Aga Khan Hospital.

Figure 14

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5s HOUSEKEEPING APPLICATION IN HOSPITALS

This shows the care for the patient in the Jinnah Hospital. It is one of the rooms beside the ward that is full of sewerage water allowing the germs to grow.

Figure 16

This is chemical laboratory of AKUH which is viewing tidy, organized & healthy environment for working. This will obviously give fewer chance of error in medical reports.

Figure 15

This is the state of building of Jinnah hospital


where patients stay. The building infrastructure is too weak and hazardous for the patients to stay over there.

Figure 17

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5s HOUSEKEEPING APPLICATION IN HOSPITALS

Figure 19

Jinnah hospital Condition where there is no dustbin and everywhere rappers are lying as
if there is no swapper.

A window at Jinnah Hospital from


where fresh air comes in.

Figure 18

Figure 20

Aga khan hospital Karachi everything is well placed.

Jinnah hospital Karachi displaying dis- organized view of operation.

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5s HOUSEKEEPING APPLICATION IN HOSPITALS

Figure 21

AKUH brightest view of greener and conducive environment

Figure 22

Miserable view of Jinnah hospital Karachi no Organziations no palce for anything even for patients.

Figure 23 (7, 7.1)

This is very brief comparison of effectiveness of 5s housekeeping application in hospitals. We covered both hospitals which implement 5s & which dont implement it to know how big the result & benefit of application of 5s is housekeeping. As by looking the environment of Jinnah Hospital it is clear that there is no concept of 5s in this hospital. The environment is totally hazardous for the health of patients that is why Jinnah Hospital has lost its identity in providing quality service to its patients. Where as in Aga Khan totally different environment is provided, patients feel relaxed as they enter into hospital by looking its greenery and cleanliness.

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5s HOUSEKEEPING APPLICATION IN HOSPITALS

Conclusion:
Aga Khan University Hospital has left no stone unturned to achieve the best possible quality for their patients. Since its inception they believed on quality of service for their patients. They are the first who got ISO 22000:2005 certified in Nutrition and food service department. The first ever hospital in Pakistan based on food production and service in Pakistan to be certified on these specialized food safety standards. Although 5s is a Japanese concept but very well implemented at aga khan hospital. Aga was good example for us where we could see the practical application of 5shouskeeping application unlike Jinnah hospital Karachi. The staff of aga khan is very cooperative n very well educated which add one more attribute to their excellence. Whereas in Jinnah hospital, a lot of improvement is needed and that is not possible without government intervention. Being a cheaper hospital, mostly lower class patients are admitted to this hospital, they are treated very rudely by the staff and no standardized procedures are followed for proper cleaning. In a nutshell, the implementation of 5S at Jinnah hospital is a great challenge for the Government of Pakistan.

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5s HOUSEKEEPING APPLICATION IN HOSPITALS

CHAPTER XI
RECOMMENDATIONS: We suggest following recommendations for aga khan for continuous improvement and overcoming their problems When possible, the housekeeping staff must take care of the patients themselves too. If they are doing their cleaning, and the patient needs a pillow, wants propped up in bed, needs a drink, or whatever non-medical request they might have, the housekeeping staff should do all that they could do to help. All the patients should be called fifteen (15) minutes before their appointment, so they may not wait much in hospital and the waiting area can be easily cleaned as there would not be long queue of patients. Customer should be informed all about their disease by doctor; he should give his due time for consultation and let them know about their remedy. It will also build trust between doctor and patient. They can conduct weekly or fortnightly seminars for the patients, suffering from same disease. It will help them to cure themselves as soon as possible. We suggest following recommendations for Jinnah Hospital to improve and overcome their problems Jinnah hospital needs to implement the housekeeping concept, since the people working at the hospital do not even know the basic activities that are carried out by housekeeping staff, so proper training must be provided to the staff. Even though outsourcing is an option available for housekeeping. Jinnah hospital does not even have a hygienic waiting area, all the patients (including even those who were infected with chronicle diseases) sit in the same waiting area, where the probability of disease catching is very high. So proper cleanliness of waiting area and separate waiting area for patients with chronicle diseases is required. The government must take measures for overall cleanliness, ensuring maintenance of the building and its infrastructure, linen management, waste management, pest control, infection control, safety and security of the patients in this hospital.

REFERENCE MATERIAL

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5s HOUSEKEEPING APPLICATION IN HOSPITALS INTERVIEW SHEDULE

Bahria University, Karachi Campus National Stadium Road Karachi Tel #9924002-6/219 DIRECTOR FACILITIES MANAGEMENT, AKUH Karachi 20 March, 2012 RESEARCH VISIT BY STUDENTS Dear Sir Assalam-o-Alikum

Bahria University is federally accredited university based at Islamabad with its campus at Karachi. University is educating its students in the fields of management sciences, computer Engineering Medical and Dental Surgery. Management science students are guided to carry out subject based research in various business and corporate organizations. This enhances their ability to think independently and resolve the management problem logically. Some students of BBA-7D have selected your organization to carry out research with reference to 5s HOUSEKEEPING APPLICATION IN HOSPITAL as a part of TQM course. The names of the students are given below: 1. 2. 3. 4. 5. 6. Rafia Hanif Butt Shakila Javed Roshela Khan Muhammad Shoaib Kamran Ahmed Saira Bibi (REG#16420) (REG#16450) (REG#16429) (REG#16397) (REG#16365) (REG#14217)

You are requested to please provide guidance and relevant information/data (unclassified) which may help the above students in carrying out the research. Please allow them to take a round of your organization as convenient to you. Thanking you in anticipation. Sincerely, __________________ Bahria University (Karachi campus)

QUESTIONS ASKED DURING INTERVIEW:

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5s HOUSEKEEPING APPLICATION IN HOSPITALS 1. 2. 3. 4. Why 5s process seems so important to you though its a Japanese concept? Can you highlight some key areas where 5s had proved to be beneficial so far? Have you people implemented it since the conception of Aga Khan? If not then when? On a general note, what do you think about having 5s housekeeping concept in a business? At the same time is it more important for a service business rather than a manufacturing one or equally important for both? 5. To what extend Aga khan is able to apply methodology of 5s? 6. What obstacles and hurdles aga khan face while application of 5s? 7. What benefits Aga khan is getting by applications of 5s in comparison with past? 8. Why housekeeping in clinics and hospitals is important? 9. Do you keep an updated list of things to do using some standardized criteria? 10. At the end of the day, do you compare what was done with what had been planned and plan the tasks for the following day? 11. Do you try to identify and standardize every activity? 12. To keep all items that you need and discarding items that u don't need what u people do for that? 13. When an emergency e.g. any disaster happen in a city, how do you people manage discipline? 14. How would you cleaning and inspection easier for achieving zero grime and zero dirt? And also maintaining this cleanliness? 15. What are infection control policies in your organization? 16. Which cleaning technique and procedure make you unique in Pakistan? 17. How do you manage housekeeping space( storage of supplies) 18. How do you know your certain batch of medicine is expired, is there any policy for it? 19. Areas where do you face problems for achieving quality standard?

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5s HOUSEKEEPING APPLICATION IN HOSPITALS

Bibliography
1. (March 20,2012). Retrieved from http://asq.org/learn-about-quality/total-qualitymanagement/overview/overview.html 2. (March 22, 2012.) Retrieved from http://www.isixsigma.com/methodology/total-qualitymanagement-tqm/introduction-and-implementation-total-quality-management-tqm/ 3. (March 22, 2012).Retrieved from http://hospitals.aku.edu/karachi/Pages/home.aspx 4. (March 22, 2012). Retrieved from http://piqc.edu.pk/casestudies/Dr_Syed_Mairajuddin_Shah_Quality_Journey_of_Aga_Khan_University_ Hospital,_Karachi_Healthcare_Quality_Presentation_PIQC.pdf 5. (March 21, 2012). Retrieved fro,http://wikimapia.org/355933/Jinnah-Hospital-Jinnah-Post-GraduateMedical-Centre 6.1. (March 21, 2012, Retrieved from https://www.high5s.org/bin/view/Main/WebHome 6. (March 21, 2012). Retrieved from 6.http://www.docstoc.com/docs/64427728/5-S-Management

7(May 8, 2012). Retrieved from http://www.youtube.com/watch?v=gHBtr86Pgzk 7.1. (May 8, 2012). Retrieved from http://www.youtube.com/watch?v=G-hBCwIERG0

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