一、
“Lean”指的是精益管理的“精益”
Healthcare is the next great industry to begin the lean journey. The existing model in which the hospital doctor acting as a skilled craftsperson effectively manages their own waiting list of patients, clinics and operations inside some one else’s mass production general hospital is reaching the end of the road. We need to create a vision of what it means to be a lean doctor, what is involved in running a lean health delivery organization and how the context needs to change to help bring this about.
Recent experience in the UK has shown the problem can not be resolved by spending more money or by increasing capacity and staff. Better outcomes for patients, more satisfying working conditions for staff and lower costs to the tax payer (or members of private healthcare schemes) can only come from fundamentally redesigning the underlying processes for delivering healthcare.
The most important difference between healthcare (and many services) and manufacturing is that the patient is present throughout most of the process, indeed the patient is the product and their problem is the purpose of the activity. If you are a manufacturer just think how different your life would be if your product could experience your process and tell you what it was like!
医疗保健业是接下来开展“求精求益”工作的一个重要行业。
现行该行业中医生如能工巧匠般娴熟地将自己候选名单上的患者，诊所和手术穿插安排在医院的其他事务安排中，而这一现象即将走到尽头。
我们所需要的是一个精益求精的医生形象，一个可以传递“求精求益”健康理念的组织，以及如何改变以求得其实现。
目前英国的经验告诉我们增加投入资金或增加生产力和工作人员并不能使该项问题得到解决。
只有从根本上重置医疗保健业的基础传递过程才能使患者得到更好的实惠，使工作人员对工作环境更满意，使纳税人（私立医疗健康机构成员）少纳税。
医疗保健业（其他许多行业）与制造业最大的不同在于患者差不多存在于整个行业运行过程之中，而且患者实际上就是产品，而他们身上的问题则是该行业运行的目的所在。
如果你是制造商，却是你加工处理完成的产品告知你产品情况，那么试想你的生活将糟糕成什么样。
二、
打印机
Adjustment/settings
How to use the adjustment section
• “Adjustment/Setting” contains detailed information on the adjustment item s and procedures for this machine.
• Throughout this “Adjustment/Setting,” the default settings are indicated by “ ”. Advance checks
• Before attempting to solve the customer problem, the following advance checks must be made. Check to see if:
• The power supply voltage meets the specifications.
• The power supply is properly grounded.
• The machine shares the power supply with any other machine that draws large current intermittently (e.g., elevator and air conditioner that generate electric noise). • The installation site is environmentally appropriate: high temperature, high humidity, direct sunlight, ventilation, etc.; levelness of the installation site.
• The original has a problem that may cause a defective image.
• The density is properly selected.
• The original glass, slit glass, or related part is dirty.
• Correct paper is being used for printing.
• The units, parts, and supplies used for printing (developer, PC drum, etc.) are properly replenished and replaced when they reach the end of their useful service life. • Toner is not running out.
打印机
调整/设置
调整章节使用说明
•“调整/设置”详细地说明了该机器的可调整项及调整程序。
•在“调整/设置”中，默认设置均显示为“”
预查
• 在解决客户问题之前，应做好下列预查。
逐一检查是否：
•电源电压合格。
•电源供电器接地。
• 和其他间歇式需大量电流的机械共享电源。
（例如:会产生电动噪音的电梯和空调）
• 安置环境应为：高温，高湿度，太阳直照，空气流通等等。
水平放置安装。
• 打印原件存在致使打印效果不好的问题。
• 密度选择适当。
• 原片玻璃，玻璃焊接处或相连部分有污迹。
•机内有合格的打印纸张正在打印。
•在打印所需装置，部件和物料（显影剂，光导磁鼓等等）已过期时应及时装满和更换。
•调色剂充足。