El presente trabajo empieza con el marco teórico para establecer la definición de términos y conceptos específicos de investigación como Metodología Lean Six Sigma, Estudio de Métodos, Calidad, Eficiencia y Municiones. Luego, en el estado del arte, se reúne y analiza la información de diversos artículos de investigación para obtener un sustento científico y conocer el actual uso de las diferentes herramientas empleadas para dar soporte a la investigación. Después de establecer la importancia del sector en estudio, se realiza el diagnóstico de la empresa para identificar oportunidades de mejora. Empleando herramientas de ingeniería en el proceso de producción se identificó baja eficiencia, alta cantidad de productos no conformes, falta de estandarización y oportunidades de mejora. Se encontró alto porcentaje de defectos en el proceso de Formación de Copa Vaina; debido al desconocimiento de tiempo de vida útil de los utillajes, colocación errada de utillajes, desconocimiento de frecuencia de calibración, desconocimiento de frecuencia y método de set up. El proceso de lavado, el cual es indispensable a lo largo de la línea de producción, también presenta alto porcentaje de defectos debido a la mezcla errónea de los químicos empleados para lavar los casquillos. Se propone un modelo combinado de Lean Six Sigma y Métodos de trabajo para mejorar los problemas hallados en la línea de producción de casquillos, aumentando la eficiencia y reduciendo los defectos. Por último, se realizó una prueba piloto como método de validación logrando resultados óptimos al emplear el modelo combinado propuesto. / This applied research project begins with the theoretical framework to stablish the definition of specific research terms and concepts, such as Lean Six Sigma Methodology, Study of Methods, Quality, Efficiency and Ammunition. Then, in the state of the art, the information collected from various research articles is analyzed to obtain a scientific support and know the different tools used in them to support this investigation. After establishing the importance of the sector under study, the diagnosis of the company is made to identify opportunities for improvement. using different engineering tools in the production process line identified low efficiency, high quantity of non-conforming products, lack of standardization and opportunities for improvement. High percentage of defects were found in the Vaina Cup Formation process this due to lack of knowledge of useful lifetime tools, wrong placement of tolls, lack of knowledge of calibration frequency, frequency and set up method. The washing process, which is essential along the production line, also has a high percentage of defects due to the wrong mixing of the chemicals used to wash the case of the ammunition. a combined model of Lean Six Sigma and Work Methods is proposed to improve the problems found on the cartridge case production line, increasing efficiency and reducing defects. Finally, a pilot test was performed as a validation method, achieving optimal results when using the proposed combined model. / Trabajo de Suficiencia Profesional

Den svenska skogsindustrin är den tredje största exportören av skogsprodukter i världen och närmare 80% av produktionen exporteras. Den höga efterfrågan på svenska skogsprodukter har tillåtit det svenska sågverksföretaget Derome Timber AB att göra nyinvesteringar som resulterat i ökad produktion. Vid ett av företagets fyra sågverksanläggningar har ledningen emellertid identifierat avdelningen Justerverket som en flaskhals på grund av de stora mellanlager och kassationer som uppstått. Som följd härav vill Derome undersöka och kartlägga kvalitetsbristkostnaderna som är kopplade till avdelningen Justerverket. Tidigare studier menar att sågverksindustrin inte tillämpar systematiska förbättringsarbeten i samma utsträckning som andra industrier. Syftet med denna studie är att undersöka hur systematiska förbättringsarbeten kan tillämpas i sågverksindustrin för att arbeta med kvalitetsbristkostnader. Syftet uppfylls genom en litteraturgenomgång och ett Lean Sex Sigma (LSS) projekt vid Derome Timber AB:s avdelning Justerverket. LSS är en förbättringsstrategi som kombinerar verktyg från Lean och Sex Sigma, avsedd för att reducera kostnader och öka effektivitet. LSS-projektet följer strukturen DMAIC (Define, Measure, Analyze, Improve och Control) och genomförs med hjälp av flera kvalitetstekniska verktyg under respektive fas i förbättringscykeln. I en av studien framtagen konceptuell modell illustreras vidare hur systematiska förbättringsarbeten kan tillämpas i sågverksindustrin för att arbeta med kvalitetsbristkostnader genom LSS-verktyg och DMAIC. Merparten av fallföretagets kvalitetsbristkostnader utgörs av dolda kvalitetsbristkostnader i form av förlorade intäkter som beräknades uppgå till ca 13Mkr. Genom insamling av frekvensdata framkom det att driftstopp står för den primära orsaken till de identifierade kvalitetsbristkostnaderna. Orsaken till driftstoppen kartlades därefter genom verktygen Ishikawadiagram och 5 Varför tillsammans med sågverkets medarbetare. I denna fas framkom det att data över driftstopp och kunskap om värdet i att mäta dessa saknas. En rad rekommenderade åtgärder togs fram genom LSS-projektet och den teoretiska referensramen. Dessa inkluderar utbildning, upprättandet av arbetsrutiner och engagemang kring arbete med kvalitetsbristkostnader. Implementering av ett nytt nyckeltal, TAK (Tillgänglighet, Anläggningsutnyttjande, Kvalitetsutbyte), rekommenderas för att ge en rättvisande bild över Justerverkets faktiska prestation. Slutligen rekommenderas implementering av statistisk processtyrning (SPS) för att urskilja systematiska orsaker till driftstopp från slumpmässiga. / The Swedish forest industry is the third largest exporter of forest products in the world and almost 80% of the production is exported. The high demand for Swedish forest products has allowed the Swedish sawmill company Derome Timber AB to make new investments, resulting in an increased production. At one of the company's four sawmill facilities, however, the management has identified the Adjustment department as a bottleneck due to the large intermediate storage and rejections that have arisen. Therefore, Derome wants to investigate and identify the costs of quality linked to the Adjustment Department. However, previous studies have found that the sawmill industry does not apply systematic improvement methods to the same extent as other industries. The aim of this study is to investigate how systematic improvement methods can be applied in the sawmill industry to work with cost of quality. The aim is achieved through a brief literature review and a Lean Sex Sigma (LSS) project at Derome Timber AB's Adjustment department. LSS is an improvement strategy that combines tools from Lean and Six Sigma, designed to reduce costs and increase efficiency. The LSS project follows the structure of DMAIC (Define, Measure, Analyze, Improve and Control) and shows the use of several quality improvement tools in each phase of the improvement cycle. A conceptual model developed in the current study illustrates how systematic improvement methods can be applied in the sawmill industry to work with cost of quality through LSS and DMAIC. The vast majority of the case company's cost of quality consists of hidden costs in the form of lost income, which is estimated to approximately 13 million SEK. Through the collection of frequency data, it emerged that downtime account for the primary cause of the identified costs of quality. The cause of downtime was then mapped through the tools Ishikawa diagram and 5 whys together with the sawmill's employees. In this phase, it emerged that data on downtime and knowledge of the value in measuring it are lacking. Several recommended measures are developed through the LSS project and the theoretical frame of reference. These include training, the establishment of work routines and commitment to work with cost of quality. Implementation of a new key performance indicator, OEE (Overall Equipment Effectiveness), is recommended to provide an accurate representation of the Adjustment department’s actual performance. Finally, the implementation of statistical process control (SPC) is recommended to distinguish systematic root causes of downtime from random ones.

El texto completo de este trabajo no está disponible en el Repositorio Académico UPC por restricciones de la casa editorial donde ha sido publicado. / Mining activities around the world are undergoing constant change and modernization owing to technological and scientific advancements. Consequently, there are frequent proposals to streamline and enhance processes in mining operations. This study deals with ore transportation in mechanized mining units and aims to optimize fleet management using the Lean Six Sigma methodology to obtain a model in this specific process. The proposed method was implemented using a Lean Six Sigma instrument known as DMAIC (Define, Measure, Analyze, Improve, and Control). The case study was applied to an underground mine located in the Huancavelica region, Peru. The simulation showed that 24% of the time in the ore transport cycle is un-productive time and the improvement potential time represents 53% of the transportation process time.

Federally Qualified Health Center (FQHC) organizations, which provide health care services to low-income, underserved patients, are underfunded. From 2000 to 2007, the cost of treating an FQHC patient increased by $146, while federal compensation to FQHCs increased by only $44 per patient. One FQHC organization in rural Alabama experienced financial losses from the fiscal year 2011 through 2014, jeopardizing services to approximately 6,000 low-income patients. The purpose of this qualitative case study was to analyze the subject organization and discover opportunities to improve financial performance. The research question pertained to the opportunities for improving profitability at the subject organization. The conceptual framework was the systems thinking model. Along with data from the literature review, reviews of the organization's archived data containing employee feedback and feedback from unstructured interviews of four of the 14 FQHC chief executive officers in Alabama were used to develop the profitability model. No employees were interviewed or surveyed during this study, however, a review of archived documents revealed information provided by employees that was helpful in developing the profitability model. To help determine the subject organization's performance, data from independent auditors, technical assistants, FQHC performance reports, the organization's electronic health record system, accounting system, meeting minutes and performance reports were coded, classified, and analyzed. Data from these sources was compared to the profitability model and a gap analysis was used to identify the areas and causes of poor performance. The results indicated that the rural environment impacted the organization's financial performance. The subject FQHC organization may be able to use the results of this study to improve profitability. This study contributes to positive social change by providing a profitability model that other FQHC organizations may use to improve their financial viability and expand services to underserved patients throughout the United States.

La empresa en estudio, dedicada a la logística integral de concentrados mineros tiene como uno de sus proceso principales la recepción de camiones con concentrado de Cu, Pb y Zn de las diferentes mineras del Perú cuya demanda diaria es de 170 camiones para lo cual se ha propuesto atenderlo en un periodo de 10 horas cuyo indicador del proceso es de 17 camiones/hora, pero actualmente se viene manejando un indicador en promedio de 15 camiones/hora, esto ocasiona que se incurra en sobrecostos tales como horas extras y utilización de recursos los que equivalen a un sobrecosto anual de S/. 638,655; por este motivo se proponen implementar dos herramientas de la metodología Lean Six Sigma. El diagnostico reveló que el problema del incumplimiento de indicador radica en la ineficiencia y eficacia del proceso de recepción, en el cual el tiempo total de los camiones en todo el circuito del proceso de recepción es alto en promedio 2.4 horas; el análisis causal halló causas raíces como áreas desordenadas, congestión en zona de toma de muestra y zona de descarga, tras lo cual se propone el despliegue de las herramientas propias de la metodología como la implementación de 5S que busca generar cultura de orden y limpieza con y la mejora del flujo de camiones entre etapas con la estandarización de procesos. Al realizar las implementaciones se estima reducir el tiempo promedio de camiones de 2.4 horas a 1.7 horas y optimizar los recursos y reducir los sobre costos. / The company under study, dedicated to the integral logistics of mining concentrates has as one of its main processes the reception of trucks with concentration of Cu, Pb and Zn of the different miners in Peru whose daily demand is 170 trucks for which it has set out to serve it in a period of 10 hours whose indicator of the process is 17 trucks/hour, but currently an indicator of 15 trucks/hour has been handled, this results in overruns such as overtime and resource utilization which amount to an annual cost of S/. 638,655; for this reason, they intend to implement two tools of the Lean Six Sigma methodology. The diagnosis revealed that the problem of non-compliance with indicator lies in the inefficiency and effectiveness of the receiving process, in which the total time of trucks throughout the receiving process circuit is high on average 2.4 hours; the causal analysis found root causes such as disordered areas, congestion in sampling area and discharge zone, after which it is proposed the deployment of the methodology's own tools such as the implementation of 5S that seeks to generate culture of order and cleanliness with and the improvement of the flow of trucks between stages with the standardization of processes. When deploying, it is estimated to reduce average truck time from 2.4 hours to 1.7 hours and optimize resources and reduce over-costs. / Trabajo de Suficiencia Profesional

Two of the biggest issues facing large organizations today are knowledge transfer from the retiring Baby Boomers to their younger replacements, the Gamers, and the retention of those younger employees. Retirees are replaced by people 34 years old or younger who think, learn, believe, respond, and work differently further increasing the cultural gap that must be traversed in order to successfully transfer knowledge. This younger demographic is raised on technology and may not remember a time when there were no computers, video games, mobile devices, and the Internet. Large organizations aspiring to stay relevant must learn to take advantage of these unique traits. For organization that utilize repetitive work processes involving ruggedized handheld computing tools, both of these issues mentioned can be remediated through the adoption of modern technology. Some ruggedized handheld device manufacturers, however, have been hesitant to embrace consumer-implemented solutions such as the removal of all physical keys in order to incorporate touchscreen only input. Using Baby Boomer and Gamer-aged workers from a large transportation company experienced with ruggedized handheld devices, a time and error evaluation was performed to determine which input type is best by generation. This study found that moving from physical keyed devices to ruggedized handhelds with touchscreens only is a productive move for an industrial workforce but it’s the Boomers who stand to benefit from this change the most, not the Gamers. This study also identified near future requirements for the next iteration of ruggedized handheld devices based on the expectations of members of the current and future workforce. Results showed that participants from all generations selected a device that followed the touchscreen only model for data input. Experienced users from all generations preferred a smaller device with a large screen size. Lastly, Lean and Six Sigma were combined and their benefits explored in an effort of implementing manufacturing quality tools into a global, service-based, logistics organization. These tools and principles were used to improve the quality and timeliness of selecting and implementing a new ruggedized handheld device for the line-level workers on a global scale.

Organisations with high-performing data and analytics capabilities are more successful than organisations with lower analytics maturity. It is therefore necessary for organisations to assess their analytics capabilities and needs in order to identify and evaluate areas of improvement that need to be addressed. This was the purpose of this case study conducted on a region in a global B2B organisation, which has a centrally established analytics function on corporate level, wanting the use of analytics to be integrated in more of the region’s processes and analytical capabilities and resources being used as efficient as possible.To fulfil the thesis purpose, empirical data was collected through qualitative interviews with employees on corporate level, more quantitative interviews with regional employees and a questionnaire issued to regional employees. This was complemented with a thorough literature study which provided the analytics maturity models used for identifying the current capabilities on a holistic level of the region, as well as analytics setups, Lean Six Sigma and Knowledge Management. Results show a relatively low analytics maturity due to e.g. insufficient support from management, unclear responsibility of analytics, data not being used correctly or requested enough and various issues with competence, tools and sources.This study contributes to analytics research by identifying that analytics maturity models available free of charge only are good for inspiration and not full use when used in a large company. Furthermore, the study shows that complexities arise when having a central analytics function with low analytics maturity while other parts of the company face analytics problems but no indications are given on who and what to proceed on or not. This study therefore results in contributing with a proposition for companies wanting to increase its analytics maturity that this could be facilitated by establishing networks for analytics. Combining literature and empirics show that networks enable investigation of the analytics situation while at the same time enabling increased sharing, collaboration, innovation, coordination and dissemination. By making Lean Six Sigma a central part of the network analytics will be used more and better while at the same time increasing the success-rate of change and improvements projects.

The complexity of sustainable building maintenance environment requires managers to define and implement appropriate quality benchmark system suitable for this function. Lean Six Sigma (LSS) is one of the most effective process improvement and optimization philosophy that maintenance organisations can implement in their environment. However, literature review has shown that 90% of failures in LSS implementations are due to lack of readiness to change, the unawareness of the required benchmark organisation capabilities, and improper control of priorities. The contribution of the current research approach is in developing a hybrid Knowledge-Based (KB)/GAP/AHP System, consisting of three stages (Planning, Designing and Implementation) and containing over 2500 KB rules. The KB System can assist the decision-makers in identifying the obstacles behind the organisation readiness to change into a benchmark LSS maintenance environment. Thus the KB System will be used to achieve benchmark standards by determining the gap existing between the current environment and the benchmark goal, and then suggest a detailed plan to overcome these hurdles in a prioritised and structured manner, thus achieving cost benefits. To ensure its consistency and reliability, the KB System was validated in three Oman-based maintenance organisations, and one published case study for a UK-based organisation. The results from the validation were positive with the System output suggesting list of top priorities and action plans for achieving benchmark LSS standards for these organisations. The research concludes that the developed KB System is a consistent and reliable methodology for assisting decision-makers in designing, planning, and implementing LSS for benchmark sustainable building maintenance.

The purpose of this research is to explore how Double Loop Learning (DLL) and Lean Six Sigma tool (i.e. DMAIC-Defined, Measure, Analysis, Improvement, and Control) can be used to reduce Food Waste and Loss (FWL) in the processing and distribution units of the Food Supply Chain (FSC) in the developing countries. This study is motivated base on the identified research problem of which about one-third of every food produce is wasted yearly, which equates to 1.3 billion tonnes of food throughout the entire food supply chain, with up to 50% of FWL occur at the pre-consumption stage of FSC in the developing countries. The economic values of FWL in Sub-Saharan Africa amount to $230 billion yearly. Therefore, the focus has been on how to reduce the magnitude of FWL at the pre-consumption stage of the FSC in the developing countries while promoting continuous improvement practices. Though technological, environmental, and Supply Chain Strategies (SCS) aimed at reducing FWL are effective in some parts of the world but the effectiveness of those strategies in some countries is hindered by poor supply chain activities. This research adopted a qualitative research method through the use of multiple case study strategies, with the aid of semi-structured interviews, observation, and documents to explore the perception, understanding, and experience of the FSC stakeholders on how DMAIC-DLL can be used to reduce FWL. The findings of this study show that with the DMAIC-DLL framework, the root causes of FWL at the pre-consumption stage were identified. The study found that some Lean tools, employee improvisation, learning practices are some of the strategies that could be used in reducing FWL. The findings suggest that experiential learning, collaborative learning, and on-job training are effective learning mechanisms that could be used to promote learning in the adoption of DMAIC-DLL in the FSC. Therefore, this research contributes towards the ongoing debate on how to reduce FWL as well as the wider debate learning mechanisms that support continuous improvement practices. Future research should explore how DMAIC-DLL can be extended to other settings other than the food industry. / Federal Government of Nigeria through the Petroleum Trust Development Fund (PTDF)

Tesis por compendio / [ES] La oportunidad en la atención es uno de los críticos de mayor relevancia en la satisfacción de los pacientes que acuden a los servicios de Urgencias. Por tal motivo, las instituciones prestadoras de servicio y las organizaciones gubernamentales deben propender conjuntamente por una atención cada vez más oportuna a costos operacionales razonables. En el caso de la Red Pública en Servicios de Urgencias de Barrannquilla, compuesta por 8 puntos de atención y 2 hospitales, la tendencia marca un continuo crecimiento de la oportunidad en la atención con una tasa de 3,08 minutos/semestre y una probabilidad del 93,13% de atender a los pacientes después de una espera mayor a 30 minutos. Lo anterior se constituye en un síntoma inequívoco de la incapacidad de la Red para satisfacer los estándares de oportunidad establecidos por el Ministerio de Salud, hecho que podría desencadenar el desarrollo de sintomatologías de mayor complejidad, el incremento de la probabilidad de mortalidad, el requerimiento de servicios clínicos más complejos (hospitalización y cuidados intensivos) y el aumento de los costos asociados al servicio. En consecuencia, la presente tesis doctoral presenta el rediseño de la Red Pública en Servicios de Urgencias anteriormente mencionada a fin de otorgar a la población diana un servicio eficiente y altamente oportuno donde tanto las instituciones prestadoras del servicio como los organismos gubernamentales converjan efectivamente. Para ello, fue necesaria la ejecución de 4 grandes fases a través de las cuales se consolidó una propuesta orientada al desarrollo efectivo y sostenible de las operaciones de la Red. Primero, se caracterizó la Red Pública de Servicios de Urgencias en Salud considerando su comportamiento actual en términos de demanda y oportunidad de la atención. Luego, a través de una revisión sistemática de la literatura, se identificaron los enfoques metodológicos que se han implementado para la mejora de la oportunidad y otros indicadores de rendimiento asociados al servicio de Urgencias. Posteriormente, se diseñó una metodología para la creación de redes de Urgencias eficientes y sostenibles la cual luego se validó en la Red Pública sudamericana a fin de disminuir la oportunidad de atención promedio en Urgencias y garantizar la distribución equitativa de los beneficios financieros derivados de la colaboración. Finalmente, se construyó un modelo multicriterio que permitió evaluar el rendimiento de los departamentos de Urgencia e impulsó la creación de estrategias de mejora focalizadas en incrementar su respuesta ante la demanda cambiante, los críticos de satisfacción y las condiciones de operación estipuladas en la ley. Los resultados de esta aplicación evidenciaron que los pacientes que acceden a la Red tienden a esperar en promedio 201,6 min con desviación de estándar de 81,6 min antes de ser atendidos por urgencia. Por otro lado, de acuerdo con la revisión de literatura, la combinación de técnicas de investigación de operaciones, ingeniería de la calidad y analítica de datos es ampliamente recomendada para abordar este problema. En ese sentido, una metodología basada en modelos colaterales de pago, simulación de procesos y lean seis sigma fue propuesta y validada generando un rediseño de Red cuya oportunidad de atención promedio podría disminuir entre 6,71 min y 9,08 min con beneficios financieros promedio de US$29,980/nodo. En último lugar, un modelo compuesto por 8 criterios y 35 sub-criterios fue diseñado para evaluar el rendimiento general de los departamentos de Urgencias. Los resultados del modelo evidenciaron el rol crítico de la infraestructura (Peso global = 21,5%) en el rendimiento de los departamentos de Urgencia y la naturaleza interactiva de la Seguridad del Paciente (C + R = 12,771). / [CA] L'oportunitat en l'atenció és un dels crítics de major rellevància en la satisfacció dels pacients que acudeixen als serveis d'Urgències. Per tal motiu, les institucions prestadores de servei i les organitzacions governamentals han de propendir conjuntament per una atenció cada vegada més oportuna a costos operacionals raonables. En el cas de la Xarxa Pública en Serveis d'Urgències de Barrannquilla, composta per 8 punts d'atenció i 2 hospitals, la tendència marca un continu creixement de l'oportunitat en l'atenció amb una taxa de 3,08 minuts / semestre i una probabilitat de l' 93,13% d'atendre els pacients després d'una espera major a 30 minuts. L'anterior es constitueix en un símptoma inequívoc de la incapacitat de la Xarxa per satisfer els estàndards d'oportunitat establerts pel Ministeri de Salut, fet que podria desencadenar el desenvolupament de simptomatologies de major complexitat, l'increment de la probabilitat de mortalitat, el requeriment de serveis clínics més complexos (hospitalització i cures intensives) i l'augment dels costos associats a el servei. En conseqüència, la present tesi doctoral presenta el redisseny de la Xarxa Pública en Serveis d'Urgències anteriorment esmentada a fi d'atorgar a la població diana un servei eficient i altament oportú on tant les institucions prestadores de el servei com els organismes governamentals convergeixin efectivament. Per a això, va ser necessària l'execució de 4 grans fases a través de les quals es va consolidar una proposta orientada a el desenvolupament efectiu i sostenible de les operacions de la Xarxa. Primer, es va caracteritzar la Xarxa Pública de Serveis d'Urgències en Salut considerant el seu comportament actual en termes de demanda i oportunitat de l'atenció. Després, a través d'una revisió sistemàtica de la literatura, es van identificar els enfocaments metodològics que s'han implementat per a la millora de l'oportunitat i altres indicadors de rendiment associats a el servei d'Urgències. Posteriorment, es va dissenyar una metodologia per a la creació de xarxes d'Urgències eficients i sostenibles la qual després es va validar a la Xarxa Pública sud-americana a fi de disminuir l'oportunitat d'atenció mitjana a Urgències i garantir la distribució equitativa dels beneficis financers derivats de la col´laboració. Finalment, es va construir un model multicriteri que va permetre avaluar el rendiment dels departaments d'Urgència i va impulsar la creació d'estratègies de millora focalitzades en incrementar la seva resposta davant la demanda canviant, els crítics de satisfacció i les condicions d'operació estipulades en la llei. Els resultats d'aquesta aplicació van evidenciar que els pacients que accedeixen a la Xarxa tendeixen a esperar de mitjana 201,6 min amb desviació d'estàndard de 81,6 min abans de ser atesos per urgència. D'altra banda, d'acord amb la revisió de literatura, la combinació de tècniques d'investigació d'operacions, enginyeria de la qualitat i analítica de dades és àmpliament recomanada per abordar aquest problema. En aquest sentit, una metodologia basada en models col´laterals de pagament, simulació de processos i llegeixin 6 sigma va ser proposada i validada generant un redisseny de Xarxa la oportunitat d'atenció mitjana podria disminuir entre 6,71 min i 9,08 min amb beneficis financers mitjana d'US $ 29,980 / node. En darrer lloc, un model compost per 8 criteris i 35 sub-criteris va ser dissenyat per avaluar el rendiment general dels departaments d'Urgències. Els resultats de el model evidenciar el paper crític de la infraestructura (Pes global = 21,5%) en el rendiment dels departaments d'Urgència i la naturalesa interactiva de la Seguretat de l'Pacient (C + R = 12,771). / [EN] Waiting time is one of the most critical measures in the satisfaction of patients admitted within emergency departments. Therefore, hospitals and governmental organizations should jointly aim to provide timely attention at reasonable costs. In the case of Barranquilla's Pubic Emergency Service Network, composed by 8 Points of care (POCs) and 2 hospitals, the trend evidences a continuous growing of the waiting time with a rate of 3,08 min/semester and a 93,13% likelihood of serving patients after waiting for more than 30 minutes. This is an unmistakable symptom of the network inability for satisfying the standards established by the Ministry of Health, which may trigger the development of more complex symptoms, increase in the death rate, requirement for more complex clinical services (hospitalization and intensive care unit) and increased service costs. This doctoral dissertation then illustrates the redesign of the aforementioned Public Emergency Service Network aiming at providing the target population with an efficient and highly timely service where both hospitals and governmental institutions effectively converge. It was then necessary to implement a 4-phase methodology consolidating a proposal oriented to the effective and sustainable development of network operations. First, the Public Emergency Service Network was characterized considering its current behavior in terms of demand and waiting time. A systematic literature review was then undertaken for identifying the methodological approaches that have been implementing for improving the waiting time and other performance indicators associated with the emergency care service. Following this, a methodology for the creation of efficient and sustainable emergency care networks was designed and later validated in the Southamerican Public network for lessening the average waiting time and ensuring the equitable distribution of profits derived from the collaboration. Ultimately, a multicriteria decision-making model was created for assessing the performance of the emergency departments and propelling the design of improvement strategies focused on bettering the response against the changing demand conditions, critical to satisfaction and operational conditions. The results evidenced that the patients accessing to the network tend to wait 201,6 min on average with a standard deviation of 81,6 min before being served by the emergency care unit. On the other hand, based on the reported literature, it is highly suggested to combine Operations Research (OR) methods, quality-based techniques, and data-driven approaches for addressing this problem. In this sense, a methodology based on collateral payment models, Discrete-event simulation, and Lean Six Sigma was proposed and validated resulting in a redesigned network whose average waiting time may diminish between 6,71 min and 9,08 min with an average profit US$29,980/node. Lately, a model comprising of 8 criteria and 35 sub-criteria was designed for evaluating the overall performance of emergency departments. The model outcomes revealed the critical role of Infrastructure (Global weight = 21,5%) in ED performance and the interactive nature of Patient Safety (C + R = 12,771). / Ortíz Barrios, MÁ. (2020). Redesigning the Barranquilla's public emergency care network to improve the patient waiting time [Tesis doctoral]. Universitat Politècnica de València. https://doi.org/10.4995/Thesis/10251/156215 / Compendio