Purpose: This review mainly aims to identify the lean practice conducted in hospitals, determining what problems lean practice can be helpful to solve in the hospitals. Data sources: Four electronic databases (Scopus, Web of science, Medline, and PubMed) were conducted for searching related literature in this review. Study selection: These studies in the hospitals that related lean healthcare practice and contained outcome variables were included. Data extraction: Related information such as research design, countries, lean tools, outcome variables, results were extracted. Results of data synthesis: 20 eligible articles were identified in this review. There was 20% lean practice being conducted in emergency department of hospitals in this review. Six cases have implemented lean in Brazilian hospitals. There were 12 cases implemented lean practice through Value Stream Mapping. Conclusion: Lean practices were highly valued in Brazilian hospitals, and it was frequently implemented in hospital emergency department. Value Stream Mapping and process mapping were the most commonly used lean tool. Waiting time, lead time and Length of Hospital Stay (LOS) were the primary indicators reflecting improvements in this review.

Catastrophes, like earthquakes, bring sudden and severe damage, causing fatalities, injuries, and property loss. This often triggers a rapid increase in insurance claims. These claims can encompass various types, such as life insurance claims for deaths, health insurance claims for injuries, and general insurance claims for property damage. For insurers offering multiple types of coverage, this surge in claims can pose a risk of financial losses or bankruptcy. One option for insurers is to transfer some of these risks to reinsurance companies. Reinsurance companies will assess the potential losses due to a catastrophe event, then issue catastrophe reinsurance contracts to insurance companies. This study aims to construct a valuation model for catastrophe reinsurance contracts that can cover claim losses arising from two types of insurance products. Valuation in this study is done using the Fundamental Theorem of Asset Pricing, which is the expected present value of the number of claims that occur during the reinsurance coverage period. The number of catastrophe events during the reinsurance coverage period is assumed to follow a Poisson process. Each impact of a catastrophe event, such as the number of fatalities and injuries that cause claims, is represented as random variables, and modeled using Peaks Over Threshold (POT). This study uses Clayton, Gumbel, and Frank copulas to describe various dependence characteristics between random variables. The parameters of the POT model and copula are estimated using Inference Functions for Margins method. After estimating the model parameters, Monte Carlo simulations are performed to obtain numerical solutions for the expected value of catastrophe reinsurance based on the Fundamental Theorem of Asset Pricing. The expected reinsurance value based on Monte Carlo simulations using Indonesian earthquake data from 1979–2021 is Rp 10,296,819,838.

This study aims to examine the impact of open innovation and disruptive innovation on the financial performance of SMEs in the tourism sector in Tanjungpinang City, Indonesia. A quantitative research method was employed, utilizing a sample of 273 SMEs in the tourism sector. Data were collected through surveys and analyzed using regression and ANOVA techniques to understand the relationships between innovation, digitalization, and financial performance. The analysis revealed that both open and disruptive innovation significantly influence the financial performance of SMEs. The study found that innovation and digitalization explain approximately 79.6% of the financial performance variance in the tourism sector. The findings suggest that SMEs that adopt innovative practices and digitalization are more likely to achieve better financial outcomes, such as increased profitability and market share. Open and disruptive innovations are critical drivers of financial success for SMEs in the tourism sector. SMEs should focus on leveraging internal and external knowledge and adapting to technological changes to enhance their competitive advantage. Policymakers should create supportive environments that foster innovation and digitalization among SMEs. This could include providing access to technological resources, training programs, and incentives for innovative practices.

The sustainability of the creative industry through creative-based tourism in the Laweyan Tourism Village requires the support of a sustainable and inclusive development model for local communities. This research aims to present the design of a tourist village development model that applies the eco-cultural city concept as a Surakarta City Perspective through creative-based tourism towards creative industries. This research uses a qualitative approach with a descriptive exploratory method. Data collection techniques use interviews with key informants. Empirical observation using cultural mapping as identification of physical mapping of spatial layout, build ings and environment, as well as cultural landscapes for tangible and intangible cultural assets of the community in the local landscape in the Laweyan tourist village. Content analysis is applied as a research data analysis method. The research results provide an overview of the design of the creative-based tourism village development model towards a sustainable creative industry including aspects attraction, accessibility, amenities, and ancillary, and green tourism. Model design requires commitment and participation from the government and private sector in collaborating with sustainable tourist village development forums.

The scientific objective of this study is to demonstrate how a hybrid photovoltaic-grid-generator microsystem responds under transient regime to varying loads and grid disconnection/reconnection. The object of the research was realized by acquiring the electrical magnitudes from the three PV systems (25 kW, 40 kW, and 60 kW) connected to the grid and the consumer (on-grid), during the technological process where the load fluctuated uncontrollably. Similar recordings were also made for the transient regime caused by the grid disconnection, diesel generator activation (450 kVA), its synchronization with PV systems, power supply to receivers, and grid voltage restoration after diesel generator shutdown. Analysis of the data focused on power supply continuity, voltage stability, and frequency variations. Findings indicated that on-grid photovoltaic systems had a 7.9% maximum voltage deviation from the standard value (230 V) and a frequency variation within ±1%. In the transient period caused by the grid disconnection and reconnection, a brief period with supply interruption was noted. This study contributes to the understanding of hybrid system behavior during transient regimes.