Using Six Sigma DMAIC Methodology and Discrete Event Simulation to Reduce Patient Discharge Time in King Hussein Cancer Center
| Autor: | Mazen Arafeh, Nadeem Musharbash, Fatina Assaf, Dana M. K. Nashawati, Nirmin Haddad, Adnan Al-Bashir, Mahmoud A. Barghash |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Decision support system
Time Factors Quality management lcsh:Medical technology Article Subject Process (engineering) Computer science Health Personnel Biomedical Engineering Health Informatics Efficiency Organizational 03 medical and health sciences 0302 clinical medicine Humans Stakeholder analysis Operations management 030212 general & internal medicine Discrete event simulation Duration (project management) lcsh:R5-920 030503 health policy & services DMAIC Six Sigma Quality Improvement Patient Discharge lcsh:R855-855.5 Models Organizational Surgery 0305 other medical science lcsh:Medicine (General) Total Quality Management Research Article Biotechnology |
| Zdroj: | Journal of Healthcare Engineering, Vol 2018 (2018) Journal of Healthcare Engineering |
| ISSN: | 2040-2295 |
| DOI: | 10.1155/2018/3832151 |
| Popis: | Short discharge time from hospitals increases both bed availability and patients’ and families’ satisfaction. In this study, the Six Sigma process improvement methodology was applied to reduce patients’ discharge time in a cancer treatment hospital. Data on the duration of all activities, from the physician signing the discharge form to the patient leaving the treatment room, were collected through patient shadowing. These data were analyzed using detailed process maps and cause-and-effect diagrams. Fragmented and unstandardized processes and procedures and a lack of communication among the stakeholders were among the leading causes of long discharge times. Categorizing patients by their needs enabled better design of the discharge processes. Discrete event simulation was utilized as a decision support tool to test the effect of the improvements under different scenarios. Simplified and standardized processes, improved communications, and system-wide management are among the proposed improvements, which reduced patient discharge time by 54% from 216 minutes. Cultivating the necessary ownership through stakeholder analysis is an essential ingredient of sustainable improvement efforts. |
| Databáze: | OpenAIRE |
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