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Implementation of lean six sigma to tessen waiting times in public emergency care networks: a case study
dc.contributor.author | Ortiz Barrios, Miguel Angel | spa |
dc.contributor.author | Coba Blanco, Dayana Milena | spa |
dc.contributor.author | Salomon, Valerio | spa |
dc.contributor.author | Jiménez, Genett | spa |
dc.date.accessioned | 2022-01-19T20:32:34Z | |
dc.date.available | 2022-01-19T20:32:34Z | |
dc.date.issued | 2021 | |
dc.identifier.uri | https://hdl.handle.net/11323/8982 | spa |
dc.description.abstract | Emergency Care Networks (ECNs) are integrated healthcare systems comprised of emergency departments (EDs). ECNs are called to be the primary response of healthcare authorities to deal with the expected uptick in the future demands for emergency care during the current Covid-19 pandemic. Lean Six Sigma (LSS) has been proposed to address this challenge since it allows managers to detect factors contributing to the extended waiting times (WT) throughout the patient journey. The suggested framework follows the DMAIC cycle that was initiated with the project charter definition; in the meantime, a SIPOC diagram was drawn to analyze the emergency care process and pinpoint critical process variables. Following this, a nested Gage R&R study was undertaken to study the measurement system performance; subsequently, a normal-based capability analysis was carried out to determine how well the ECN process satisfies the specifications. The next step was to identify the potential causes separating the ECN nodes from the desired target. Afterwards, improvement strategies were devised to lessen the average WT. After suitable data collection, a before-and-after analysis was performed to verify the effectiveness of the implemented strategies. Ultimately, a control plan containing an I-MR control chart was designed to maintain the improvements achieved with the LSS implementation. The results revealed that the average WT of the showcased node passed from 190.02 min to 103.1 min whereas the long-term sigma level increased from −0.06 to 0.11. The proposed framework was validated through a case study including the involvement of a medium-sized hospital from the public sector. © 2021, Springer Nature Switzerland AG. | spa |
dc.format.mimetype | application/pdf | spa |
dc.language.iso | eng | |
dc.publisher | Corporación Universidad de la Costa | spa |
dc.rights | CC0 1.0 Universal | spa |
dc.rights.uri | http://creativecommons.org/publicdomain/zero/1.0/ | spa |
dc.source | Lecture Notes in Computer Science | spa |
dc.subject | Covid-19 | spa |
dc.subject | Emergency Care Networks (ECNs) | spa |
dc.subject | Healthcare | spa |
dc.subject | Lean Six Sigma (LSS) | spa |
dc.subject | Waiting times (WT) | spa |
dc.title | Implementation of lean six sigma to tessen waiting times in public emergency care networks: a case study | spa |
dc.type | Pre-Publicación | spa |
dc.source.url | https://www.researchgate.net/publication/356393780_Implementation_of_Lean_Six_Sigma_to_Lessen_Waiting_Times_in_Public_Emergency_Care_Networks_A_Case_Study | spa |
dc.rights.accessrights | info:eu-repo/semantics/openAccess | spa |
dc.identifier.doi | DOI:10.1007/978-3-030-90966-6_7 | spa |
dc.date.embargoEnd | 2022 | |
dc.identifier.instname | Corporación Universidad de la Costa | spa |
dc.identifier.reponame | REDICUC - Repositorio CUC | spa |
dc.identifier.repourl | https://repositorio.cuc.edu.co/ | spa |
dc.relation.references | 1 Manns, B.J., Wasylak, T. Clinical networks: Enablers of health system change (Open Access) (2019) CMAJ, 191 (47), pp. E1299-E1305. Cited 4 times. https://www.cmaj.ca/content/cmaj/191/47/E1299.full.pdf doi: 10.1503/cmaj.190313 | spa |
dc.relation.references | 2 Brown, B.B., Patel, C., McInnes, E., Mays, N., Young, J., Haines, M. The effectiveness of clinical networks in improving quality of care and patient outcomes: A systematic review of quantitative and qualitative studies (Open Access) (2016) BMC Health Services Research, 16 (1), art. no. 360. Cited 50 times. http://www.biomedcentral.com/bmchealthservres/ doi: 10.1186/s12913-016-1615-z | spa |
dc.relation.references | 3 Al Owad, A., Karim, M.A., Ma, L. Integrated Lean Six Sigma approach for patient flow improvement in hospital emergency department (2013) Advanced Materials Research, 834-836, pp. 1893-1902. Cited 12 times. ISBN: 978-303785916-2 doi: 10.4028/www.scientific.net/AMR.834-836.1893 | spa |
dc.relation.references | 4 Sklar, D.P., Handel, D.A., Hoekstra, J., Baren, J.M., Zink, B., Hedges, J.R. The future of emergency medicine: An evolutionary perspective (Open Access) (2010) Academic Medicine, 85 (3), pp. 490-495. Cited 19 times. http://www.lww.com/product/?1040-2446 doi: 10.1097/ACM.0b013e3181ccb628 | spa |
dc.relation.references | 5 Ortíz-Barrios, M., McClean, S., Jiménez-Delgado, G., Martínez-Sierra, D.E. Integrating lean six sigma and discrete-event simulation for shortening the appointment lead-time in gynecobstetrics departments: A case study (Open Access) (2020) Lecture Notes in Computer Science (including subseries Lecture Notes in Artificial Intelligence and Lecture Notes in Bioinformatics), 12199 LNCS, pp. 378-389. https://www-springer-com.ezproxy.cuc.edu.co/series/558 ISBN: 978-303049906-8 doi: 10.1007/978-3-030-49907-5_27 | spa |
dc.relation.references | 6 Ortiz-Barrios, M., Alfaro-Saiz, J.-J. An integrated approach for designing in-time and economically sustainable emergency care networks: A case study in the public sector (Open Access) (2020) PLoS ONE, 15 (6 June), art. no. e0234984. Cited 2 times. https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0234984&type=printable doi: 10.1371/journal.pone.0234984 | spa |
dc.relation.references | 7 Azevedo, J., Sá, J.C., Ferreira, L.P., Santos, G., Cruz, F.M., Jimenez, G., Silva, F.J.G. Improvement of production line in the automotive industry through lean philosophy (2019) Procedia Manufacturing, 41, pp. 1023-1030. Cited 13 times. http://www.journals.elsevier.com.ezproxy.cuc.edu.co/procedia-manufacturing | spa |
dc.relation.references | 8 Abu-Laban, R.B., Drebit, S., Svendson, B., Chan, N., Ho, K., Khazei, A., Lindstrom, R.R., (...), Christenson, J. Process and findings informing the development of a provincial emergency medicine network (2019) Healthcare Management Forum, 32 (5), pp. 253-258. http://hmf.sagepub.com.ezproxy.cuc.edu.co/content/by/year doi: 10.1177/0840470419844276 | spa |
dc.relation.references | 9 Christenson, J. A network to improve emergency patient care by facilitating practitioners to effectively support practitioners (2014) Healthcare Management Forum, 27 (3), pp. 132-135. Cited 6 times. http://hmf.sagepub.com.ezproxy.cuc.edu.co/content/by/year doi: 10.1016/j.hcmf.2014.05.004 | spa |
dc.relation.references | 10 Ahmed, A., Page, J., Olsen, J. Enhancing Six Sigma methodology using simulation techniques: Literature review and implications for future research (2020) International Journal of Lean Six Sigma, 11 (1), pp. 211-232. Cited 5 times. http://www.emeraldinsight.com/journal/ijlss doi: 10.1108/IJLSS-03-2018-0033 | spa |
dc.relation.references | 11 Defeo, J., Moret, D. (2019) Lean Six Sigma, Lean & Six Sigma: A Definitive Guide Juran Institute https://www.juran.com/blog/guide-to-lean-and-lean-six-sigma/ | spa |
dc.relation.references | 12 Jimenez, G., Santos, G., Sá, J.C., Ricardo, S., Pulido, J., Pizarro, A., Hernández, H. Improvement of productivity and quality in the value chain through lean manufacturing - A case study (2019) Procedia Manufacturing, 41, pp. 882-889. Cited 14 times. http://www.journals.elsevier.com.ezproxy.cuc.edu.co/procedia-manufacturing | spa |
dc.relation.references | 13 Kuo, A.M.-H., Borycki, E., Kushniruk, A., Lee, T.-S. A healthcare lean six sigma system for postanesthesia care unit workflow improvement (2011) Quality Management in Health Care, 20 (1), pp. 4-14. Cited 32 times. doi: 10.1097/QMH.0b013e3182033791 | spa |
dc.relation.references | 14 Dickson, E.W., Anguelov, Z., Vetterick, D., Eller, A., Singh, S. Use of Lean in the Emergency Department: A Case Series of 4 Hospitals (2009) Annals of Emergency Medicine, 54 (4), pp. 504-510. Cited 160 times. doi: 10.1016/j.annemergmed.2009.03.024 | spa |
dc.relation.references | 15 Johnson, P.M., Patterson, C.J., O'Connell, M.P. Lean methodology: An evidence-based practice approach for healthcare improvement (2013) Nurse Practitioner, 38 (12), pp. 1-7. Cited 9 times. doi: 10.1097/01.NPR.0000437576.14143.b9 | spa |
dc.relation.references | 16 Vermeulen, M.J., Stukel, T.A., Guttmann, A., Rowe, B.H., Zwarenstein, M., Golden, B., Nigam, A., (...), Schull, M.J. Evaluation of an emergency department lean process improvement program to reduce length of stay (Open Access) (2014) Annals of Emergency Medicine, 64 (5), pp. 427-438. Cited 49 times. http://www.elsevier.com.ezproxy.cuc.edu.co/inca/publications/store/6/2/3/2/7/8/index.htt doi: 10.1016/j.annemergmed.2014.06.007 | spa |
dc.relation.references | 17 Richardson, D.M., Rupp, V.A., Long, K.R., Urquhart, M.C., Ricart, E., Newcomb, L.R., Myers, P.J., (...), Kane, B.G. Using lean methodology to decrease wasted RN time in seeking supplies in emergency departments (2014) Journal of Nursing Administration, 44 (11), pp. 606-611. Cited 6 times. http://journals.lww.com/jonajournal doi: 10.1097/NNA.0000000000000133 | spa |
dc.relation.references | 18 Improta, G., Cesarelli, M., Montuori, P., Santillo, L.C., Triassi, M. Reducing the risk of healthcare-associated infections through Lean Six Sigma: The case of the medicine areas at the Federico II University Hospital in Naples (Italy) (Open Access) (2018) Journal of Evaluation in Clinical Practice, 24 (2), pp. 338-346. Cited 41 times. http://onlinelibrary.wiley.com/journal/10.1111/(ISSN)1365-2753 doi: 10.1111/jep.12844 | spa |
dc.relation.references | 19 Terra, J.D.R., Berssaneti, F.T.: Application of lean healthcare in hospital services: a review of the literature (2007 to 2017). Production 28 (2018). https://doi-org.ezproxy.cuc.edu.co/10.1590/0103-6513.201 80009 | spa |
dc.relation.references | 20 Suman, G., Prajapati, D.R. Statistical analysis of the researches carried out on Lean and Six Sigma applications in healthcare industry (2018) International Journal of Quality Engineering and Technology, 7 (1), pp. 1-38. Cited 7 times. http://www.inderscience.com/ijqet doi: 10.1504/IJQET.2018.094667 | spa |
dc.relation.references | 21 Patri, R., Suresh, M. Factors influencing lean implementation in healthcare organizations: An ISM approach (2018) International Journal of Healthcare Management, 11 (1), pp. 25-37. Cited 41 times. http://www-tandfonline-com.ezproxy.cuc.edu.co/loi/yjhm20#.VwH1lk1f1Qs doi: 10.1080/20479700.2017.1300380 | spa |
dc.relation.references | 22 Gabriel, G.T., Campos, A.T., Magacho, A.L., Segismondi, L.C., Vilela, F.F., de Queiroz, J.A., Montevechi, J.A.B. Lean thinking by integrating with discrete event simulation and design of experiments: An emergency department expansion (Open Access) (2020) PeerJ Computer Science, 6, art. no. e284. Cited 4 times. https://peerj.com/articles/cs-284.pdf doi: 10.7717/PEERJ-CS.284 | spa |
dc.relation.references | 23 Pegoraro, F., Alves Portela Santos, E., de Freitas Rocha Loures, E. A support framework for decision making in emergency department management (2020) Computers and Industrial Engineering, 146, art. no. 106477. Cited 2 times. https://www-journals-elsevier-com.ezproxy.cuc.edu.co/computers-and-industrial-engineering doi: 10.1016/j.cie.2020.106477 | spa |
dc.relation.references | 24 Ortiz-Barrios, M., Alfaro-Saiz, J.-J. A Hybrid Fuzzy Multi-Criteria Decision-Making Model to Evaluate the Overall Performance of Public Emergency Departments: A Case Study (Open Access) (2020) International Journal of Information Technology and Decision Making, 19 (6), pp. 1485-1548. Cited 3 times. http://www.worldscinet.com/ijitdm/ijitdm.shtml doi: 10.1142/S0219622020500364 | spa |
dc.relation.references | 25 Scala, A., Ponsiglione, A.M., Loperto, I., Della Vecchia, A., Borrelli, A., Russo, G., Triassi, M., (...), Improta, G. Lean six sigma approach for reducing length of hospital stay for patients with femur fracture in a university hospital (Open Access) (2021) International Journal of Environmental Research and Public Health, 18 (6), art. no. 2843, pp. 1-13. Cited 16 times. https://www.mdpi.com/1660-4601/18/6/2843/pdf doi: 10.3390/ijerph18062843 | spa |
dc.relation.references | 26 Nuñez-Perez, N., Ortíz-Barrios, M., McClean, S., Salas-Navarro, K., Jimenez-Delgado, G., Castillo-Zea, A.: Discrete-event simulation to reduce waiting time in accident and emergency departments: a case study in a district general clinic. In: Ochoa, S.F., Singh, P., Bravo, J. (eds.) UCAmI 2017. LNCS, vol. 10586, pp. 352–363. Springer, Cham (2017). https://doi-org.ezproxy.cuc.edu.co/10. 1007/978-3-319-67585-5_37 | spa |
dc.relation.references | 27 Jones, B., McClean, S., Stanford, D. Modelling mortality and discharge of hospitalized stroke patients using a phase-type recovery model (Open Access) (2019) Health Care Management Science, 22 (4), pp. 570-588. Cited 3 times. www.springer.com/journal/10729 doi: 10.1007/s10729-018-9446-6 | spa |
dc.relation.references | 28 Ortiz Barrios, M., Felizzola Jiménez, H. Reduction of average lead time in outpatient service of obstetrics through six sigma methodology (2015) Amihealth 2015. LNCS, Vol. 9456, pp. 293-302. Cited 2 times. Bravo, J., Hervás, R., Villarreal, V. (eds.), pp., Springer, Cham https://doi-org.ezproxy.cuc.edu.co/10.1007/978-3-319-26508-7_29 | spa |
dc.type.coar | http://purl.org/coar/resource_type/c_816b | spa |
dc.type.content | Text | spa |
dc.type.driver | info:eu-repo/semantics/preprint | spa |
dc.type.redcol | http://purl.org/redcol/resource_type/ARTOTR | spa |
dc.type.version | info:eu-repo/semantics/acceptedVersion | spa |
dc.type.coarversion | http://purl.org/coar/version/c_ab4af688f83e57aa | spa |
dc.rights.coar | http://purl.org/coar/access_right/c_abf2 | spa |
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