Using Six Sigma DMAIC Methodology and Discrete Event Simulation to Reduce Patient Discharge Time in King Hussein Cancer Center
Using Six Sigma DMAIC Methodology and Discrete Event Simulation to Reduce Patient Discharge Time in King Hussein Cancer Center
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DOI：
10.1155/2018/3832151
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发表时间：
2018-01-01
影响因子：
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通讯作者：
Assaf, Fatina
中科院分区：
文献类型：
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作者：
Arafeh, Mazen;Barghash, Mahmoud A.;Assaf, Fatina
较短的出院时间既提高了床位利用率，也提高了患者和家属的满意度。本研究应用六西格玛流程改进方法，缩短肿瘤治疗医院病人的出院时间。所有活动的持续时间的数据，从医生签署出院表格到病人离开治疗室，都是通过跟踪病人来收集的。使用详细的流程图和因果图分析了这些数据。零散和不标准化的流程和程序以及利益攸关方之间缺乏沟通是导致长时间出院的主要原因。根据患者的需求对患者进行分类，可以更好地设计出院流程。利用离散事件仿真作为决策支持工具，对不同场景下的改进效果进行测试。简化和标准化的流程、改进的通信和全系统管理都在拟议的改进之列，这些改进将患者出院时间从216分钟减少了54%。通过利益相关者分析培养必要的所有权是可持续改进努力的重要组成部分。
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.