An equipment qualification framework for healthcare

Hale, Dermot; Fallon, Enda; Fitzgerald, Christine

doi:10.1080/24725579.2019.1671925

Cited by 5 publications

(6 citation statements)

References 27 publications

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“…A suggestion for future research is to apply risk-based thinking and related management models, including the proposal from this study, within the context of Quality 4.0, a present concept that emerged as the combination of quality management models and approaches with technology to promote critical competencies and features for enduring organizational success (Fonseca, Amaral & Oliveira, 2021). The authors also suggest future research to analyze the risk management practices in the medical devices sector, where the demand for controlling and monitoring the process is higher and required by specific standards (Hale et al, 2020), proposing the implementation of the risk management model.…”

Section: Discussionmentioning

confidence: 93%

From theory to practice: a risk management model for SMEs in the context of ISO 9001

Martins

Silva

Gaudêncio

2021

Prod.

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Paper aims: To fulfill risk-based thinking (RBT), most companies opt for widespread methods as FMEA, even with their limitations. This research aims to develop a model for small and medium-sized enterprises (SMEs) relying on literature, practical and normative aspects, to accomplish RBT required by ISO 9001:2015.Originality: This study represents an original contribution once its analysis and results guide a highlighted need in the literature. By discussing RBT from three different perspectives, this paper provides relevant insights for researchers and practitioners in quality and risk management. Research method:The action research was conducted within a Brazilian SME, where the risk management model was implemented and analyzed through five cycles. The techniques to collect data were participant observation, documentary analysis, and semi-structured interviews, analyzed through attribute agreement analysis. Main findings:Unlike the isolated use of widespread methods, this model contains all the aspects needed for RBT. Its applicability is directly related to the level of experience on risks and ISO 9001, emphasizing the organizational aspects needed. Implications for theory and practice:A comprehensive model allows SMEs to understand better the concepts associated with RBT while incorporating an adapted approach to their contexts. Researchers can use the model to analyze its applicability for SMEs from different contexts.

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Section: Discussionmentioning

confidence: 93%

From theory to practice: a risk management model for SMEs in the context of ISO 9001

Martins

Silva

Gaudêncio

2021

Prod.

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“…Womack and Jones proposed the idea of applying Lean in healthcare (Womack and Jones, 1997); however, the methodology was only adapted in this field in the early 2000s, and since then the field has been blooming at an accelerated rate (Brandao de Souza, 2009, D'Andreamatteo et al , 2015, Filser et al , 2017; Henrique and Godinho Filho, 2018). For example, studies have employed Lean for reducing patient waiting time in a cancer treatment center (Suss et al , 2017), improving staff and patient experience and reducing cycle time in radiology departments (Lodge and Bamford, 2008), optimizing the processes related to bone and brain metastases patients (Kim et al , 2007), improving the IT support function at Northeast Wisconsin community health system (Holden and Hackbart, 2012), enhancing the delivery system at three hospitals’ warehouses (Venkateswaran et al , 2013), developing an equipment-qualification framework that enables healthcare professionals to better detect and control causes of adverse events (Hale et al , 2019), reducing inpatient length of hospital stay and associated management costs when used alongside Six Sigma (Improta et al , 2019) and improving patients’ satisfaction in a mobile hospital when leveraged with Six Sigma and design thinking (Sunder et al , 2019). A 2020 systematic review of 40 studies concluded that Lean Healthcare helped in reducing waiting time and length of stay in ambulatory care (Tlapa et al , 2020).…”

Section: Literature Reviewmentioning

confidence: 99%

Uncovering inefficiencies in the workers’ compensation industry using Lean methodology

Taha

Mazzuchi

Sarkani

et al. 2021

TQM

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PurposeThe purpose of this paper is to apply Lean in the workers’ compensation industry. It focuses on identifying patterns of repetitive non-value-added transnational activities for physical-therapy patients and healthcare providers. It addresses the research gap in this field.Design/methodology/approachIn this study, we designed and deployed multiple case studies to better understand the journey of an injured worker within the worker compensation system in the United States of America. We partnered with Concentra Inc., a leading national healthcare provider in the field of workers’ compensation having 520 medical centers in 44 states. Both case studies included conducting direct observations, Gemba walk, in five clinics in two states: Florida and Pennsylvania. We analyzed the data of 263 injured workers with 8 or more physical therapy visits who got admitted to Concentra clinics in both states over the period of 31 days.FindingsThe results revealed that the time intervals at which activities associated with physical therapy treatment pre-authorization accounted for 91.59% of the total non-value-added activities and are thus the key administrative factor leading to process inefficiency in the state of Florida. The Process Cycle Efficiency of Pennsylvania was 75.36% compared to 53.16% of Florida. The injured workers in Florida needed 39.58 days on average to complete eight physical therapy visits compared to 27.92 days in Pennsylvania (a median of 34.09 vs 22.15 days).Research limitations/implicationsThis study is limited as it only focuses on processes on the healthcare provider side. An expanded value stream map that includes the treatment pre-authorization process on the insurance side would be beneficial for generating more potential solutions to streamline the process.Practical implicationsThis study shows that Lean could play a critical role in identifying and quantifying continuous improvement opportunities that could accelerate patient’s treatment, reduce administrative burden on healthcare providers and improve the overall claim cost of insurance companies. It provides data-driven argument for insurance companies to consider eliminating physical therapy pre-authorization.Originality/valueThis is the first study to apply Lean methodology in the workers’ compensation field.

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“…Then, the extended FMEA method by rough sets theory and grey relational analysis was applied to evaluate predefined failures. Hale et al (2020) explained that for dependent failures or failures stemming from a sequence of events, the FMEA method was inefficient in risk assessment. They used a structured what-if technique (SWIFT) in their risk evaluation.…”

Section: Introductionmentioning

confidence: 99%

A new risk evaluation methodology based on FMEA, MULTIMOORA, TPOP, and interval-valued hesitant fuzzy linguistic sets with an application to healthcare industry

Zolfaghari

Mousavi

2021

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Purpose The healthcare system is regarded as one of the most critical service industries. The surgical unit is the heart of hospitals in that any failures directly affect the safety of patients, so they should be managed thoroughly. It is an intricate multi-attributes decision-making problem with uncertainty. Uncertain information in the form of fuzzy sets theory has been applied widely to describe the different aspects of system uncertainty. This study aims to present a new methodology to manage the healthcare system failures due to the multi-attributes decision-making process. Design/methodology/approach This study introduces a new risk evaluation methodology by failure mode and effect analysis (FMEA) and MULTIMOORA method. Group decision-making process in this methodology is presented under uncertain information in the form of interval-valued hesitant fuzzy linguistic sets (IVHFLSs). IVHFLSs encompass both qualitative and quantitative interpretation of experts to reflect their preferences, as well the ability and flexibility of derivation of linguistic information by several linguistic terms increase. To avoid the different ranking order of MULTIMOORA approaches, a new interval multi-approaches multi-attribute methodology, namely, technique of precise order preference (TPOP), is extended to provide precise ranking order. Findings The application and precision of proposed integrated IVHFL-MULTIMOORA methodology with TPOP is examined in a case study of healthcare systems. The results indicate the superiority of proposed methodology to prioritize and assess the failures as well as handling system uncertainty. Originality/value This study addresses the challenges of an organization to prioritize potential failures by implementing FMEA method. Moreover, this paper contributes to making the manager's ability in decision-making. The value of this study can be discussed in two aspects. First and foremost, this study provides a new FMEA-based methodology to rank failures precisely. The results prove that the proposed methodology is more robust to changes of different ranking order methods, applied by FMEA. On the other hand, using the capability of IVHFLSs allows collecting accurate information in an ambiguous and uncertain environment.

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An equipment qualification framework for healthcare

Cited by 5 publications

References 27 publications

From theory to practice: a risk management model for SMEs in the context of ISO 9001

From theory to practice: a risk management model for SMEs in the context of ISO 9001

Uncovering inefficiencies in the workers’ compensation industry using Lean methodology

A new risk evaluation methodology based on FMEA, MULTIMOORA, TPOP, and interval-valued hesitant fuzzy linguistic sets with an application to healthcare industry

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