How Lean Six Sigma Principles Improve Hospital Performance

Honda, Ana Carolina; Bernardo, Vítor Z.; Gerólamo, Mateus Cecílio; Davis, Mark M.

doi:10.1080/10686967.2018.1436349

Cited by 50 publications

(43 citation statements)

References 44 publications

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“…Lancarnya siklus logistik di sebuah perusahaan ditentukan oleh pengetahuan dan minat karyawannya dalam menjalankan pengelolaan bahan habis pakai. Pengetahuan dan minat yang kurang dari karyawan dalam menjalankan pengelolaan bahan habis pakai disebabkan karena minimnya fasilitas, kurangnya kesadaran tentang pentingnya bahan habis pakai, dan menganggap jika bahan habis pakai bukan tanggung jawab perawat (Honda et al, 2018). Untuk menyikapi hal tersebut, bagian gugus kendali mutu dan pihak manajemen logistik harus mengadakan sosialisasi atau pelatihan secara berkala guna meningkatkan pengetahuan dan minat dari perawat yang mayoritas menggunakan alat medis habis pakai (Chang et al, 2013).…”

Section: B Pembahasanunclassified

Pengaruh Sosialisasi Diagram Pareto terhadap Pengetahuan dan Minat Perawat dalam Pengelolaan Bahan Habis Pakai

2021

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Latar Belakang: Diagram Pareto merupakan salah satu alat ukur mutu untuk menganalisis pengelolaan bahan habis pakai sehingga menjadi hal penting bagi rumah sakit. Hal ini dipengaruhi juga dengan pengetahuan dan minat perawat yang rendah, bukan hanya karena fasilitas yang tidak memadai tetapi karena pengaruh minimnya informasi tentang pentingnya pengelolaan bahan habis pakai tersebut.Tujuan: Mengetahui pengaruh sosialisasi diagram Pareto terhadap pengetahuan dan minat perawat dalam pengelolaan bahan habis pakai.Metode: Metode eksperimen semu dengan pre-posttest dengan kelompok kontrol. Sampel penelitian 100 perawat pelaksana di Rumah Sakit Daerah Provinsi Aceh, yang dibagi menjadi kelompok intervensi (n=50) dan kelompok kontrol (n=50), dengan menggunakan teknik consecutive sampling. Pengetahuan perawat diukur menggunakan lembar observasi dan kuesioner penggunaan diagram Pareto, Microsoft Excel Format 2 Axis dan klasifikasi bahan habis pakai, sedangkan minat perawat diukur dengan menggunakan lembar observasi, kemudian data diuji dengan Correlation Pearson Test.Hasil: Setelah intervensi, peningkatan pengetahuan perawat dari kategori sedang (n=12, 24.0%) menjadi tinggi (n=25, 50.0%) dan peningkatan minat perawat dari kategori sedang (n=13, 26.0%) menjadi tinggi (n=27, 54.0%). Kesimpulan: Sosialisasi diagram Pareto berpengaruh meningkatkan pengetahuan p-value=0.027 (p<0.05) dan minat perawat p-value=0.030 (p<0.05) dalam pengelolaan bahan habis pakai di rumah sakit.

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Section: B Pembahasanunclassified

Pengaruh Sosialisasi Diagram Pareto terhadap Pengetahuan dan Minat Perawat dalam Pengelolaan Bahan Habis Pakai

2021

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“…The medical professional plays an important role for the culture of continuous improvement (21) ; however, it is worth mentioning that the approach of the multidisciplinary team, together with the training of this philosophy, is fundamental for the achievement of results in the implementation and maintenance of Lean (13,(39)(40) .…”

Section: Institutionalmentioning

confidence: 99%

Lean Healthcare in the institutional, professional, and patient perspective: an integrative review

Fernandes

Jesus

Silva

et al. 2020

Rev. Gaúcha Enferm.

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Objective: To analyze the scientific evidences in the literature about the evaluation of Lean Healthcare after its implementation. Method: An integrative review conducted in the CINAHL, Scopus, WOS, and Embase databases, and in the PubMed portal, resulting in 18 articles published in English, Spanish and Portuguese, from 2008 to 2019. Results: The findings were categorized into results for the institution, professional, and patient. The predominant category was institutional, with cost analysis and increased productivity, followed by the professional, with job satisfaction and leadership, and finally the patient, with satisfaction, attitudes, and behaviors. Conclusion: This study reinforces the need to establish, for management, a systematic method of monitoring the results achieved in the Lean Healthcare implementation phase. Since the value in this method is defined by the patient, further research in this aspect may lead to new evidence.

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“…This LSS roadmap outlines each phase of DMAIC methodology but is without an explanation of the critical factors for successful deployment of LSS. Subsequently, Honda et al (2018) which is useful for reducing medication errors, however, these frameworks will never change the culture of the hospitals. Several aspects of such frameworks are omitted such as, inter alia, communicate the need for LSS in hospitals, training of LSS tools, curriculum of training, project selection and its links to strategic objectives to the hospitals, teamwork, and formulation for the execution of projects.…”

Section: Lss Roadmap In Healthcare Sector -A Review Of Literaturementioning

confidence: 99%

Lean Six Sigma implementation and sustainability roadmap for reducing medication errors in hospitals

Trakulsunti

Antony

Douglas

2020

TQM

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PurposeThe purpose of this study is to propose a Lean Six Sigma (LSS) roadmap to guide healthcare practitioners in the implementation of LSS along with a customized LSS tool kit for reducing medication errors.Design/methodology/approachThe authors initially critically reviewed several frameworks/roadmaps of Lean, Six Sigma and LSS which have been proposed in healthcare sector from the existing literature. This review has led to an understanding of key characteristics, limitations and reasons behind the development of such frameworks/roadmaps. A conceptual roadmap was developed and then validated by a number of LSS experts and a healthcare practitioner. Based on the previous studies and taking LSS experts’ opinions into account, a revised roadmap for reducing medication is presented.FindingsThe roadmap for LSS in reducing medication errors is developed. This roadmap includes three phases: Phase 1 cultural readiness for LSS employment in reducing medication errors; Phase 2 preparation, initialization and implementation; and Phase 3 sustainability.Research limitations/implicationsThe roadmap has been tested with only a handful of practitioners of LSS. Moreover, only two case studies have been carried out in a Thai hospital setting which followed the roadmap. In order to improve the validity of research, more case studies need to be executed and more people should be used for testing the roadmap with varied cultures.Originality/valueThis is the first attempt in the development of a LSS roadmap that healthcare practitioners can follow to reduce medication errors using LSS methodology and sustaining LSS in their organizations.

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How Lean Six Sigma Principles Improve Hospital Performance

Cited by 50 publications

References 44 publications

Pengaruh Sosialisasi Diagram Pareto terhadap Pengetahuan dan Minat Perawat dalam Pengelolaan Bahan Habis Pakai

Pengaruh Sosialisasi Diagram Pareto terhadap Pengetahuan dan Minat Perawat dalam Pengelolaan Bahan Habis Pakai

Lean Healthcare in the institutional, professional, and patient perspective: an integrative review

Lean Six Sigma implementation and sustainability roadmap for reducing medication errors in hospitals

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