scholarly journals Lean Six Sigma Approach for Reducing Length of Hospital Stay for Patients with Femur Fracture in a University Hospital

2021 ◽  
Vol 18 (6) ◽  
pp. 2843
Author(s):  
Arianna Scala ◽  
Alfonso Maria Ponsiglione ◽  
Ilaria Loperto ◽  
Antonio Della Vecchia ◽  
Anna Borrelli ◽  
...  
Keyword(s):  
Standard Deviation ◽  
Six Sigma ◽  
Femur Fracture ◽  
Standard Procedure ◽  
Lean Six Sigma ◽  
University Hospital ◽  
National Guidelines ◽  
Femur Fractures ◽  
The Impact ◽  
Six Sigma Approach

Surgical intervention within 48 h of hospital admission is the gold standard procedure for the management of elderly patients with femur fractures, since the increase in preoperative waiting time is correlated with the onset of complications and longer overall length of stay (LOS) in the hospital. However, national evidence demonstrates that there is still the need to provide timely intervention for this type of patient, especially in some regions of central southern Italy. Here we discuss the introduction of a diagnostic–therapeutic assistance pathway (DTAP) to reduce the preoperative LOS for patients undergoing femur fracture surgery in a university hospital. A Lean Six Sigma methodology, based on the DMAIC cycle (Define, Measure, Analyze, Improve, Control), is implemented to evaluate the effectiveness of the DTAP. Data were retrospectively collected and analyzed from two groups of patients before and after the implementation of DTAP over a period of 10 years. The statistics of the process measured before the DTAP showed an average preoperative LOS of 5.6 days (standard deviation of 3.2), thus confirming the need for corrective actions to reduce the LOS in compliance with the national guidelines. The influence of demographic and anamnestic variables on the LOS was evaluated, and the impact of the DTAP was measured and discussed, demonstrating the effectiveness of the improvement actions implemented over the years and leading to a significant reduction in the preoperative LOS, which decreased to an average of 3.5 days (standard deviation of 3.60). The obtained reduction of 39% in the average LOS proved to be in good agreement with previously developed DTAPs for femur fracture available in the literature.

A lean six sigma approach for improving university campus office moves

2019 ◽  
Vol 10 (4) ◽  
pp. 928-947 ◽  
Author(s):  
Jennifer Wheeler-Webb ◽  
Sandra L. Furterer
Keyword(s):  
Standard Deviation ◽  
Six Sigma ◽  
Lean Six Sigma ◽  
Similar Process ◽  
University Campus ◽  
Content Type ◽  
Control Methodology ◽  
Six Sigma Approach ◽  
Improvement Effort

Purpose The purpose of this study was to improve the quoting, scheduling, invoicing and paying for campus office moves at a university. The Lean Six Sigma project goal was to improve the campus office move process by making it less complicated, free-up program managers’ time and pay the vendor on time. Design/methodology/approach The team used the Lean Six Sigma Define-Measure-Analyze-Improve-Control methodology to improve the process. Findings The average time from the campus move to when the invoice was paid improved by 27%, with an improved median of 16%. The standard deviation was greatly reduced by 51%. The average invoiced date to paid date remained statistically the same, and the median increased from 20 to 30 days, due to a policy change to move the target from 20 to 30 days. The standard deviation of the invoice to paid date was greatly reduced by 38%. This was a successful project because the sponsors were on-board from the beginning and included the process owners in the improvement effort. Originality/value Other higher education institutions or other industry areas with a similar process can implement this methodology and processes outlined in this case study to improve efficiency and cost effectiveness and as a guide for improving other processes within institutions.

Lean Six Sigma approach to reduce LOS through a diagnostic-therapeutic-assistance path at A.O.R.N. A. Cardarelli

2019 ◽  
Vol 31 (5) ◽  
pp. 657-672 ◽  
Author(s):  
Carlo Ricciardi ◽  
Antonella Fiorillo ◽  
Antonio Saverio Valente ◽  
Anna Borrelli ◽  
Ciro Verdoliva ◽  
...  
Keyword(s):  
Six Sigma ◽  
Statistical Tests ◽  
Lean Six Sigma ◽  
Content Type ◽  
Femur Fractures ◽  
Before And After ◽  
Six Sigma Methodology ◽  
Socio Economic Impact ◽  
Therapeutic Assistance ◽  
Six Sigma Approach

Purpose The rise of the mean age incremented the occurrence of femur fractures with respect to the past, leading thus to serious consequences, as regards morbidity and socio-economic impact. The direction of the A.O.R.N. Cardarelli of Naples has introduced a DTAP whose aim was the reduction of LOS. The paper aims to discuss this issue. Design/methodology/approach The aim of this paper is to analyze the introduction of DTAP, employing Lean Thinking and Six Sigma methodology based on the DMAIC cycle. To evaluate the effectiveness of DTAP, two groups of patients have been observed for 14 months (before and after the implementation of DTAP). Findings Statistical tests were performed on the groups and graphics were provided to visualize the decrease of LOS (29.9 per cent). The overall population was also divided in subgroups according to six variables potentially influencing LOS. Research limitations/implications Authors considered six variables of influences; yet, others could be taken into account in the future. Practical implications The decrease of costs due to the management of elderly patients with femur fracture, the optimization of care processes in hospitals and a faster recovery for patients is the tangible contribute of DTAP. Originality/value The implementation of DTAP allowed the hospital to obtain a significant reduction of LOS with a consequently decrease of costs alleviating the hospital and the society from the socio-economic burden and the morbidity of this pathology.

Determination of linagliptin and empagliflozin by UPLC and HPTLC techniques aided by Lean Six Sigma approach

2021 ◽  
Author(s):  
Ebrahim A. El‐Desouky ◽  
Ahmed M. Abdel‐Raoof ◽  
Ashraf Abdel‐Fattah ◽  
Ahmed Abdel‐Zaher ◽  
Ayman O. E. Osman ◽  
...  
Keyword(s):  
Six Sigma ◽  
Lean Six Sigma ◽  
Six Sigma Approach

scholarly journals Improving pilot project application and review processes: A novel application of lean six sigma in translational science

2018 ◽  
Vol 2 (3) ◽  
pp. 135-138 ◽  
Author(s):  
Susanne Schmidt ◽  
Laura Aubree Shay ◽  
Can Saygin ◽  
Hung-da Wan ◽  
Karen Schulz ◽  
...  
Keyword(s):  
Six Sigma ◽  
Review Process ◽  
Pilot Project ◽  
Lean Six Sigma ◽  
South Texas ◽  
Translational Science ◽  
Research Administration ◽  
Control Approach ◽  
Study Section ◽  
The Impact

Each year our Clinical and Translational Science Award pilot projects program awards approximately $500,000 in translational pilot funding to advance health in South Texas. We identified needs to improve the timeliness, transparency, and efficiency of the review process by surveying applicants. Lean six sigma methodologies, following a “Define, Measure, Analyze, Improve, Control” approach, were used to streamline the pilot project application and review by identifying and removing bottlenecks from process flows. We evaluated the impact of our reorganized review process by surveying applicants and reviewers. Process mapping identified pilot project review as the main source of delay, leading to the implementation of a study section-style review mechanism. After one cycle, 90.3% of pilot applicants and 100% of reviewers were highly satisfied with the new processes and time to award notice was reduced by 2 months. All reviewers familiar with both review processes preferred the study section. We demonstrated how lean six sigma, a methodology not commonly applied in research administration, can be used to evaluate processes in translational science in academic health centers. Through our efforts, we were able to improve timeliness, transparency, and efficiency of the review process.

scholarly journals Six Sigma Approach to Enhance Concurrency of the Procurement Process for Raw Materials

2021 ◽  
Vol 15 (4) ◽  
pp. 510-517
Author(s):  
Atanas Kochov ◽  
Aleksandar Argilovski
Keyword(s):  
Six Sigma ◽  
Raw Materials ◽  
Lean Six Sigma ◽  
Approval Process ◽  
Procurement Process ◽  
Manufacturing Company ◽  
External Vendors ◽  
Short Time ◽  
Six Sigma Approach ◽  
Structured Approach

This paper presents the improvement of the procurement process for raw materials in a real manufacturing company supported by the Lean Sig Sigma as structured approach to deliver the improvement. The manufacturing company that is a subject of this paper have received a significant amount of complains regarding the internal purchase orders approval process and the overall procurement process of the company from both internal employees and external vendors and contractors. Considering that the company is procuring the raw goods from selected vendors, therefore the entire manufacturing plan depends on these materials, the company decided to improve this process trough Lean Six Sigma. The Lean Six Sigma approach was selected in order to obtain the improvement in a short time, based on indicators that were previously analyzed and prioritized. The paper focuses on simplifying of the process trough decreasing the number of mandatory steps.

scholarly journals Commercial Banks Versus BPR: Advantages Based On Perception, Hope And Customer Interest

2017 ◽  
Vol 1 (2) ◽  
pp. 102-112
Author(s):  
Hesti Budiwati
Keyword(s):  
Competitive Advantage ◽  
Six Sigma ◽  
Commercial Banks ◽  
Public Trust ◽  
Lean Six Sigma ◽  
Point Of View ◽  
Competitive Advantages ◽  
Public Funds ◽  
Different Types ◽  
Six Sigma Approach

Commercial banks and Bank Perkreditan Rakyat are two different types of banks whose existence in society aims to raise and channel public funds to improve people's lives. The facts show that there is a sharp competition between the two types of banks in terms of gaining public trust to become bank customer but although these two types of banks are different but still able to develop well in society. This study aims to identify the factors that become competitive advantage at Commercial Banks and Bank Perkreditan Rakyat from the customer's point of view based on customers' perceptions, expectations and interests so banks can determine competitive strategy. The approach used in this research is Lean Six Sigma approach with a sample of 60 respondents consisting of 30 customers of Commercial Banks and 30 customers of Bank Perkreditan Rakyat. Respondents will be asked to respond to research instruments based on their perceptions, expectations and interests. The results of the study there are five competitive advantages in Commercial Banks (1) promotions made, (2) reward appeal, (3) saving security, (4) cleanliness and comfort of the room, (5) friendliness, courtesy and neatness. Bank Perkreditan Rakyat obtained competitive advantage that is (1) cleanliness and comfort of the room,(2) ability and alertness of the officers, (3) friendliness, courtesy and neatness, (4) saving security, (5) familiarity  of the officer with the customer. In addition there are similarities there are interesting differences that is on the excellence of promotional activities and the attractiveness of prizes at Commercial Banks. and the familiarity of officers with customers at Bank Perkreditan Rakyat.

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