Factorial Solution for Determination of Critical Success Factors (CSF) in Deployment of Six Sigma and Its Relation to Sustainability

Recently, the interest in being part of more competitive companies has increased. For this, organizations apply various strategies of continuous improvement that allow them to maintain high standards of competitiveness. In this sense, organizations make use of various techniques, tools, and methodologies that support the achievement of objectives. This research presents an approach towards the Six Sigma (SS) strategy, one of the main continuous improvement strategies used to achieve competitiveness. On the other hand, organizations currently seek that during manufacture of their products, caring for the environment is naturally part of their objectives, seeking to achieve benefits with a sustainable impact. Therefore, this research seeks to define the CSF for implementation of SS through a factor analysis that allows identifying the relationship between SS and obtaining sustainable benefits (SB) through its implementation.

Study of integral logistics in a geological and petrographic laboratory, in the southeast region of Mexico, for the proposal of an integral model

For organizations to have the growth that the global economy demands, they must bet on improvement alternatives that fully involve the entire system. One of these alternatives is to bet on the improvement of integral logistics, since it serves as a connection between production and markets. This research proposes the generation of a model for the improvement of the logistics system in a geological and petrographic laboratory, in the southeaster region of Mexico, with the sole purpose of adding value and providing alternative solutions to current or future problems that arise. It is also proposed to design an instrument that measures the current situation in logistics and provides a comprehensive scenario that serves as a starting point for improvement strategies. This instrument is created tailored to the company and introduces intangible aspects called factors so that with the help of the Likert scale they are transformed into qualitative values, and thus carefully visualize the study problem. The entire study is analysed and interpreted by the researcher, and with the help of the company's experts, it is considered to obtain reliable and secure information.

P-P50 Analysis of the efficiency of the hepatobiliary multidisciplinary team meeting to identify quality improvement strategies

Background The multidisciplinary team meeting is the mainstay of management of patients with hepatopancreatobiliary (HPB) cancer and is considered the gold standard of care. Disadvantages of these meetings include large numbers of patients to be discussed covering multiple super-specialities over a short time span. This can lead to decision fatigue amongst clinicians. Logistical factors such as information technology and presence of clinicians with relevant expertise may also hamper the progress of the meeting. The aim of this study was to analyse the efficiency of our HPB MDT with a view to identifying multi-factorial quality improvement interventions. Methods 13 weeks of prospectively generated multidisciplinary team meeting outcomes were analysed from our departments weekly 150-minute long MDT meeting between 01/06/21 and 24/08/21. Patient demographics and pathology were noted. The number of overall discussions in each meeting were recorded. Number of patients in each sub-category (1. Regional pancreatic cancer service, 2. Hepatocellular carcinoma or liver adenoma, 3. pancreatic cystic neoplasms, 4. Gallbladder cancer and cholangiocarcinoma, 5. Pancreatic neuroendocrine tumours and 6. Other) were recorded. The number of patients without a recorded outcome was collated and reasons for no outcome being generated were categorised. Results 174/ 869 patients (20 %) did not receive an outcome from the meeting and were carried forward to the next week. Of the patients carried forward to the next week; 33/177 (18.6%) had no available histopathology following biopsies. Of these 33 patients, 23 did not have post-operative histopathology yet available for discussion. 82/177 (46 %) patients did not have the relevant investigations performed or available to move the discussion forward. These investigations were wide ranging and included radiological and endoscopic interventions. Of these, 19 patients (2 % over-all) had not had images sent across from a peripheral centre. 3 patients required both histology and radiology for further discussion. 59/869 (6%) of patients were not discussed due to time constraints. This equated to an average of 4 patients per meeting. Conclusions This study demonstrates the breadth and depth of a general HPB MDT. Strategies are required to simplify the MDT process to allow for time for discussion of the most complex patients, in particular those requiring surgery. Multifactorial reasons for a lack of MDT outcome at any single meeting have been found in this study. This signifies that a more robust triage process involving multiple specialities needs to be considered. Logistical factors also need to be in place allowing for transfer of relevant images from peripheral units. Histopathology reporting takes time and appropriate expectations for the availability of these results needs to be in place. The next step in this study is to identify and implement effective quality improvement strategies to improve outcome rates and allow more time for complex case discussions.