Six sigma or Lean chapter 7 assignment
docx
School
University of Louisiana, Lafayette *
*We aren’t endorsed by this school
Course
412
Subject
Health Science
Date
Dec 6, 2023
Type
docx
Pages
5
Uploaded by JusticeButterflyPerson3226
1
Six Sigma’s or Lean Case Study Federio University Hospital
Jasmine Cao
University of Louisiana at Lafayette
HSA 412
Kristy Courville
April 17, 2022
2
The Six Sigma is a methodology that completely analyzes the health care organization
process and assesses the needs and expectations of the patients are being delivered. It was
developed by the Motorola Corporation and is used to improve quality process by determining
and eliminating defects ranging from healthcare to manufacturing. The methodology describes in
five steps called the DMAIC. Define is where issues in a process are defined from business and
customer perspective. Measure is the process broken down and explored. Analyze data is to
identify the underlying root causes of issues. Improve is solutions are developed and
implemented to address root causes. Control is solutions are sustained through process control
plans. It focuses on ensuring that consistent results are yield from it when applied. The positive
aspect of implementing six sigma shows Federio Hospital can have high quality of care.
In the case of medicine areas at Federio II University Hospital in Naples used six sigma’s
to reduce the risk of healthcare-associated infection. Healthcare-associated infections (HAIs) was
known to be important to the world, because it is the most significant cause of illness and death.
It is critical to patient if they are at risk for developing HAI, which can include if the patient have
an underlying disease, invasive medical device, or complications from surgical procedures. All
this risk of HAI can affect the healthcare settings between patients and healthcare workers.
Healthcare-associated infection (HAIs) also affect the hospital financially losses for the
healthcare systems each year.
In the European Center for Disease Prevention and Control reports that HAI affect
Europe’s patients every year about four million people. It led to sixteen million extra days of
hospital stay leading it to be a big cost of the hospital annual financial losses due to this
infection. HAI is a serious problem in this world and many countries lack on resolving the
systems in HAIs. The main goal to this study was to reduce the risk of healthcare-associated
3
infection (HAIs) in multiple clinical areas of medicine such as general medicine, pulmonology,
oncology, nephrology, cardiology, neurology, gastroenterology, rheumatology, and diabetology.
The six-sigma implementation was used in this process to help better improve the
healthcare system. The first start of the study was to define the HAI. The define phase starts with
the director of the Public Health Department getting all the physicians involved in implementing
the case. In each department with any patients that were tested positive for HAI their sample was
reported to the microbiology unit. The second step that was used is measure the data collection.
The database in the hospital of patient record information was collected. They collected the
number of infections of the patients that were being monitor; to study the number of days the
patient was admitted in the hospital. In this study, they used a statistical descriptive by using
Fisher’s and chi-square tests. It shows the percentage of patients that were colonized was about
0.36% (325 patients) and about 0.37% in the surgical department. The test of Fisher’s did not
have any identifications of HAI in patient’s hospitalization days. Chi-square tests were the most
accurate on the number of procedures and risk of HAIs.
The third DMAIC step is analysis of causes. The tools that were used in this stage is
brainstorming and cause-effect diagram. In this stage it was to find the cause of the risk so they
can eliminate they can improve the process. The limitation of risk of HAI they used a
questionnaire to members of the Hospital Infection Committee. In the questionnaires it showed a
lot of things were lacking such as procedures and information. This process of questionnaire
shows what they are lacking to improve what needed to be done. The cause-effect diagram was
not able to be used in this stage because of the measure phase did not have any relations of HAIs
and demographic data.
Your preview ends here
Eager to read complete document? Join bartleby learn and gain access to the full version
- Access to all documents
- Unlimited textbook solutions
- 24/7 expert homework help
4
The fourth stage is improvement.
The problem was resolved in the analyses phase when
brainstorming was used to improve the causes and problems. The last step is control. The control
plan was implemented into six phases. The first phase was process of practices of hygiene to
prevent HAIs. Second was regular monitoring of patients being contracted with sentinel bacteria.
Third was evaluating the data and control of performance. Fourth was continuous improvement
of educating the staff, patients, and healthcare providers on the risks of HAI. The last fifth of the
DMAIC was the data collected was to identify the solution to improve healthcare and
implemented protocols. Six was management control on ensuring quality performance and
systems were process in each stage with improvements. As the result of this quality control plan
it show these improvements helped both the numbers of patient, and the duration of
hospitalization have reduced efficiently. The percentage of the patients was reduced from 0.36%
to 0.19%.
Overall, in the results of using the six-sigma lean is that it is a useful tool on helping the
risk of HAIs. It shows a significant improvement on the decrease percentage of patients with
health-associated infections (HAIs). In each step of the DMAIC made progress of care that was
being implemented between patients and healthcare workers. Six sigma’s is a great tool used in
healthcare organizations to improve the processes by reducing the likelihood of errors occurring.
It helps improve the quality-of-care patient care, reduce waste and eliminate these defects. In the
use of six sigma can be helpful for future studies in clinical practices in hospital to always
improve for efficient outcomes.
5
References
Aikman, Russ, and About The Author Russ Aikman Russ is the LSS Program Manager at
TMAC. “Lean Six Sigma in Healthcare: A Case Study.”
Lean Six Sigma Site
, 25 Feb. 2022,
https://texasleansixsigma.com/lean-six-sigma-in-healthcare-a-case-study/.
Improta, Giovanni, et al. “Reducing the Risk of Healthcare-Associated Infections through Lean
Six Sigma: The Case of the Medicine Areas at the Federico II University Hospital in
Naples (Italy).”
Journal of Evaluation in Clinical Practice
, John Wiley and Sons Inc., Apr.
2018, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5900966/.
Schweikhart, Sharon A, and Allard E Dembe. “The Applicability of Lean and Six Sigma
Techniques to Clinical and Translational Research.”
Journal of Investigative Medicine : the
Official Publication of the American Federation for Clinical Research
, U.S. National
Library of Medicine, Oct. 2009, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2835466/.