Analiza in izboljsanje zdravstvenega procesa v oddleku za abdominalno kirurgijo-Klinicni Center Ljubljana

Background: Healthcare processes in hospitals, likewise processes in companies or governmental organizations, may accumulate problems and obstacles over time, which consequently cause the processes to become ineective. BPM (Business Process Management) is an approach to process modeling, improvement and automating, which has been used with great success for process improvement. Methods: This work was to examine the possibility of improving healthcare process by using BPM. To implement BPM ideas, a revised TAD (Tabular Application Development) methodology was developed, representing an important contribution to BPM. The rst three phases of the TAD methodology were introduced in a step-by-step approach. The rst phase deals with process identication, the second develops the as-is model, and the third phase discusses process improvement by developing a to-be model. Results: We found that (a) the Surgery process is efficient and well organized; (b) patient stay in the Department could be shortened; however for humane and social reasons the leadership prefers to leave the residence time as it is; (c) the process is associated with some time-consuming activities that are performed by other departments and represent the bottleneck of the process. Conclusions: (a) BPM proved to be a suitable approach to implementing healthcare process improvement; (b) the revised TAD methodology was found to be consistent and efficient in performing BPM approach; (c) the Surgery process was found to be eective and no changes or improvements are needed; (d) concerning timeconsuming activities, the leadership decided to discuss this problem with the management of the departments where the activities are carried out.