Agile Six Sigma in Healthcare: Case Study at Santobono Pediatric Hospital

Healthcare is one of the most complex systems to manage. In recent years, the control of processes and the modelling of public administrations have been considered some of the main areas of interest in management. In particular, one of the most problematic issues is the management of waiting lists a...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:International journal of environmental research and public health 2020-02, Vol.17 (3), p.1052
Hauptverfasser: Improta, Giovanni, Guizzi, Guido, Ricciardi, Carlo, Giordano, Vincenzo, Ponsiglione, Alfonso Maria, Converso, Giuseppe, Triassi, Maria
Format: Artikel
Sprache:eng
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page
container_issue 3
container_start_page 1052
container_title International journal of environmental research and public health
container_volume 17
creator Improta, Giovanni
Guizzi, Guido
Ricciardi, Carlo
Giordano, Vincenzo
Ponsiglione, Alfonso Maria
Converso, Giuseppe
Triassi, Maria
description Healthcare is one of the most complex systems to manage. In recent years, the control of processes and the modelling of public administrations have been considered some of the main areas of interest in management. In particular, one of the most problematic issues is the management of waiting lists and the consequent absenteeism of patients. Patient no-shows imply a loss of time and resources, and in this paper, the strategy of overbooking is analysed as a solution. Here, a real waiting list process is simulated with discrete event simulation (DES) software, and the activities performed by hospital staff are reproduced. The methodology employed combines agile manufacturing and Six Sigma, focusing on a paediatric public hospital pavilion. Different scenarios show that the overbooking strategy is effective in ensuring fairness of access to services. Indeed, all patients respect the times dictated by the waiting list, without "favouritism", which is guaranteed by the logic of replacement. In a comparison between a real sample of bookings and a simulated sample designed to improve no-shows, no statistically significant difference is found. This model will allow health managers to provide patients with faster service and to better manage their resources.
doi_str_mv 10.3390/ijerph17031052
format Article
fullrecord <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_7037742</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2354173324</sourcerecordid><originalsourceid>FETCH-LOGICAL-c390t-866d3de73c2c754317b3a7e38f4c0491af68b1bb90e5da17b51140fa393a40623</originalsourceid><addsrcrecordid>eNpVUE1LAzEQDaLYWr16lD162ZrsZL88CKWoLRQUqucwm822KbubmqRi_71bWos9DDPMe_Pm8Qi5ZXQIkNMHvVJ2vWQpBUbj6Iz0WZLQkCeUnf-be-TKuRWlkPEkvyQ9iGi3jqM-mY4WulbBXP90tWgw0G0wUVj7pUSrHoMxug71m3IboA_m2HpTmNYE76rU6K2WwcS4tfZYX5OLCmunbg59QD5fnj_Gk3D29jodj2ah7Pz6MEuSEkqVgoxkGnNgaQGYKsgqLinPGVZJVrCiyKmKS-zQmDFOK4QckNMkggF52uuuN0WjSqlab7EWa6sbtFthUItTpNVLsTDfossoTflO4P4gYM3XRjkvGu2kqmtsldk4EUHMWQoQ8Y463FOlNc5ZVR3fMCp2-YvT_LuDu__mjvS_wOEXK-iBmw</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2354173324</pqid></control><display><type>article</type><title>Agile Six Sigma in Healthcare: Case Study at Santobono Pediatric Hospital</title><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>PubMed Central Open Access</source><source>MDPI - Multidisciplinary Digital Publishing Institute</source><source>PubMed Central</source><source>Free Full-Text Journals in Chemistry</source><creator>Improta, Giovanni ; Guizzi, Guido ; Ricciardi, Carlo ; Giordano, Vincenzo ; Ponsiglione, Alfonso Maria ; Converso, Giuseppe ; Triassi, Maria</creator><creatorcontrib>Improta, Giovanni ; Guizzi, Guido ; Ricciardi, Carlo ; Giordano, Vincenzo ; Ponsiglione, Alfonso Maria ; Converso, Giuseppe ; Triassi, Maria</creatorcontrib><description>Healthcare is one of the most complex systems to manage. In recent years, the control of processes and the modelling of public administrations have been considered some of the main areas of interest in management. In particular, one of the most problematic issues is the management of waiting lists and the consequent absenteeism of patients. Patient no-shows imply a loss of time and resources, and in this paper, the strategy of overbooking is analysed as a solution. Here, a real waiting list process is simulated with discrete event simulation (DES) software, and the activities performed by hospital staff are reproduced. The methodology employed combines agile manufacturing and Six Sigma, focusing on a paediatric public hospital pavilion. Different scenarios show that the overbooking strategy is effective in ensuring fairness of access to services. Indeed, all patients respect the times dictated by the waiting list, without "favouritism", which is guaranteed by the logic of replacement. In a comparison between a real sample of bookings and a simulated sample designed to improve no-shows, no statistically significant difference is found. This model will allow health managers to provide patients with faster service and to better manage their resources.</description><identifier>ISSN: 1660-4601</identifier><identifier>ISSN: 1661-7827</identifier><identifier>EISSN: 1660-4601</identifier><identifier>DOI: 10.3390/ijerph17031052</identifier><identifier>PMID: 32046052</identifier><language>eng</language><publisher>Switzerland: MDPI</publisher><ispartof>International journal of environmental research and public health, 2020-02, Vol.17 (3), p.1052</ispartof><rights>2020 by the authors. 2020</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c390t-866d3de73c2c754317b3a7e38f4c0491af68b1bb90e5da17b51140fa393a40623</citedby><cites>FETCH-LOGICAL-c390t-866d3de73c2c754317b3a7e38f4c0491af68b1bb90e5da17b51140fa393a40623</cites><orcidid>0000-0002-3269-1307 ; 0000-0003-1346-515X ; 0000-0001-7290-6432</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7037742/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7037742/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27922,27923,53789,53791</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32046052$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Improta, Giovanni</creatorcontrib><creatorcontrib>Guizzi, Guido</creatorcontrib><creatorcontrib>Ricciardi, Carlo</creatorcontrib><creatorcontrib>Giordano, Vincenzo</creatorcontrib><creatorcontrib>Ponsiglione, Alfonso Maria</creatorcontrib><creatorcontrib>Converso, Giuseppe</creatorcontrib><creatorcontrib>Triassi, Maria</creatorcontrib><title>Agile Six Sigma in Healthcare: Case Study at Santobono Pediatric Hospital</title><title>International journal of environmental research and public health</title><addtitle>Int J Environ Res Public Health</addtitle><description>Healthcare is one of the most complex systems to manage. In recent years, the control of processes and the modelling of public administrations have been considered some of the main areas of interest in management. In particular, one of the most problematic issues is the management of waiting lists and the consequent absenteeism of patients. Patient no-shows imply a loss of time and resources, and in this paper, the strategy of overbooking is analysed as a solution. Here, a real waiting list process is simulated with discrete event simulation (DES) software, and the activities performed by hospital staff are reproduced. The methodology employed combines agile manufacturing and Six Sigma, focusing on a paediatric public hospital pavilion. Different scenarios show that the overbooking strategy is effective in ensuring fairness of access to services. Indeed, all patients respect the times dictated by the waiting list, without "favouritism", which is guaranteed by the logic of replacement. In a comparison between a real sample of bookings and a simulated sample designed to improve no-shows, no statistically significant difference is found. This model will allow health managers to provide patients with faster service and to better manage their resources.</description><issn>1660-4601</issn><issn>1661-7827</issn><issn>1660-4601</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><recordid>eNpVUE1LAzEQDaLYWr16lD162ZrsZL88CKWoLRQUqucwm822KbubmqRi_71bWos9DDPMe_Pm8Qi5ZXQIkNMHvVJ2vWQpBUbj6Iz0WZLQkCeUnf-be-TKuRWlkPEkvyQ9iGi3jqM-mY4WulbBXP90tWgw0G0wUVj7pUSrHoMxug71m3IboA_m2HpTmNYE76rU6K2WwcS4tfZYX5OLCmunbg59QD5fnj_Gk3D29jodj2ah7Pz6MEuSEkqVgoxkGnNgaQGYKsgqLinPGVZJVrCiyKmKS-zQmDFOK4QckNMkggF52uuuN0WjSqlab7EWa6sbtFthUItTpNVLsTDfossoTflO4P4gYM3XRjkvGu2kqmtsldk4EUHMWQoQ8Y463FOlNc5ZVR3fMCp2-YvT_LuDu__mjvS_wOEXK-iBmw</recordid><startdate>20200207</startdate><enddate>20200207</enddate><creator>Improta, Giovanni</creator><creator>Guizzi, Guido</creator><creator>Ricciardi, Carlo</creator><creator>Giordano, Vincenzo</creator><creator>Ponsiglione, Alfonso Maria</creator><creator>Converso, Giuseppe</creator><creator>Triassi, Maria</creator><general>MDPI</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-3269-1307</orcidid><orcidid>https://orcid.org/0000-0003-1346-515X</orcidid><orcidid>https://orcid.org/0000-0001-7290-6432</orcidid></search><sort><creationdate>20200207</creationdate><title>Agile Six Sigma in Healthcare: Case Study at Santobono Pediatric Hospital</title><author>Improta, Giovanni ; Guizzi, Guido ; Ricciardi, Carlo ; Giordano, Vincenzo ; Ponsiglione, Alfonso Maria ; Converso, Giuseppe ; Triassi, Maria</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c390t-866d3de73c2c754317b3a7e38f4c0491af68b1bb90e5da17b51140fa393a40623</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Improta, Giovanni</creatorcontrib><creatorcontrib>Guizzi, Guido</creatorcontrib><creatorcontrib>Ricciardi, Carlo</creatorcontrib><creatorcontrib>Giordano, Vincenzo</creatorcontrib><creatorcontrib>Ponsiglione, Alfonso Maria</creatorcontrib><creatorcontrib>Converso, Giuseppe</creatorcontrib><creatorcontrib>Triassi, Maria</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>International journal of environmental research and public health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Improta, Giovanni</au><au>Guizzi, Guido</au><au>Ricciardi, Carlo</au><au>Giordano, Vincenzo</au><au>Ponsiglione, Alfonso Maria</au><au>Converso, Giuseppe</au><au>Triassi, Maria</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Agile Six Sigma in Healthcare: Case Study at Santobono Pediatric Hospital</atitle><jtitle>International journal of environmental research and public health</jtitle><addtitle>Int J Environ Res Public Health</addtitle><date>2020-02-07</date><risdate>2020</risdate><volume>17</volume><issue>3</issue><spage>1052</spage><pages>1052-</pages><issn>1660-4601</issn><issn>1661-7827</issn><eissn>1660-4601</eissn><abstract>Healthcare is one of the most complex systems to manage. In recent years, the control of processes and the modelling of public administrations have been considered some of the main areas of interest in management. In particular, one of the most problematic issues is the management of waiting lists and the consequent absenteeism of patients. Patient no-shows imply a loss of time and resources, and in this paper, the strategy of overbooking is analysed as a solution. Here, a real waiting list process is simulated with discrete event simulation (DES) software, and the activities performed by hospital staff are reproduced. The methodology employed combines agile manufacturing and Six Sigma, focusing on a paediatric public hospital pavilion. Different scenarios show that the overbooking strategy is effective in ensuring fairness of access to services. Indeed, all patients respect the times dictated by the waiting list, without "favouritism", which is guaranteed by the logic of replacement. In a comparison between a real sample of bookings and a simulated sample designed to improve no-shows, no statistically significant difference is found. This model will allow health managers to provide patients with faster service and to better manage their resources.</abstract><cop>Switzerland</cop><pub>MDPI</pub><pmid>32046052</pmid><doi>10.3390/ijerph17031052</doi><orcidid>https://orcid.org/0000-0002-3269-1307</orcidid><orcidid>https://orcid.org/0000-0003-1346-515X</orcidid><orcidid>https://orcid.org/0000-0001-7290-6432</orcidid><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 1660-4601
ispartof International journal of environmental research and public health, 2020-02, Vol.17 (3), p.1052
issn 1660-4601
1661-7827
1660-4601
language eng
recordid cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_7037742
source Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central Open Access; MDPI - Multidisciplinary Digital Publishing Institute; PubMed Central; Free Full-Text Journals in Chemistry
title Agile Six Sigma in Healthcare: Case Study at Santobono Pediatric Hospital
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-13T20%3A53%3A52IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Agile%20Six%20Sigma%20in%20Healthcare:%20Case%20Study%20at%20Santobono%20Pediatric%20Hospital&rft.jtitle=International%20journal%20of%20environmental%20research%20and%20public%20health&rft.au=Improta,%20Giovanni&rft.date=2020-02-07&rft.volume=17&rft.issue=3&rft.spage=1052&rft.pages=1052-&rft.issn=1660-4601&rft.eissn=1660-4601&rft_id=info:doi/10.3390/ijerph17031052&rft_dat=%3Cproquest_pubme%3E2354173324%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2354173324&rft_id=info:pmid/32046052&rfr_iscdi=true