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首页> 外文期刊>The International Journal of Productivity and performance management >Productivity and performance improvement in the medical records department of a hospital An application of Lean Six Sigma
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Productivity and performance improvement in the medical records department of a hospital An application of Lean Six Sigma

机译：医院病历部门的生产率和绩效改善精益六西格码的应用

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摘要

Purpose - The purpose of this paper is to illustrate how Lean Six Sigma (LSS) methodology was applied to a medical records department (MRD) of a hospital in India to reduce the Turn-Around-Time (TAT) of medical records preparation process and thus to improve the productivity and performance of the department. Design/methodology/approach - The research reported in this paper is based on a case study carried out using LSS approach and in improving the medical records preparation process. Findings - The root causes for the problem were identified and validated through data-based analysis from LSS tool box, at different stages in the project. As a result of this project, the TAT was reduced from average 19 minutes to eight minutes and the standard deviation was reduced by one-tenth, which was a remarkable achievement for department under study. This was resulted in the reduction in the work-in-process inventory of medical records from 40 units to 0 at the end of the day. Project in-turn reduced the staffing level from the earlier level of six to a current level of four. Research limitations/implications - The paper is based on a single case study executed in IP-MRD of a single hospital and hence there is limitation in generalizing the specific results from the study. But the approach adopted and the learning from this study can be generalized. Originality/value - This paper will be helpful for those professionals who are interested in implementing LSS to healthcare organization to improve the productivity and performance.
机译：目的-本文的目的是说明如何将精益六西格码（LSS）方法应用于印度一家医院的病历部门（MRD），以减少病历准备过程的周转时间（TAT），以及从而提高部门的生产力和绩效。设计/方法/方法-本文报道的研究基于使用LSS方法进行的案例研究，并旨在改善病历准备过程。调查结果-在项目的不同阶段，通过LSS工具箱中基于数据的分析确定并验证了问题的根本原因。由于该项目，TAT从平均19分钟减少到了8分钟，标准偏差减少了十分之一，这对于正在研究的部门来说是一个了不起的成就。结果，病历的在制品存量从一天的40减少到了一天。反过来，项目人员编制从原来的六级减少到目前的四级。研究的局限性/意义-本文基于在单个医院的IP-MRD中执行的单个案例研究，因此在概括研究的具体结果方面存在局限性。但是所采用的方法和从本研究中学到的知识可以推广。原创性/价值-本文对于有兴趣向医疗机构实施LSS以提高生产率和绩效的专业人士有所帮助。

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