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首页> 外文期刊>The TQM Journal >Lean Six Sigma approach to reduce LOS through a diagnostic-therapeutic-assistance path at A.O.R.N. A. Cardarelli
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Lean Six Sigma approach to reduce LOS through a diagnostic-therapeutic-assistance path at A.O.R.N. A. Cardarelli

机译：瘦六西格玛方法通过A.O.R.N的诊断治疗辅助路径减少LO. A. Cardarelli.

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Purpose - The rise of the mean age incremented the occurrence of femur fractures with respect to the past, leading thus to serious consequences, as regards morbidity and socio-economic impact. The direction of the A.O.R.N. Cardarelli of Naples has introduced a DTAP whose aim was the reduction of LOS, The paper aims to discuss this issue. Design/methodology/approach - The aim of this paper is to analyze the introduction of DTAP, employing Lean Thinking and Six Sigma methodology based on the DMAIC cycle. To evaluate the effectiveness of DTAP, two groups of patients have been observed for 14 months (before and after the implementation of DTAP). Findings - Statistical tests were performed on the groups and graphics were provided to visualize the decrease of LOS (29.9 per cent). The overall population was also divided in subgroups according to six variables potentially influencing LOS. Research limitations/implications - Authors considered six variables of influences; yet, others could be taken into account in the future. Practical implications - The decrease of costs due to the management of elderly patients with femur fracture, the optimization of care processes in hospitals and a faster recovery for patients is the tangible contribute of DTAP. Originality/value - The implementation of DTAP allowed the hospital to obtain a significant reduction of LOS with a consequently decrease of costs alleviating the hospital and the society from the socio-economic burden and the morbidity of this pathology.
机译：目的 - 平均年龄的兴起增加了股骨骨折的发生，从而对发病率和社会经济影响进行严重后果。 a.o.r.n的方向。那不勒斯的Cardarelli推出了一个DTAP，其目的是减少洛杉矶，论文旨在讨论这个问题。设计/方法/方法 - 本文的目的是分析基于DMAIC循环的DTAP引入，采用精益思维和六西格玛方法。为了评估DTAP的有效性，已经观察到两组患者14个月（在DTAP实施前后）。调查结果 - 对组进行统计测试，并提供图形以可视化LOS减少（29.9％）。整体人群也根据六个变量在潜在影响LOS的子组中分开。研究限制/含义 - 作者认为六种影响变量;然而，未来可以考虑其他人。实际意义 - 由于老年股骨骨折患者的管理，成本降低，医院的护理过程优化以及患者的更快恢复是DTAP的有形贡献。原创性/价值 - DTAP的实施允许医院获得洛杉矶的大幅减少，因此减少了减轻医院和社会经济负担和本病理的发病率的成本。

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