Agile Six Sigma in Healthcare
Case Study at Santobono Pediatric Hospital
Bibliographic Data
| ID | 15465854 |
|---|---|
| Authors | Giovanni Improta (0000-0002-9485-1687, Federico II University Hospital, corresponding author), Guido Guizzi (0000-0002-3269-1307, Federico II University Hospital), Carlo Ricciardi (0000-0001-7290-6432, University of Naples Federico II), Vincenzo Giordano (0000-0002-4429-312X, Santobono Children's Hospital), Alfonso Maria Ponsiglione (0000-0003-1346-515X, University of Naples Federico II), Giuseppe Converso (0009-0007-6312-312X, Federico II University Hospital), Maria Triassi (0000-0002-9420-9571, Federico II University Hospital) |
| Year | 2020 |
| Volume | 17 |
| Issue | 3 |
| Pages | 1052-1052 |
| Publication date | 2020-02-07 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | International Journal of Environmental Research and Public Health (JOURNAL) |
| Journal identifiers | ISSN: 1661-7827 • E-ISSN: 1660-4601 |
| Publisher | Multidisciplinary Digital Publishing Institute (PUBLISHER • CH) |
| DOI | 10.3390/ijerph17031052 |
| PMID | 32046052 |
| OpenAlex | W3004587016 |
| Language | EN |
| Citations received | 4 |
| References cited | 36 |
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
Agile software development · Health care · Medical emergency · Operations management · Pediatric hospital · Political science · Six Sigma · Computer Science · Engineering · Healthcare Operations and Scheduling Optimization · Healthcare Policy and Management · Medicine · Quality and Safety in Healthcare · Pediatrics
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Custos no setor público
| Citations per year | 0.67 |
|---|---|
| Citation span | 2020 - 2025 (6) |
| Highly cited | No |