Utilization of Lean &amp; Six Sigma quality initiatives in Indian healthcare sector

Suman, Gaurav; Prajapati, D.R.

doi:10.1371/journal.pone.0261747

Cited by 4 publications

(2 citation statements)

References 48 publications

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“…Studies show that most of the Six Sigma in healthcare sector has been implemented mostly in the United States. In the Indian healthcare sector, lack of knowledge and availability of resources are the major reasons for not implementing this methodology [11,12]. Most studies in India are empirical in nature focusing more on the management aspect rather than medical processes.…”

Section: Discussionmentioning

confidence: 99%

Six Sigma in blood transfusion services: A dream too big in a third world country?

Jindal

Maini

2022

Vox Sanguinis

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Background and Objectives Transfusion errors can occur anywhere from blood donation to final blood transfusion. They are a source of increased cost and patient mortality. Automated workflows can reduce transcription errors, but resource‐poor centres still use semi‐automated/manual method for testing including manual labelling of column agglutination cards/testing tubes. Missing out any details on these cards can lead to errors in reporting results, wastage and loss of resources and effort. The aim of this study was to implement Six Sigma DMAIC (Define, Measure, Analyse, Improve and Control) methodology to reduce transcription errors while labelling gel card in immunohaematology lab to zero defect. Materials and Methods In this prospective study, transcription errors while manually performing 200 tests with 1400 opportunities were analysed. Baseline variables like number of errors, defects per million opportunities and sigma level in our current setup were measured. With the application of DMAIC methodology, root cause analysis for each error using Ishikawa diagram and structured Interviews were done to identify causes. A multipronged approach to deal with errors was done to improve critical areas using brainstorming sessions and developing training sheets for practice. After implementing the changes, baseline variables were reanalysed. Results Application of DMAIC resulted in an overall reduction in defects from 34.86% to 0.56% with sigma level improvement from 1.89 to 4.08. Conclusion Six Sigma methodology can be used in a resource‐poor setting even with lack of automation to ensure error‐free process flow.

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Section: Discussionmentioning

confidence: 99%

Six Sigma in blood transfusion services: A dream too big in a third world country?

Jindal

Maini

2022

Vox Sanguinis

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“…Both prioritize standardized processes, quality control, resource optimization, data management, risk mitigation, Lean principles, supply chain management, workforce training, and regulatory adherence to ensure safe and consistent outcomes in their respective domains. Such domains are of utmost importance in OR for ensuring timely availability of medicines, medical equipment, and other critical resources while ensuring efficiency and patient safety 19 , 20 .…”

Section: Introductionmentioning

confidence: 99%

Six Sigma can significantly reduce costs of poor quality of the surgical instruments sterilization process and improve surgeon and operating room personnel satisfaction

Saporito,

Tassone,

Di Iorio

et al. 2023

Sci Rep

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Operating room (OR) management is a complex multidimensional activity combining clinical and managerial aspects. This longitudinal observational study aimed to assess the impact of Six-Sigma methodology to optimize surgical instrument sterilization processes. The project was conducted at the operating theatre of our tertiary regional hospital during the period from July 2021 to December 2022. The project was based on the surgical instrument supply chain analysis. We applied the Six Sigma lean methodology by conducting workshops and practical exercises and by improving the surgical instrument process chain, as well as checking stakeholders’ satisfaction. The primary outcome was the analysis of Sigma improvement. Through this supply chain passed 314,552 instruments in 2022 and 22 OR processes were regularly assessed. The initial Sigma value was 4.79 ± 1.02σ, and the final one was 5.04 ± 0.85σ (SMD 0.60, 95%CI 0.16–1.04, p = 0.010). The observed improvement was estimated in approximately $19,729 of cost savings. Regarding personnel satisfaction, 150 questionnaires were answered, and the overall score improved from 6.6 ± 2.2 pts to 7.0 ± 1.9 pts (p = 0.013). In our experience the application of the Lean Six Sigma methodology to the process of handling the surgical instruments from/to the OR was cost-effective, significantly decreased the costs of poor quality and increased internal stakeholder satisfaction.

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Optimising ESG-enhanced performance: a literature review of lean, six sigma, and other continuous improvement methodologies

Carneiro,

Nóvoa,

Carvalho

et al. 2024

Total Quality Management & Business Excellence

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Utilization of Lean & Six Sigma quality initiatives in Indian healthcare sector

Cited by 4 publications

References 48 publications

Six Sigma in blood transfusion services: A dream too big in a third world country?

Six Sigma in blood transfusion services: A dream too big in a third world country?

Six Sigma can significantly reduce costs of poor quality of the surgical instruments sterilization process and improve surgeon and operating room personnel satisfaction

Optimising ESG-enhanced performance: a literature review of lean, six sigma, and other continuous improvement methodologies

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