Analysing the benefits of Lean and Six Sigma for myocardial infarction patients: a case study of an Indian hospital
Gaurav Suman et al.
What the paper says
Lean and Six Sigma as quality tools have proved themselves in healthcare sectors worldwide, but their use on myocardial infarction (MI) patients is minimal. The present paper shows the application of these quality initiatives to reduce door to balloon (DTB) time and door to needle (DTN) time for MI patients in a northern Indian hospital. The mean DTB time is calculated to be 349 minutes with a standard deviation of 206 minutes, whereas; mean DTN time is 113 minutes with a standard deviation of 50 minutes. The cause and effect diagram and value stream mapping tools were applied to identify various root causes and to minimise non-value-added time. The process cycle efficiency for the DTN and DTB processes is computed as 15.78% and 29.85% respectively. After implementing the proposed solutions, the duration of DTB and DTN processes has been reduced by 70.7% and 60.1% respectively.
Evidence weight
Balanced mode · F 0.40 / M 0.15 / V 0.05 / R 0.40
| F · citation impact | 0.00 × 0.4 = 0.00 |
| M · momentum | 0.50 × 0.15 = 0.07 |
| V · venue signal | 0.50 × 0.05 = 0.03 |
| R · text relevance † | 0.50 × 0.4 = 0.20 |
† Text relevance is estimated at 0.50 on the detail page — for your query’s actual relevance score, open this paper from a search result.