Volume 11, Issue 5 (Sep & Oct - In Press 2021)                   J Research Health 2021, 11(5): 3-3 | Back to browse issues page


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sabethoseini dokht M, Yousefi M, Hedarian Miri H, Fazaeli S, Ebrahimipour H. Strengthening Hospital Capacity for the COVID-19 Pandemic With the Implementation of Electronic Patient Discharge: Evidence from a big tertiary care hospital. J Research Health. 2021; 11 (5) :3-3
URL: http://jrh.gmu.ac.ir/article-1-1884-en.html
1- Department of Health Economics and Management Science, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran.
2- Department of Health Economics and Management Science, Mashhad University of Medical Sciences, Mashhad, Iran , yousefimh@mums.ac.ir
3- Assistant Professor ,Department of Biostatistics and Epidemiology, School of Public Health, Mashhad University of Medical Sciences, Mashhad, Iran.
4- Department of Medical Records and Health Information Technology, School of Paramedical Sciences, Mashhad University of Medical Sciences, Mashhad, Iran.
5- Social Determinants of Health Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
Abstract:   (131 Views)
Background: Increasing hospital capacity to cover the services demands is an important priority during an epidemic or a pandemic. The aim of this study was to increase hospital capacity using the Six Sigma method to improve the patient discharge process.
 Methods: This was a quantitative study. Pre and post intervention study was conducted in a big hospital designated for COVID-19 patients. The patient discharge process was evaluated and improved based on seven sub-processes and following the Six Sigma model, including define the problem, measure time in each of the discharge stations, analysis times and process, improvement process, and control.
results: Implementation of the electronic patient discharge led to a 51.9% decrease in discharge time from 7.3  h during the pre-intervention period to 3.8 h post-intervention (P < 0.00). According to the Sigma level, the yield and defects per million opportunities of the discharge process also improved to 55%.
Conclusion: Increasing hospital capacity by improving the discharge time is a quick action to cover the demand created during pandemics. The study showed that about 32 beds can be obtained by applying the Six Sigma model to improve the discharge process in a short time and at very low cost.
     
Type of Study: Orginal Article | Subject: Health Economics
Received: 2020/06/29 | Accepted: 2021/06/15 | Published: 2021/08/19

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