iSixSigma

DOE

This topic contains 6 replies, has 4 voices, and was last updated by  dew 13 years, 10 months ago.

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  • #25219

    RP
    Member

    Please suggest me some DOE cases that can be applied for process improvement in healthcare setting this should be w.r.t ED.
    The processes I am interested are for ancillary services, admission to hospital particulary in decresing the length of stay of patients attending ED. Anyother suggestions related would be appreciated.
    thanks
    rp

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    #60633

    RP
    Member

    The data I have right now is the turn around times of Radiology, admitting department turn around time w.r.t. bed allottment to ED patients. I also have data with regard to waiting before seeing Triage, so there anyways I can compare these statistically and arrive at valid reasoning and propose some solutions accordingly.
    All suggestions are welcome!
    thanks
    rp!

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    #60639

    Shirshen
    Member

    What’s the process flow there? Have you figured out the bottleneck? Lean principles will definitely prove useful. DOE isn’t always necessary in every six sigma project.

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    #60640

    RP
    Member

    The identified bottlenecks are ancillary services and admitting to the hospital and waiting before seen by the triage nurse.
    I have to do some DOE just to have a better documentation and this towards academic purpose.
    All suggestions are welcome!thanks!

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    #60641

    RDogg
    Participant

    I’d be interested in knowing how a DOE is performed in a health care setting, especially in an ED.  I can’t imagine how one could execute a controlled experiment in an emerg department, nor can I imagine why one would want to, or who would want to participate it.
    My advice would be to analyze historical data or collect new data for analysis purposes, as DOE probably isn’t feasible in such an environment.

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    #60642

    RP
    Member

    I did use the historical data and also I have collected data personally in regards to triage, ancillary, discharge and data has lead to a conclusion that there is a high variation in the TAT of every process or activity. I am doing this as a part of my academic project and I really dont have any idea if any DOE can be done besides doing Descriptive of DATA.
     

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    #60647

    dew
    Participant

    Create a process map using current & historical data, construct a pliot process or series of steps (simple, easy to define & measure) to address one element of the current process that you have the resources (& staff motivation) to address and run it parallel to the current process.  You can test staff satisfaction, time spent, innovations it creates, ideas & creativity that improve the base process, and cost or time data that may provide a basis to extend the experiment.  When you can intrigue and involve the staff – they will pursue the logical next steps – but be cautious, slow down, stay small, measure carefully, and start with very small expectations (paradox helps). 

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