Evidence map›Paper›PMID 32046052›Full record

ArticleInternational journal of environmental research and public health2020

Agile Six Sigma in Healthcare: Case Study at Santobono Pediatric Hospital.

Giovanni Improta, Guido Guizzi, Carlo Ricciardi, Vincenzo Giordano, Alfonso Maria Ponsiglione, Giuseppe Converso, Maria Triassi

Open access · goldAbstract read
In one paragraph

Article in International journal of environmental research and public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
12.9field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 85 citations in OpenAlex.

  1. Article
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  7. The methodology of the Agile Nudge University.Frontiers in health services · 2023
    Article
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  12. Article
  13. Discrete-Event Simulation Modeling in Healthcare: A Comprehensive Review.International journal of environmental research and public health · 2021
    Review
  14. A Health Technology Assessment in Maxillofacial Cancer Surgery by Using the Six Sigma Methodology.International journal of environmental research and public health · 2021
    Article
  15. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Giovanni ImprotaDepartment of Public Health, University Hospital of Naples Federico II, 80131 Naples, Italy.
Guido GuizziMaterials and Production Engineering, Department of Chemical, University of Naples "Federico II", 80125 Naples, Italy.ORCID 0000-0002-3269-1307
Carlo RicciardiDepartment of Advanced Biomedical Sciences, University of Naples "Federico II", 80131 Naples, Italy.ORCID 0000-0001-7290-6432
Vincenzo GiordanoAORN "Santobono-Pausillipon", 80132 Naples, Italy.
Alfonso Maria PonsiglioneDepartment of Electrical Engineering and Information Technology (DIETI), University of Naples "Federico II", 80125 Naples, Italy.ORCID 0000-0003-1346-515X
Giuseppe ConversoMaterials and Production Engineering, Department of Chemical, University of Naples "Federico II", 80125 Naples, Italy.
Maria TriassiDepartment of Public Health, University Hospital of Naples Federico II, 80131 Naples, Italy.
Federico II University Hospital · ITUniversity of Naples Federico II · ITSantobono Children's Hospital · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

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.

Indexed as

Appointments and SchedulesDelivery of Health CareHospitals, PediatricTotal Quality ManagementWaiting ListsChildHealth Services AccessibilityHumansagileDMAICmodelling and simulationsix sigma

Identifiers

PMID32046052
PMCPMC7037742
OpenAlexW3004587016

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.