scholarly journals Application of the Methodology of Six Sigma in Public Health Institution

2021 ◽  
pp. 107-113
Author(s):  
Elizabeta Mitreva ◽  
Filip Kirovski
Keyword(s):  
Public Health ◽  
Quality Control ◽  
Six Sigma ◽  
Clinical Microbiology ◽  
New World ◽  
Business Processes ◽  
Team Work ◽  
Health Institution ◽  
Public Health Institution ◽  
Six Sigma Methodology

New world trends in product quality assurance and processes in companies around the world are based on quality control in all processes (basic and logistics). Quality control is in all processes: receiving requests from clients, implementation of required services, issuing final results, maintenance of instruments, procurement, providing quality and trained staff, and commercial service. Health care institutions in Republic of North Macedonia has got old models of management. By accepting the new world philosophies, the healthcare institutions are oriented towards a different quality system, transformation of the organizational structure, patient involvement, monitoring the key processes, implementing data management tools and team work. The TQM (Total Quality Management) system in a healthcare institution is based on the main principles of this philosophy: sanitary standardization, full commitment of patients, involvement of all employees in the organization and teamwork, continuous improvement and implement of six sigma methodology. The aim of the research is to implement and apply the six-sigma methodology as a tool for improving business processes in the Public Health Institution. With proactive application of the methodology six sigma in the department of clinical microbiology were determinedbusiness processes, potential operational errors, statistical processing of the obtained data and finding a solution for the identified defects in business processes. The research conducted in the Department of Clinical Microbiology showed that with the practical application of the 6-sigma methodology, excellent improvements were obtained in all business processes by: involving more employees, correction the time for delivery of materials to admission department, and complete training for employees.

scholarly journals Application of Sigma Metrics for Evaluating the Analytical Performance of Thyroid Profile and Cortisol in Clinical Biochemistry Laboratory

2020 ◽  
Author(s):  
Smita Natvarbhai Vasava ◽  
Roshni Gokaldas Sadaria
Keyword(s):  
Quality Control ◽  
Six Sigma ◽  
Clinical Laboratory ◽  
Clinical Biochemistry ◽  
Poor Performance ◽  
Analytical Performance ◽  
Internal Quality ◽  
Six Sigma Methodology ◽  
Clinical Biochemistry Laboratory ◽  
Thyroid Profile

Introduction: Now-a-days quality is the key aspect of clinical laboratory services. The six sigma metrics is an important quality measurement method for evaluating the performance of the clinical laboratory. Aim: To assess the analytical performance of clinical biochemistry laboratory by utilising thyroid profile and cortisol parameters from Internal Quality Control (IQC) data and to calculate sigma values. Materials and Methods: Study was conducted at Clinical Biochemistry Laboratory, Dhiraj General Hospital, Piparia, Gujarat, India. Retrospectively, IQC data of thyroid profile and cortisol were utilised for six subsequent months (July to December 2019). Coefficient of Variation (CV%) and bias were calculated from IQC data, from that the sigma values were calculated. The sigma values <3, >3 and >6 were indicated by poor performance procedure, good performance and world class performance, respectively. Results: The sigma values were estimated by calculating mean of six months. The mean sigma value of Thyroid Stimulating Hormone (TSH) and Cortisol were >3 for six months which indicated the good performance. However, sigma value of Triiodothyronine (T3), Tetraiodothyronine (T4) were found to be <3 which indicated poor performance. Conclusion: Six sigma methodology applications for thyroid profile and cortisol was evaluated, it was generally found as good. While T3 and T4 parameters showed low sigma values which requires detailed root cause analysis of analytical process. With the help of six sigma methodology, in clinical biochemistry laboratories, an appropriate Quality Control (QC) programming should be done for each parameter. To maintain six sigma levels is challenging to quality management personnel of laboratory, but it will be helpful to improve quality level in the clinical laboratories.

scholarly journals Preventing the White Death: Tuberculosis Dispensaries

2020 ◽  
Vol 130 (629) ◽  
pp. 1288-1316 ◽  
Author(s):  
Peter Juul Egedesø ◽  
Casper Worm Hansen ◽  
Peter Sandholt Jensen
Keyword(s):  
Public Health ◽  
Cost Effective ◽  
Information Provision ◽  
Drug Resistant ◽  
Difference In Differences ◽  
Health Institution ◽  
Public Health Institution ◽  
Preventive Actions ◽  
Resistant Strains ◽  
Drug Resistant Strains

Abstract Tuberculosis (TB) is a leading cause of death worldwide and while treatable by antibiotics since the 1940s, drug resistant strains have emerged. This article estimates the effects of the establishment of a pre-antibiotic public health institution, known as a TB dispensary, designed to prevent the spread of the disease. Our annual difference-in-differences estimation reveals that the rollout of the dispensaries across Danish cities led to a 19% decline in the TB mortality rate, but no significant impacts on other diseases when performing placebo regressions. We next take advantage of the dispensaries explicit targeting on TB to setup a triple-differences model which exploits other diseases as controls and obtain a similar magnitude of the effect. As for the mechanism, the evidence highlights the dispensaries’ preventive actions, such as information provision. At an estimated cost as low as 68 dollars per saved life-year, this particular public-health institution was extraordinarily cost effective. Overall, our evidence suggests a policy for developing countries to combat drug resistant TB.

Modern methods of the quality improvement and their application in managing of changes in a company

2018 ◽  
Vol 4 (10) ◽  
pp. 64-72
Author(s):  
Pavol Gejdos
Keyword(s):  
Quality Improvement ◽  
Six Sigma ◽  
Business Processes ◽  
Relevant Information ◽  
Correct Choice ◽  
Sigma Level ◽  
Continuous Quality ◽  
Modern Methods ◽  
Six Sigma Methodology ◽  
A Company

This article deals about the application of the Six Sigma methodology by using modern methods in various stages of the DMAIC improvement model. The change management of business processes in terms of quality is determined by the correct choice of methods and tools for reducing discrepancies and non-productive costs. The evaluation of selected processes of furniture production through defects per million opportunities, efficiency, capability and sigma level before the change and after the change in the quality process provides relevant information for ensuring continuous quality improvement. Implementation of assessing changes in the process is a source of information for continuous improvement of process performance. Keywords: Processes, quality improvement, Six Sigma, DMAIC, changes in processes.

Improving learning outcome using Six Sigma methodology

2015 ◽  
Vol 8 (1) ◽  
pp. 18-36 ◽  
Author(s):  
Godson A. Tetteh
Keyword(s):  
Factor Analysis ◽  
Graduate Students ◽  
Six Sigma ◽  
Leadership Competencies ◽  
Learning Outcome ◽  
Team Work ◽  
Content Type ◽  
Rotation Methods ◽  
Six Sigma Methodology ◽  
American Society

Purpose – The purpose of this research paper is to apply the Six Sigma methodology to identify the attributes of a lecturer that will help improve a student’s prior knowledge of a discipline from an initial “x” per cent knowledge to a higher “y” per cent of knowledge. Design/methodology/approach – The data collection method involved a one-on-one, in-depth interview based on the Kano questionnaire with a sample of 170 undergraduate and graduate students aged between 25 and 40 years in two Ghanaian universities. The Kano questionnaire contained the critical to quality (CTQ) and the 25 functional requirements (FRs). The analytical Kano (A-Kano) questionnaire was adopted for the purpose of improving learning outcome with a student–lecturer interaction. The CTQs in this study, from the customer (student) perspective, will correspond to Bloom’s (1956) categories in the cognitive domain made up of remember, understand, apply, analyze, evaluate and create. The configuration index, which provides a decision factor for selecting the 25 FRs that contribute to improving learning outcome made up of the American Society of Quality’s six leadership competencies (navigator, communicator, mentor, learner, builder and motivator) and 19 attributes from previous research studies on service quality in higher education. This study used the varimax and quartimax factor analysis rotation methods to generate the principal components (PCs). Findings – Out of the 25 FRs, four (communicator, mentor, builder and motivator) of the American Society of Quality (ASQ) leadership competencies were found to be exciters or attractive and when applied by the lecturer would exceed customer (student) expectation. Research limitations/implications – The study involved only a judgment sample of 170 undergraduate and graduate students from two universities drawn in Accra, Ghana; hence, the outcome cannot be generalized to the entire student population in Ghana as a whole. Practical implications – The Kano results from this study corroborates with previous findings that students perceive “Fostering of Team Work”, “Expertise in Other Subject Areas”, “Variety of Teaching Methods”, “Friendliness” and “Humor” as either exciters or attractive attributes. Social implications – Some of the benefits from this study include the fact that lecturers may improve classroom experience knowing what their students regard as satisfactory and dissatisfactory attributes or they may have a better understanding of the student’s perspective. The concept of student satisfaction addressed in this study should therefore always be seen as a “means to an end”, with the end being the transformation of students. Originality/value – This study contributes to the literature by examining how the student’s approach to learning or acquiring new knowledge has a significant effect on the learning outcome using factor analysis rotation methods to generate the PCs.

Vasectomy outcome in a Brazilian Public Health Institution

2009 ◽  
Vol 92 (3) ◽  
pp. S89-S90
Author(s):  
M. Cocuzza ◽  
G. Marchini ◽  
R. Pagani ◽  
M. Cordeiro ◽  
M. Srougi ◽  
...  
Keyword(s):  
Public Health ◽  
Health Institution ◽  
Public Health Institution
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