A patient-centric approach to improve health care services

This research proposes a diagnostics and improvement approach based on Total Quality Management to apply in cancer health care services systems. The proposed approach adopts the integrated use of process failure mode and effects analysis (PFMEA) and the current reality tree (CRT) from the Theory of...

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Autores principales:	Isaac Pergher, Vanessa Patzlaff Brandolf, Diego Augusto de Jesus Pacheco, Guilherme Luís Roehe Vaccaro
Formato:	article
Lenguaje:	EN
Publicado:	Taylor & Francis Group 2016
Materias:	health care health services pfmea crt performance radiotherapy service tqm Business HF5001-6182 Management. Industrial management HD28-70
Acceso en línea:	https://doaj.org/article/0bcd96b498364bc08cfe58644529a0b1
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id	oai:doaj.org-article:0bcd96b498364bc08cfe58644529a0b1
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spelling	oai:doaj.org-article:0bcd96b498364bc08cfe58644529a0b12021-12-02T14:07:31ZA patient-centric approach to improve health care services2331-197510.1080/23311975.2016.1227232https://doaj.org/article/0bcd96b498364bc08cfe58644529a0b12016-12-01T00:00:00Zhttp://dx.doi.org/10.1080/23311975.2016.1227232https://doaj.org/toc/2331-1975This research proposes a diagnostics and improvement approach based on Total Quality Management to apply in cancer health care services systems. The proposed approach adopts the integrated use of process failure mode and effects analysis (PFMEA) and the current reality tree (CRT) from the Theory of Constraints Thinking Process. The utilization of those methodologies explores the strengths of each approach and it was implemented in two steps. Initially, CRT was built targeting the identification of the primary causes of low speed of service and the secondary elements that form the link between the focal problem and the primary causes. Next, the CRT data were utilized to create the PFMEA. To analyze the proposed model, a case study was applied in the radiotherapy service authorization process in a large Brazilian hospital. The main results permitted the definition of a set of actions to eliminate or reduce the failure modes in health care systems. In addition to that, one of the advantages of the approach proposed and applied is the identification of the root causes (RC) of the problem in flow management of patients, the undesirable effects of these causes and the prioritization of the improvement actions. The approach enables managers and decision-makers in health care systems to identify the global RC of problems and the prioritization of actions. The overall pattern of findings suggests that integration of PFMEA and CRT creates several benefits to increase the velocity of service to patient being treated for cancer in health care systems. Decision-makers can apply the approach to improve the velocity and the flow management of patients.Isaac PergherVanessa Patzlaff BrandolfDiego Augusto de Jesus PachecoGuilherme Luís Roehe VaccaroTaylor & Francis Grouparticlehealth carehealth servicespfmeacrtperformanceradiotherapy servicetqmBusinessHF5001-6182Management. Industrial managementHD28-70ENCogent Business & Management, Vol 3, Iss 1 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	health care health services pfmea crt performance radiotherapy service tqm Business HF5001-6182 Management. Industrial management HD28-70
spellingShingle	health care health services pfmea crt performance radiotherapy service tqm Business HF5001-6182 Management. Industrial management HD28-70 Isaac Pergher Vanessa Patzlaff Brandolf Diego Augusto de Jesus Pacheco Guilherme Luís Roehe Vaccaro A patient-centric approach to improve health care services
description	This research proposes a diagnostics and improvement approach based on Total Quality Management to apply in cancer health care services systems. The proposed approach adopts the integrated use of process failure mode and effects analysis (PFMEA) and the current reality tree (CRT) from the Theory of Constraints Thinking Process. The utilization of those methodologies explores the strengths of each approach and it was implemented in two steps. Initially, CRT was built targeting the identification of the primary causes of low speed of service and the secondary elements that form the link between the focal problem and the primary causes. Next, the CRT data were utilized to create the PFMEA. To analyze the proposed model, a case study was applied in the radiotherapy service authorization process in a large Brazilian hospital. The main results permitted the definition of a set of actions to eliminate or reduce the failure modes in health care systems. In addition to that, one of the advantages of the approach proposed and applied is the identification of the root causes (RC) of the problem in flow management of patients, the undesirable effects of these causes and the prioritization of the improvement actions. The approach enables managers and decision-makers in health care systems to identify the global RC of problems and the prioritization of actions. The overall pattern of findings suggests that integration of PFMEA and CRT creates several benefits to increase the velocity of service to patient being treated for cancer in health care systems. Decision-makers can apply the approach to improve the velocity and the flow management of patients.
format	article
author	Isaac Pergher Vanessa Patzlaff Brandolf Diego Augusto de Jesus Pacheco Guilherme Luís Roehe Vaccaro
author_facet	Isaac Pergher Vanessa Patzlaff Brandolf Diego Augusto de Jesus Pacheco Guilherme Luís Roehe Vaccaro
author_sort	Isaac Pergher
title	A patient-centric approach to improve health care services
title_short	A patient-centric approach to improve health care services
title_full	A patient-centric approach to improve health care services
title_fullStr	A patient-centric approach to improve health care services
title_full_unstemmed	A patient-centric approach to improve health care services
title_sort	patient-centric approach to improve health care services
publisher	Taylor & Francis Group
publishDate	2016
url	https://doaj.org/article/0bcd96b498364bc08cfe58644529a0b1
work_keys_str_mv	AT isaacpergher apatientcentricapproachtoimprovehealthcareservices AT vanessapatzlaffbrandolf apatientcentricapproachtoimprovehealthcareservices AT diegoaugustodejesuspacheco apatientcentricapproachtoimprovehealthcareservices AT guilhermeluisroehevaccaro apatientcentricapproachtoimprovehealthcareservices AT isaacpergher patientcentricapproachtoimprovehealthcareservices AT vanessapatzlaffbrandolf patientcentricapproachtoimprovehealthcareservices AT diegoaugustodejesuspacheco patientcentricapproachtoimprovehealthcareservices AT guilhermeluisroehevaccaro patientcentricapproachtoimprovehealthcareservices
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A patient-centric approach to improve health care services

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