Strengthening Hospital Capacity for the COVID-19 Pandemic: Implementation of Electronic Patient Discharge

Background: Increasing hospital capacity to cover the service 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. The P...

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Autores principales:	Hossein Ebrahimipour, Mohaddeseh Sabethosseini Dokht, Mehdi Yousefi, Hamid Heidarian Miri, Somayeh Fazaeli
Formato:	article
Lenguaje:	EN
Publicado:	Gonabad University of Medical Sciences 2021
Materias:	covid-19 six sigma patient discharge hospital Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/7d6cf6d4d5b14cba8d4240ad0e01e386
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spelling	oai:doaj.org-article:7d6cf6d4d5b14cba8d4240ad0e01e3862021-11-29T13:20:05ZStrengthening Hospital Capacity for the COVID-19 Pandemic: Implementation of Electronic Patient Discharge10.32598/JRH.11.5.1802.12423-5717https://doaj.org/article/7d6cf6d4d5b14cba8d4240ad0e01e3862021-10-01T00:00:00Zhttp://jrh.gmu.ac.ir/article-1-1884-en.htmlhttps://doaj.org/toc/2423-5717Background: Increasing hospital capacity to cover the service 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. The 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 defining the problem, measuring 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< 0.0001). 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. Also, about 32 beds can be obtained by applying the Six Sigma model to improve the discharge process in a short time and at a very low cost.Hossein EbrahimipourMohaddeseh Sabethosseini DokhtMehdi Yousefi Hamid Heidarian MiriSomayeh FazaeliGonabad University of Medical Sciencesarticlecovid-19six sigmapatient dischargehospitalPublic aspects of medicineRA1-1270ENJournal of Research & Health, Vol 11, Iss 5, Pp 305-312 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	covid-19 six sigma patient discharge hospital Public aspects of medicine RA1-1270
spellingShingle	covid-19 six sigma patient discharge hospital Public aspects of medicine RA1-1270 Hossein Ebrahimipour Mohaddeseh Sabethosseini Dokht Mehdi Yousefi Hamid Heidarian Miri Somayeh Fazaeli Strengthening Hospital Capacity for the COVID-19 Pandemic: Implementation of Electronic Patient Discharge
description	Background: Increasing hospital capacity to cover the service 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. The 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 defining the problem, measuring 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< 0.0001). 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. Also, about 32 beds can be obtained by applying the Six Sigma model to improve the discharge process in a short time and at a very low cost.
format	article
author	Hossein Ebrahimipour Mohaddeseh Sabethosseini Dokht Mehdi Yousefi Hamid Heidarian Miri Somayeh Fazaeli
author_facet	Hossein Ebrahimipour Mohaddeseh Sabethosseini Dokht Mehdi Yousefi Hamid Heidarian Miri Somayeh Fazaeli
author_sort	Hossein Ebrahimipour
title	Strengthening Hospital Capacity for the COVID-19 Pandemic: Implementation of Electronic Patient Discharge
title_short	Strengthening Hospital Capacity for the COVID-19 Pandemic: Implementation of Electronic Patient Discharge
title_full	Strengthening Hospital Capacity for the COVID-19 Pandemic: Implementation of Electronic Patient Discharge
title_fullStr	Strengthening Hospital Capacity for the COVID-19 Pandemic: Implementation of Electronic Patient Discharge
title_full_unstemmed	Strengthening Hospital Capacity for the COVID-19 Pandemic: Implementation of Electronic Patient Discharge
title_sort	strengthening hospital capacity for the covid-19 pandemic: implementation of electronic patient discharge
publisher	Gonabad University of Medical Sciences
publishDate	2021
url	https://doaj.org/article/7d6cf6d4d5b14cba8d4240ad0e01e386
work_keys_str_mv	AT hosseinebrahimipour strengtheninghospitalcapacityforthecovid19pandemicimplementationofelectronicpatientdischarge AT mohaddesehsabethosseinidokht strengtheninghospitalcapacityforthecovid19pandemicimplementationofelectronicpatientdischarge AT mehdiyousefi strengtheninghospitalcapacityforthecovid19pandemicimplementationofelectronicpatientdischarge AT hamidheidarianmiri strengtheninghospitalcapacityforthecovid19pandemicimplementationofelectronicpatientdischarge AT somayehfazaeli strengtheninghospitalcapacityforthecovid19pandemicimplementationofelectronicpatientdischarge
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Strengthening Hospital Capacity for the COVID-19 Pandemic: Implementation of Electronic Patient Discharge

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