Testik Özlem Müge, Shaygan Amir, Dasdemir Erdi, Soydan Guray
Department of Industrial Engineering, Hacettepe University, Ankara, Turkey (Dr Testik and Messrs Shaygan and Dasdemir); and Department of Medical Pharmacology, Hacettepe University, Ankara, Turkey (Dr Soydan).
Qual Manag Health Care. 2017 Jan/Mar;26(1):40-48. doi: 10.1097/QMH.0000000000000119.
It is often vital to identify, prioritize, and select quality improvement projects in a hospital. Yet, a methodology, which utilizes experts' opinions with different points of view, is needed for better decision making.
The proposed methodology utilizes the cause-and-effect diagram to identify improvement projects and construct a project hierarchy for a problem. The right improvement projects are then prioritized and selected using a weighting scheme of analytical hierarchy process by aggregating experts' opinions. An approach for collecting data from experts and a graphical display for summarizing the obtained information are also provided.
The methodology is implemented for improving a hospital appointment system. The top-ranked 2 major project categories for improvements were identified to be system- and accessibility-related causes (45%) and capacity-related causes (28%), respectively. For each of the major project category, subprojects were then ranked for selecting the improvement needs.
The methodology is useful in cases where an aggregate decision based on experts' opinions is expected. Some suggestions for practical implementations are provided.
在医院中识别、确定优先次序并选择质量改进项目通常至关重要。然而，需要一种利用不同观点专家意见的方法来做出更好的决策。
所提出的方法利用因果图来识别改进项目并构建问题的项目层次结构。然后通过汇总专家意见，使用层次分析法的加权方案对正确的改进项目进行优先级排序和选择。还提供了一种从专家那里收集数据的方法以及用于汇总所获信息的图形显示。
该方法用于改进医院预约系统。确定排名靠前的2个主要改进项目类别分别是与系统和可及性相关的原因（45%）以及与容量相关的原因（28%）。然后针对每个主要项目类别，对子项目进行排名以选择改进需求。
该方法在期望基于专家意见做出综合决策的情况下很有用。提供了一些实际实施的建议。
