Admission, Discharge, and Transfer Office, Sultan Qaboos Comprehensive Cancer Care and Research Centre (SQCCCRC), Muscat, Oman.
Quality and Accreditation Department, Sultan Qaboos Comprehensive Cancer Care and Research Centre (SQCCCRC), Muscat, Oman.
Asian Pac J Cancer Prev. 2024 Apr 1;25(4):1293-1300. doi: 10.31557/APJCP.2024.25.4.1293.
This study aimed to reduce the number of patients discharged without scheduled follow-up appointments by implementing lean management principles.
Conducted at the Sultan Qaboos Comprehensive Cancer Center in Muscat, Oman, the research utilized a one-group pretest-posttest quasi-experimental design to evaluate the impact of lean management interventions on the rate of patient discharges without follow-up appointments. Strategies such as the Kaizen principle, Gemba Walks, cross-functional collaboration, standard work procedures, and waste reduction were employed to enhance operational efficiency.
Spanning from Quarter 3 of 2022 to Quarter 2 of 2023, the study demonstrated a significant decrease in the percentage of patients discharged without planned follow-up appointments. The rate dropped from 9% in September 2022 to 0% in March 2023, with statistically significant differences observed (X2= 65.05, p value=<.0001).
By effectively implementing lean management principles, this research successfully enhanced care continuity for oncology patients after being discharged.
本研究旨在通过实施精益管理原则，减少未按计划安排随访预约就出院的患者人数。
本研究在阿曼马斯喀特的苏丹卡布斯综合癌症中心进行，采用单组前后测试准实验设计，评估精益管理干预措施对无随访预约出院患者比例的影响。该研究采用了 Kaizen 原则、现场观察、跨职能协作、标准工作程序和减少浪费等策略，以提高运营效率。
研究时间跨度为 2022 年第三季度至 2023 年第二季度，结果显示，未按计划安排随访预约就出院的患者百分比显著下降。该比例从 2022 年 9 月的 9%降至 2023 年 3 月的 0%，差异具有统计学意义（X2=65.05，p 值<.0001）。
本研究通过有效实施精益管理原则，成功提高了肿瘤患者出院后的护理连续性。
