SIPOC METHOD OF OPTIMIZING THE CLINICAL PROCESS IN OBSTETRICS

  • Edin Medjedovic
  • Lara Spalldi Barisic
  • Enida Nevacinovic
  • Admir Rama
  • Anida Kurtovic
  • Anis Cerovac
Keywords: methods, health services, obstetrics

Abstract


The promptness of providing services to patients directly affects the success of healthcare organizations. In this regard, the implementation of contemporary concepts in healthcare organizations is synonymous with success.

The subject being researched in this paper is the possibility of applying the SIPOC method to the clinical process in obstetrics. A more precise application of the abovementioned method would mean a prompter implementation of activities within the clinical process (pregestational counseling, antenatal care of expectant mothers, deliveries, supervision of women during puerperium). Through the activities of the abovementioned clinical process, an effort is made to meet the health needs of expectant and new mothers. The application of the SIPOC method is not sufficiently present in clinical processes, especially the clinical process in obstetrics, and therefore this paper opens a new research area. 

The aim of this paper is to indicate the relevance of the SIPOC method as one of the tools within the Lean methodology, which can be used to improve the clinical process in obstetrics.

The following materials and methods were applied in this study: the method of analysis, the inductive – deductive method, the method of synthesis, the method of description, the method of proof. Case analysis was also used in the application of the SIPOC matrix at a gynecology and obstetrics outpatient clinic.

The results of the research showed that there was a positive impact on improving the efficiency of the provision of health services, through the implementation of modern methods. The SIPOC method affected the improvement of the efficiency of the clinical process in obstetrics. The review of the literature and the obtained results revealed that there is no formalized concept with instructions on the implementation of clinical process improvement methods.

References

Brown C. Why and how to employ the SIPOC model. J Bus Contin Emer Plan. 2019 Jan 1;12(3):198-210.

Sharma P, Gupta A, Malik SC, Jha PC. Quality Improvement In Manufacturing Process Through Six Sigma: A Case Study Of Indian MSME Firm. Yugoslav Journal of Operations Research 2019; 29(4):519–537. DOI: https://doi.org/10.2298/YJOR190115007S.

Hadek A, Bakkali S, Ajana S. Sipoc Model In Moroccan Engineering Education Context: Lean Approach. International Journal of Education 2019;7(1):47–60. DOI: 10.5121/ije.2019.7104 47.

Chyon BSc FA, Ahmmed BSc MS, Shuvo BSc MKA, Suman BSc MNH, Hossain PhD MM. Measuring Process Capability in a Hospital by Using Lean Six Sigma Tools-A Case Study in Bangladesh. Glob Adv Health Med. 2020 Oct 8;9:2164956120962441. doi: 10.1177/2164956120962441.

Reshad AI, Rahman MM, Chowdhury NM. Performance of Epidemic Healthcare Management during COVID-19 Outbreak using LSS DMAIC Approach: A Case Study for Bangladesh. Proceedings of the 5th NA International Conference on Industrial Engineering and Operations Management, Detroit, Michigan, USA, August 10 - 14, 2020.

Available from: http://www.ieomsociety.org/detroit2020/papers/132.pdf

Dickson EW, Anguelov Z, Vetterick D, Eller A, Singh S. Use of lean in the emergency department: a case series of 4 hospitals. Ann Emerg Med. 2009 Oct;54(4):504-10. doi: 10.1016/j.annemergmed.2009.03.024.

Radnor ZJ, Holweg M, Waring J. Lean in healthcare: the unfilled promise? Soc Sci Med. 2012 Feb;74(3):364-371. doi: 10.1016/j.socscimed.2011.02.011.

Stoiljković V. Lean u Zdravstvu Srbije. [Internet]. [Accessed: June 7, 2022]. Available from: http://www.cimlss.rs/wp-content/uploads/2014/08/Lean-u-Zdravstvu.pdf.

Ambler T. Marketing and the Bottom Line. 2nd ed. Harlow, UK: Financial Times Prentice Hall; 2003.

Piškor M, Kondić V. Lean production kao jedan od načina povećanja konkurentnosti hrvatskih poduzeća na globalnom tržištu. Tehnički glasnik. 2010;4(1-2):37-41. [Internet]. [pristupljeno 07.07.2022.]. Available from: https://hrcak.srce.hr/85887.

Mićović, P. Mneadžment zdravstvenog sistema. Evropski centar za mir i razvoj ECPD Univerziteta za mir Ujedinjenih nacija, 2000.

Bonavía T, Marín JA. An empirical study of lean production in the ceramic tile industry in Spain. Int J Oper Prod Manag. 2006 May 1;26(5):505-31. doi: 10.1108/01443570610659883.

Holden RJ. Lean Thinking in emergency departments: a critical review. Ann Emerg Med. 2011 Mar;57(3):265-78. doi: 10.1016/j.annemergmed.2010.08.001.

Successfully deploying Lean in healthcare. Philips Healthcare. [Internet]. [Accessed: 18.5.2022.]. Available from: https://www.philips.be.

Mićović PM, Jakovljević Đ, Dovijanić P. Zdravstveni menadžment: menadžment zdravstvenog sistema i zdravstvenih ustanova. Beograd: Komora zdravstvenih ustanova Srbije; 2008.

Jae YM, Byeong WK, Young HS, Choon SL, Hyungjoon M. An integrated Method for Business Process Improvement. Int J Innov Comput Inf Control. 2012 July 8(7(B)):5237-50.

Published
2022/09/26
Section
Reviews