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16 results on '"Suman, Gaurav"'

2. Compact City and Related Impact on Sustainable Development in Urban Areas

Author

Metre, Kaivalya, Baghel, Harshit, Suman, Gaurav, Batra, Mohit, Ghodmare, Sujesh D., di Prisco, Marco, Series Editor, Chen, Sheng-Hong, Series Editor, Vayas, Ioannis, Series Editor, Kumar Shukla, Sanjay, Series Editor, Sharma, Anuj, Series Editor, Kumar, Nagesh, Series Editor, Wang, Chien Ming, Series Editor, Gupta, Laxmikant Madanmanohar, editor, Ray, Maya Rajnarayan, editor, and Labhasetwar, Pawan Kumar, editor

Published
2021
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7. Application of Lean and Six Sigma for Intestinal Obstruction Patients-A Case Study.

Author

Prajapati, Deoraj and Suman, Gaurav

Subjects
LEAN management, SIX Sigma, BOWEL obstructions, LENGTH of stay in hospitals, ROOT cause analysis
Abstract

The purpose of this paper is to apply Lean and Six Sigma techniques in Indian hospital to investigate the barriers in length of stay (LOS) period of Intestinal obstruction patients. The Six Sigma's DMAIC (Define-Measure-Analyse-Improve-Control) procedure is being applied along with standard Lean tools. The detailed data of patients are observed over a period of eight months. The mean LOS is computed to be 11.55 days with standard deviation of 3.34 days. The value stream mapping is used to find various non-value added activities and Fishbone diagram is utilized to determine root causes of the process. Patient's feedback and GEMBA observations are used to validate the possible causes for the problem. It is observed that nearly 70% of total LOS is non-value added time and can be minimized to reduce the LOS. The waiting time for surgery, time for admission, time for discharge, lack of motivation from doctors, etc. are identified as root causes for the process. It is concluded that Lean and Six Sigma methodologies have great potential to produce clinically significant improvement for surgical patients. [ABSTRACT FROM AUTHOR]

Published
2023

9. Control chart applications in healthcare: a literature review

Author

Suman Gaurav and Prajapati DeoRaj

Subjects
Statistical process control, Control charts, Healthcare sector, Countries, Departments, Technology
Abstract

The concept of Statistical process control (SPC) was given by the physicist Walter Shewhart in order to improve the industrial manufacturing. The SPC was firstly applied in laboratory and after then shifted to patient level in hospitals. As there is more involvement of human in healthcare, the chances of errors are also more. SPC i.e., control chart can help in determining the source of errors by identifying the special and common causes of variations. This paper presents the review of literature on the application of SPC and control chart in healthcare sector. Forty articles are selected out of 142 potentially relevant searched studies. Selected studies are categorised into eight departments. Literature survey shows that most of work on control chart applications in healthcare is carried out in Surgery, Emergency and Epidemiology departments. US, UK and Australia are the main customers where maximum amount of work was done. The US is the country where control chart in healthcare sector have been used at regular interval. This shows the gap of deploying control chart in different departments and different countries as well. The CUSUM and EWMA chart came into picture in healthcare sector after 2008 and are used at regular interval.

Published
2018
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