Applying Lean Thinking to Improve Discharge Process for Sick Newborn Babies, Pediatric Ward 3, Buddhachinaraj Phitsanulok Hospital
Keywords:
: Applying Lean Thinking, Discharge Process, Sick Newborn BabiesAbstract
Improving the service process by using Lean thinking of Womack and Jones (2003) can provide efficient and fast service to consumers. The purpose of this independent study was to improve the discharge process for sick newborn babies in Pediatric Ward 3, Buddhachinaraj Phitsanulok Hospital, by using Lean Thinking. The sample of this study included 20 personnel and discharge activities of the sick newborn baby from July to October 2017. The research instruments included: 1) a table for describing the activities of the discharge process, 2) a form for value analysis of discharge activity, 3) a record form for time spent on discharge activity 4) the focus group interview guidelines regarding problems and recommendations. These research instruments were validated by three experts. The inter-rater reliability of two observers for time recording was 1.0. The data was analyzed using descriptive statistics.
The results revealed that:
- The patient discharge process for sick newborn babies improvement applying Lean thinking in Pediatric Ward 3 consisted of 5 major activities and 15 minor activities which is reduced from the original 23 minor activities for the process before improvement.
- The standard time of the improved patient discharge process for sick newborn babies applying Lean thinking in Pediatric Ward 3 was 43.47 minutes which is reduced from the original standard time of 135.02 minutes for the process before improvement.
- The problems of applying Lean Thinking to improve discharge process for sick newborn babies in Pediatric Ward 3 include: 1) the different perceptions and understandings of Lean Thinking among personnel 2) the computer was old and the software program was not stable 3) some of the step of the Lean process were difficult to do when the workload was high. The recommendations included the continuous development of a plan to educate personnel about Lean Thinking, notifying the administrator about the computer and software program problems, and assigning the staff to match the workload.
The results of this study revealed that the improvement of the discharge process for sick newborn babies by applying Lean thinking can reduce the activities and time spent on the process. Therefore, administrators can use the results of the study as a guideline to improve the other service process in the organization.
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