Vol. 7 (2023): Publicación continua
E) Procesos de formación y actores de la educación

Systematic literature review and emerging trends of Six Sigma in the field of healthcare

PDF (Español)
  • Aaron Guerrero Campanur,
  • Francisco Jesús Arévalo Carrasco,
  • Gilberto Chávez Esquivel
Aaron Guerrero Campanur
Tecnológico Nacional de México/Instituto Tecnológico Superior de Uruapan, Michoacán, México
Bio
Francisco Jesús Arévalo Carrasco
Tecnológico Nacional de México/Instituto Tecnológico Superior de Uruapan, Michoacán, México
Bio
Gilberto Chávez Esquivel
Tecnológico Nacional de México/Instituto Tecnológico Superior de Uruapan, Michoacán, México
Bio
Portada-7
DOI: https://doi.org/10.33010/recie.v7i0.1994

Published 2023-12-21

Keywords

  • Estudios bibliométricos,
  • educación y salud,
  • calidad total,
  • eficiencia,
  • Six Sigma
  • Bibliometric studies,
  • education and health,
  • total quality,
  • efficiency,
  • Six Sigma

How to Cite

Guerrero Campanur, A., Arévalo Carrasco, F. J., & Chávez Esquivel, G. (2023). Systematic literature review and emerging trends of Six Sigma in the field of healthcare. RECIE. Revista Electrónica Científica De Investigación Educativa, 7, e1994. https://doi.org/10.33010/recie.v7i0.1994

Copyright (c) 2023

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

Abstract

This article presents a bibliometric analysis focused on the Six Sigma methodology, using the PubMed and Medline search engine and the Biblioshiny software (RStudio) to explore indexed publications over the past three decades. The aim of this systematic literature review is to identify outstanding publications, documents, and authors openly addressing topics related to Six Sigma. Despite having identified influential authors, there is limited attention from the community in this field. Recently the Six Sigma community has expanded its focus to the healthcare sector, contrasting with its historical application in manufacturing and services, which were previously treated separately. The COVID-19 pandemic has underscored the intense pressure on the effectiveness of healthcare systems. In response, recent research is driving the learning and adoption of the Six Sigma methodology to ensure quality in the healthcare domain. The contribution of this work is considered a valuable addition to the current discourse and interest in learning and applying Six Sigma in the healthcare field.

PDF (Español)

References

  1. Antony, J., y Banuelas, R. (2002). Statistical process control and improvement methodology for achieving Six Sigma performance. International Journal of Production Economics, 80(2), 129-141.
  2. Bajaj, P., Kollipara, U., Koganti, R., Wang, D. (C.), Chennu, N., Bhat, D., Mutz, J., Willett, D., Fish, J., y Karp, D. (2021). Coupled effect of electronic medical record modifications and Lean Six Sigma methodology on rheumatoid arthritis disease activity measurement and treat-to-target outcomes. ACR Open Rheumatology, 3(3), 164-172. https://doi.org/10.1002/acr2.11233
  3. Cesarelli, G., Petrelli, R., Ricciardi, C., D’Addio, G., Monce, O., Ruccia, M., y Cesarelli, M. (2021). Reducing the healthcare-associated infections in a rehabilitation hospital under the guidance of Lean Six Sigma and DMAIC. Healthcare, 9(12), 1667. https://doi.org/10.3390/healthcare9121667
  4. Daly, A., Teeling, S. P., Ward, M., McNamara, M., y Robinson, C. (2021a). The use of Lean Six Sigma for improving availability of and access to emergency department data to facilitate patient flow. International Journal of Environmental Research and Public Health, 18(21), 11030. https://doi.org/10.3390/ijerph182111030
  5. Daly, A., Wolfe, N., Teeling, S. P., Ward, M., y McNamara, M. (2021b). Redesigning the process for scheduling elective orthopaedic surgery: A combined Lean Six Sigma and person-centred approach. International Journal of Environmental Research and Public Health, 18(22), 11946. https://doi.org/10.3390/ijerph182211946
  6. Dempsey, A., Robinson, C., Moffatt, N., Hennessy, T., Bradshaw, A., Teeling, S. P., Ward, M., y McNamara, M. (2021). Lean Six Sigma redesign of a process for healthcare mandatory education in basic life support—A pilot study. International Journal of Environmental Research and Public Health, 18(21), 11653. https://doi.org/10.3390/ijerph182111653
  7. Egan, P., Pierce, A., Flynn, A., Teeling, S. P., Ward, M., y McNamara, M. (2021). Releasing operating room nursing time to care through the reduction of surgical case preparation time: A Lean Six Sigma pilot study. International Journal of Environmental Research and Public Health, 18(22), 12098. https://doi.org/10.3390/ijerph182212098
  8. Garvanovic, S. H., Gatling, J. W., Wang, A. T., Wong, C. M., Stevens, W. T., Lauer, R. E., y Ramsingh, D. (2021). Using Lean Six Sigma to decrease delivery time of blood products to the operating room. A&A Practice, 15(5), e01463. https://doi.org/10.1213/xaa.0000000000001463
  9. Geto, Z., Getahun, T., Lejisa, T., Tolcha, Y., Bikila, D., Bashea, C., Meles, M., Habtu, W., Ashebir, G., Negasa, B., Sileshi, M., Daniel, Y., Gashu, A., y Challa, F. (2022). Evaluation of Sigma metrics and Westgard rule selection and implementation of internal quality control in clinical chemistry reference laboratory, Ethiopian public health institute. Indian Journal of Clinical Biochemistry: IJCB, 37(3), 285-293. https://doi.org/10.1007/s12291-021-00994-x
  10. Improta, G., Borrelli, A., y Triassi, M. (2022). Machine learning and Lean Six Sigma to assess how COVID-19 has changed the patient management of the Complex Operative Unit of Neurology and Stroke Unit: A single center study. International Journal of Environmental Research and Public Health, 19(9), 5215. https://doi.org/10.3390/ijerph19095215
  11. Kubala, M., Gardner, J. R., Criddle, J., Ward, A., y Richter, G. T. (2021). Utilizing process improvement strategies to generate clinic templates and improve patient flow in pediatric otolaryngology. International Journal of Pediatric Otorhinolaryngology, 147(110779), 110779. https://doi.org/10.1016/j.ijporl.2021.110779
  12. Kumar, B., Fick, B., Seeman, L., Levins, L., Davis, B., y Swee, M. L. (2022a). Development of a COVID-19 vaccine readiness kit for veterans with rheumatologic diseases on immunomodulators: A quality improvement project. Journal of Clinical Rheumatology: Practical Reports on Rheumatic & Musculoskeletal Diseases, 28(2), 62-68. https://doi.org/10.1097/rhu.0000000000001800
  13. Kumar, B., Mosher, H., Farag, A., y Swee, M. (2023). How can we champion diversity, equity and inclusion within Lean Six Sigma? Practical suggestions for quality improvement. BMJ Quality & Safety, 32(5), 296-300. https://doi.org/10.1136/bmjqs-2022-014892
  14. Kumar, B., Zetumer, S., Swee, M., Endelman, E. L. K., Suneja, M., y Davis, B. (2022b). Reducing delays in diagnosing primary immunodeficiency through the development and implementation of a clinical decision support tool: Protocol for a quality improvement project. JMIR Research Protocols, 11(1), e32635. https://doi.org/10.2196/32635
  15. Latessa, I., Ricciardi, C., Jacob, D., Jónsson, H. Jr, Gambacorta, M., Improta, G., y Gargiulo, P. (2021). Health technology assessment through Six Sigma Methodology to assess cemented and uncemented protheses in total hip arthroplasty. European Journal of Translational Myology, 31(1), https://doi.org/10.4081/ejtm.2021.9651
  16. Liu, Q., Bian, G., Chen, X., Han, J., Chen, Y., Wang, M., y Yang, F. (2021a). Application of a six sigma model to evaluate the analytical performance of urinary biochemical analytes and design a risk-based statistical quality control strategy for these assays: A multicenter study. Journal of Clinical Laboratory Analysis, 35(11). https://doi.org/10.1002/jcla.24059
  17. Liu, Q., Chen, X., Han, J., Chen, Y., Wang, M., Zhao, J., Liang, W., y Yang, F. (2021b). Application of a six sigma model to the evaluation of the analytical performance of serum enzyme assays and the design of a quality control strategy for these assays: A multicentre study. Clinical Biochemistry, 91, 52-58. https://doi.org/10.1016/j.clinbiochem.2021.02.004
  18. Meyer, C., Mitra, S., Ruebush, E., Sisler, L., Wang, K., y Goldstein, A. O. (2020). A Lean quality improvement initiative to enhance tobacco use treatment in a cancer hospital. International Journal of Environmental Research and Public Health, 17(6), 2165. https://doi.org/10.3390/ijerph17062165
  19. Mittal, A., Gupta, P., Kumar, V., Al Owad, A., Mahlawat, S., y Singh, S. (2023). The performance improvement analysis using Six Sigma DMAIC methodology: A case study on Indian manufacturing company. Heliyon, 9(3), e14625. https://doi.org/10.1016/j.heliyon.2023.e14625
  20. Moffatt, S., Garry, C., McCann, H., Teeling, S. P., Ward, M., y McNamara, M. (2022). The use of Lean Six Sigma methodology in the reduction of patient length of stay following anterior cruciate ligament reconstruction surgery. International Journal of Environmental Research and Public Health, 19(3), 1588. https://doi.org/10.3390/ijerph19031588
  21. O’Mahony, L., McCarthy, K., O’Donoghue, J., Teeling, S. P., Ward, M., y McNamara, M. (2021). Using lean Six Sigma to redesign the supply chain to the Operating Room department of a private hospital to reduce associated costs and release nursing time to care. International Journal of Environmental Research and Public Health, 18(21), 11011. https://doi.org/10.3390/ijerph182111011
  22. Paoletti, F., Giorgio, V., Jaser, A., Zanoni, N. R., Ricciardi, W., Citterio, F., y De Belvis, A. G. (2023). Process control: Simply a matter of efficiency or of survival and costs? A single-centre quality improvement project in living donor renal transplant. BMC Health Services Research, 23(1). https://doi.org/10.1186/s12913-023-09183-3
  23. Peng, S., Zhang, J., Zhou, W., Mao, W., y Han, Z. (2021). Practical application of Westgard Sigma rules with run size in analytical biochemistry processes in clinical settings. Journal of Clinical Laboratory Analysis, 35(3). https://doi.org/10.1002/jcla.23665
  24. Pierce, A., Teeling, S. P., McNamara, M., O’Daly, B., y Daly, A. (2023). Using Lean Six Sigma in a private hospital setting to reduce trauma orthopedic patient waiting times and associated administrative and consultant caseload. Healthcare, 11(19), 2626. https://doi.org/10.3390/healthcare11192626
  25. Ponsiglione, A. M., Ricciardi, C., Improta, G., Dell'Aversana, G., Sorrentino, A., Amato, F., y Romano, M. (2021a). A Six Sigma DMAIC methodology as a support tool for health technology assessment of two antibiotics. Mathematical Biosciences and Engineering: MBE, 18(4), 3469-3490. https://doi.org/10.3934/mbe.2021174
  26. Ponsiglione, A. M., Ricciardi, C., Scala, A., Fiorillo, A., Sorrentino, A., Triassi, M., Dell’Aversana, G., e Improta, G. (2021b). Application of DMAIC cycle and modeling as tools for Health Technology Assessment in a university hospital. Journal of Healthcare Engineering, 2021, 1-11. https://doi.org/10.1155/2021/8826048
  27. Pyzdek, T., y Keller, P. A. (2014). The Six Sigma handbook: A complete guide for green belts, black belts, and managers at all levels. McGraw-Hill Education.
  28. Ren, A., Wang, X. Y., Cheng, P. L., Brinc, D., Berman, M. I., y Kulasingam, V. (2023). Analytical evaluation and Sigma metrics of 6 next generation chemistry assays on the Abbott Architect system. Clinica Chimica Acta, 542, 117276. https://doi.org/10.1016/j.cca.2023.117276
  29. Ricciardi, C., Dell'Aversana, G., Picone, I., Latessa, I., Fiorillo, A., Sorrentino, A., Triassi, M., e Improta, G. (2021a). A health technology assessment in maxillofacial cancer surgery by using the Six Sigma methodology. International Journal of Environmental Research and Public Health, 18(18), 9846. https://doi.org/10.3390/ijerph18189846
  30. Ricciardi, C., Gubitosi, A., Lanzano, G., Parisi, S., Grella, E., Ruggiero, R., Izzo, S., Docimo, L., Ferraro, G., e Improta, G. (2021b). Health technology assessment through the six sigma approach in abdominoplasty: Scalpel vs electrosurgery. Medical Engineering & Physics, 93, 27-34. https://doi.org/10.1016/j.medengphy.2021.05.019
  31. Ricciardi, C., Gubitosi, A., Vecchione, D., Cesarelli, G., De Nola, F., Ruggiero, R., Docimo, L., e Improta, G. (2022). Comparing two approaches for thyroidectomy: A health technology assessment through DMAIC cycle. Healthcare, 10(1), 124. https://doi.org/10.3390/healthcare10010124
  32. Scala, A., Ponsiglione, A. M., Loperto, I., Della Vecchia, A., Borrelli, A., Russo, G., Triassi, M., e Improta, G. (2021). Lean Six Sigma approach for reducing length of hospital stay for patients with femur fracture in a university hospital. International Journal of Environmental Research and Public Health, 18(6), 2843. https://doi.org/10.3390/ijerph18062843
  33. Shang, X., Zhao, F., Du, J., Li, R., Xia, L., Hou, L., Cheng, X., Ding, Y., Li, P., Liu, M., Ma, C., Wang, Z., Ding, J., Ge, Z., Wang, G., Guo, T., Fu, Y., Xiao, M., Yang, Q., Qiu, L., y Xu, Y. (2023). Development and clinical evaluation of an online automated quality control system for improving laboratory quality management. Clinica Chimica Acta, 541, 117240. https://doi.org/10.1016/j.cca.2023.117240
  34. Swee, M. L., Sanders, M. L., Phisitkul, K., Bailey, G., Thumann, A., Neuzil, N., Kumar, B., O’Shea, A. M. J., y Dixon, B. S. (2020). Development and implementation of a telenephrology dashboard for active surveillance of kidney disease: A quality improvement project. BMC Nephrology, 21(1). https://doi.org/10.1186/s12882-020-02077-0
  35. Teeling, S. P., Dewing, J., y Baldie, D. (2021). A realist inquiry to identify the contribution of Lean Six Sigma to person-centred care and cultures. International Journal of Environmental Research and Public Health, 18(19), 10427. https://doi.org/10.3390/ijerph181910427
  36. Teeling, S. P., Dewing, J., y Baldie, D. (2022). Developing new methods for person-centred approaches to adjudicate context–mechanism–outcome configurations in realist evaluation. International Journal of Environmental Research and Public Health, 19(4), 2370. https://doi.org/10.3390/ijerph19042370
  37. Tlapa, D., Tortorella, G., Fogliatto, F., Kumar, M., Mac Cawley, A., Vassolo, R., Enberg, L., y Baez-Lopez, Y. (2022). Effects of lean interventions supported by digital technologies on healthcare services: A systematic review. International Journal of Environmental Research and Public Health, 19(15), 9018. https://doi.org/10.3390/ijerph19159018
  38. Wang, M.-H., Kalita, A. J., Orozco-Ic, M., Yan, G.-R., Chen, C., Yan, B., Castillo-Toraya, G., Tiznado, W., Guha, A. K., Pan, S., Merino, G., y Cui, Z.-H. (2023). Planar pentacoordinate s-block metals. Chemical Science, 14(33), 8785-8791. https://doi.org/10.1039/d2sc05939h
  39. Ward, M. E., Daly, A., McNamara, M., Garvey, S., y Teeling, S. P. (2022). A case study of a whole system approach to improvement in an acute hospital setting. International Journal of Environmental Research and Public Health, 19(3), 1246. https://doi.org/10.3390/ijerph19031246
  40. Wolfe, N., Teeling, S. P., Ward, M., McNamara, M., y Koshy, L. (2021). Operation note transformation: The application of Lean Six Sigma to improve the process of documenting the operation note in a private hospital setting. International Journal of Environmental Research and Public Health, 18(22), 12217. https://doi.org/10.3390/ijerph182212217
  41. Yang, L., Wang, H., Cao, J., Qian, Y., Gu, Y., y Chu, C. (2021). Effects of Six Sigma methodology on depression and anxiety of patients with end-stage renal disease. Annals of Palliative Medicine, 10(4), 4375-4383. https://doi.org/10.21037/apm-21-254
  42. Zhao, F., Pan, G., Hong, M., Zhao, H., Liu, M., Wang, S., Sun, X., y Cao, Y. (2023). Evaluation of analytical performance of homocysteine LC-MS/MS assay and design of internal quality control strategy. Clinical Chemistry and Laboratory Medicine, 61(6), 1069-1074. https://doi.org/10.1515/cclm-2022-0805