The Open Public Health Journal,
Год журнала:
2025,
Номер
18(1)
Опубликована: Май 27, 2025
Background
Early
discharge
planning
(EDP)
in
oncology
is
essential
for
ensuring
continuity
of
care,
reducing
prolonged
hospital
stays,
and
optimizing
resource
utilization.
Prolonged
stays
can
increase
the
risk
infections,
delay
access
to
new
admissions,
strain
healthcare
resources.
Implementing
Lean
Six
Sigma
methodologies
significantly
improved
by
workflow
inefficiencies,
enhancing
compliance,
The
structured
use
DMAIC
process
capability
analysis
led
reduced
lower
bed
occupancy,
patient
transitions,
highlighting
LSS
as
a
practical
framework
continuous
quality
improvement
care.
Purpose
This
study
aimed
improve
efficiency,
outcomes
implementing
methodologies.
Methods
was
conducted
at
Sultan
Qaboos
Comprehensive
Cancer
Care
Research
Center;
this
pre-and
post-intervention
applied
(Define,
Measure,
Analyze,
Improve,
Control)
cycle
identify
inefficiencies
implement
targeted
interventions.
Cp
(Process
Capability
Index)
Cpk
Index
Centering)
are
key
indicators
used
evaluate
process's
ability
meet
specified
limits.
Length
stay,
compliance
rates,
occupancy
were
also
analyzed.
Qualitative
data
supplemented
findings
from
staff
interviews
mapping.
Results
Post-intervention,
mean
rate
increased
89.54%
68.10%
(p-value
<0.05).
By
68.82%,
observations
below
80%
threshold
reduced.
Process
indices
improved,
with
Pp
rising
0.41
0.22
Ppk
increasing
0.39
-0.27.
As
reflected
improvements
Z.Bench
score,
Variability
-0.80
1.18.
experienced
noticeable
decline
77%
September
2024
95%
June
An
overall
decrease
average
length
stay
(LOS)
shown
be
6.5
days
2024,
compared
9.0
Conclusion
efficiency
compliance.
significant
reduction
LOS
reflects
success
improving
safety,
utilization,
leading
better
underscore
potential
optimize
workflows
foster
culture
healthcare.
IGI Global eBooks,
Год журнала:
2025,
Номер
unknown, С. 31 - 58
Опубликована: Апрель 30, 2025
Blockchain
technology
is
revolutionizing
healthcare
through
decentralization,
security,
and
interoperability.
As
compared
with
traditional
centrally
stored
databases,
blockchain
enables
patients
to
have
full
control
over
their
information
secure
efficient
electronic
health
record
(EHR)
exchanges.
Sensitive
medical
secured
use
cryptographic
keys,
minimizing
cybersecurity
risks
its
use.
Administrative
processes
such
as
consent
claims
processing
via
smart
contracts
make
less
costly.
In
pharmacy,
drugs
can
be
validated
blockchain,
effectively
eradicating
counterfeit
drugs.
Transparency
in
the
supply
chain
also
increased,
inefficiencies
resolved
Regulatory
barriers,
however,
not
yet
been
addressed,
but
a
patient-first
model
for
care
facilitated
increased
efficiency,
transparency
management,
creating
more
networked
environment.
Journal of Education and Health Promotion,
Год журнала:
2025,
Номер
14(1)
Опубликована: Апрель 1, 2025
The
lack
of
a
triage
system
for
urgent
surgical
patients
leads
to
non-standardized
decision-making.
Developing
an
instrument
objectively
identify
the
complexity
care
required
each
case
is
challenging.
aim
this
report
develop
and
validate
patient
classification
using
Delphi
technique.
study
was
conducted
in
several
stages:
(1)
definition
construct;
(2)
item
elaboration;
(3)
expert
analysis;
(4)
selection;
(5)
pretest.
In
first
study,
scale
items
were
designed
content
validity
confirmed.
second
factorial
structure
analyzed.
third
alternative
measurement
models
tested.
fourth
criterion
Experts
validated
14
(31.81%)
from
Domain
1
with
75%
agreement
specific
2
100%
agreement.
Factor
analysis
indicated
two-factor
solution
explaining
58.4%
variance.
bifactor
model
presented
best
fit
(χ2/df
=
1.51;
CFI
0.95;
TLI
0.94;
RMSEA
0.051;
SRMR
0.043).
Factors
showed
excellent
internal
consistency
(α
>
0.88;
CR
0.90;
ω
0.92).
This
pioneering
developed
classifying
regarding
their
priority
care.
deemed
valid
terms
content,
based
on
consensus.
Further
studies
are
recommended
evaluate
its
practical
application
perform
additional
psychometric
measures.
has
potential
enhance
organization
emergency
services
operating
theaters,
promoting
safety
efficient
resource
management
healthcare
institutions.
Its
implementation
should
align
current
health
guidelines
policies
optimize
prioritization
process
patients.
Abstract
Digital
health
refers
to
the
use
of
information
and
communication
technologies
increase
healthcare’s
efficiency
accessibility.
Healthcare
systems
are
increasingly
recognizing
need
integrate
modern
optimize
patient
outcomes.
However,
promising
innovations
integration
into
national
strategies
face
challenges,
especially
in
low-
middle-income
regions,
including
Kurdistan.
This
review
describes
several
digital
Kurdistan,
software
implementation
for
data
management,
such
as
District
Health
Information
Software
2,
establishment
telemedicine
services,
utilization
machine
learning
algorithms
mortality
prediction,
particularly
during
COVID-19
pandemic.
Despite
numerous
advantages
technologies,
challenges
remain
their
widespread
adoption,
lack
a
comprehensive
regulatory
legal
framework
free
adoption
technical
issues
with
satisfaction.
Our
key
recommendations
development
robust
infrastructure
innovations,
enhancement
healthcare
professionals’
literacy
through
targeted
training
programs,
services
remote
rural
areas.
In
conclusion,
learning,
telemedicine,
electronic
records,
have
assisted
accessibility
quality
underserved
areas,
by
providing
immediate
access
facilitating
decision-making
clinical
decision
support
tools,
consultations,
cost-efficient
.
The Open Public Health Journal,
Год журнала:
2025,
Номер
18(1)
Опубликована: Май 27, 2025
Background
Early
discharge
planning
(EDP)
in
oncology
is
essential
for
ensuring
continuity
of
care,
reducing
prolonged
hospital
stays,
and
optimizing
resource
utilization.
Prolonged
stays
can
increase
the
risk
infections,
delay
access
to
new
admissions,
strain
healthcare
resources.
Implementing
Lean
Six
Sigma
methodologies
significantly
improved
by
workflow
inefficiencies,
enhancing
compliance,
The
structured
use
DMAIC
process
capability
analysis
led
reduced
lower
bed
occupancy,
patient
transitions,
highlighting
LSS
as
a
practical
framework
continuous
quality
improvement
care.
Purpose
This
study
aimed
improve
efficiency,
outcomes
implementing
methodologies.
Methods
was
conducted
at
Sultan
Qaboos
Comprehensive
Cancer
Care
Research
Center;
this
pre-and
post-intervention
applied
(Define,
Measure,
Analyze,
Improve,
Control)
cycle
identify
inefficiencies
implement
targeted
interventions.
Cp
(Process
Capability
Index)
Cpk
Index
Centering)
are
key
indicators
used
evaluate
process's
ability
meet
specified
limits.
Length
stay,
compliance
rates,
occupancy
were
also
analyzed.
Qualitative
data
supplemented
findings
from
staff
interviews
mapping.
Results
Post-intervention,
mean
rate
increased
89.54%
68.10%
(p-value
<0.05).
By
68.82%,
observations
below
80%
threshold
reduced.
Process
indices
improved,
with
Pp
rising
0.41
0.22
Ppk
increasing
0.39
-0.27.
As
reflected
improvements
Z.Bench
score,
Variability
-0.80
1.18.
experienced
noticeable
decline
77%
September
2024
95%
June
An
overall
decrease
average
length
stay
(LOS)
shown
be
6.5
days
2024,
compared
9.0
Conclusion
efficiency
compliance.
significant
reduction
LOS
reflects
success
improving
safety,
utilization,
leading
better
underscore
potential
optimize
workflows
foster
culture
healthcare.
