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Evaluation of the clinical process in a critical care information system using the Lean method: a case study
Maryati Mohd Yusof1, Soudabeh Khodambashi, Ariffin Marzuki Mokhtar
1Center for Technology and Software Management, Faculty of Information Science and Technology, Universiti Kebangsaan Malaysia, Bangi 43600, Malaysia. mmy@ftsm.ukm.my
Lean methods, including Value Stream Mapping and A3 reports, effectively identify waste in Health Information Systems (HIS) clinical processes. This study proposes an improved HIS model for greater efficiency.
Area of Science:
- Health Informatics
- Clinical Process Optimization
- Lean Management
Background:
- Health Information Systems (HIS) support clinical workflows.
- Lean methodology optimizes workflows by reducing waste.
- Limited research exists on Lean applications within HIS.
Purpose of the Study:
- Evaluate the efficiency of HIS clinical processes using the Lean method.
- Identify waste and optimize process flow in HIS.
- Assess the IntelliVue Clinical Information Portfolio (ICIP) CCIS.
Main Methods:
- Case study in real clinical settings.
- Employed observations, interviews, and document analysis.
- Utilized Lean tools: Value Stream Mapping and A3 problem-solving.
Main Results:
- Identified inefficiencies and waste within the clinical process.
- Developed a proposed improved process model.
- Highlighted the utility of VSM and A3 for waste identification.
Conclusions:
- Value Stream Mapping and A3 reports effectively identify and reduce waste.
- Proposed a standardized, improved clinical process model.
- Recommended an integrated information system to minimize data redundancy.
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