Related Experiment Video
Updated: Jan 12, 2026
09:52
Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
Published on: January 15, 2017
17.6K
Improving Administrative Processes in a Trauma Centre: Lean and Pareto Approach
R Harsvardhan1, A Jain1, S Singh1
1Department of Hospital Administration, Sanjay Gandhi Postgraduate Institute of Medical Sciences (SGPGIMS), Lucknow, India.
Journal of Healthcare Quality Research
|November 2, 2025
Summary
Integrating Pareto analysis and Gemba Walks effectively identified and resolved key operational challenges in a trauma centre, improving hospital efficiency through structured quality improvement. This approach enhances service delivery in high-pressure environments.
Area of Science:
- Healthcare Management
- Quality Improvement Science
- Operations Research
Background:
- Central Control Rooms (CCR) are vital for hospital operations, coordinating administrative and operational challenges.
- Trauma centers face high-pressure environments with inefficient workflows impacting service delivery.
- Lean Management and Total Quality Management principles, including Pareto analysis and Gemba Walk, offer solutions for identifying and solving problems.
Purpose of the Study:
- To evaluate the effectiveness of integrating Pareto analysis and Gemba Walk in a trauma centre's Central Control Room.
- To identify and address high-priority operational issues impacting service delivery.
- To enhance overall hospital efficiency through a structured quality improvement approach.
Main Methods:
- An interventional study conducted over seven months (April-October 2024) at a trauma centre.
- Phase I: Pareto analysis of registered complaints in CCR to identify frequent and high-impact issues.
- Phase II & III: Introduction of Gemba Walk by a multidisciplinary team, followed by post-intervention Pareto analysis to measure impact.
Main Results:
- Pre-intervention Pareto analysis showed 69.88% of issues originated from 28.6% of complaints.
- Post-intervention analysis revealed a similar distribution (67.77% of issues from 28.6% of complaints), but with a shift in the nature of problems.
- Targeted Gemba Walks led to a change in the types of issues encountered, indicating successful problem-solving at the point of occurrence.
Conclusions:
- The integration of Pareto analysis and Gemba Walk is an effective strategy for identifying and resolving operational challenges in trauma centres.
- This structured quality improvement approach significantly enhances hospital efficiency and service delivery.
- Findings underscore the importance of direct observation and multidisciplinary collaboration in addressing complex healthcare operational issues.
Related Concept Videos
01:15Methods of Documentation VI: Case Management Model
847
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
847
01:26Methods of Documentation II: POMR
1.3K
The Problem-Oriented Medical Record (POMR) revolutionized medical record-keeping by introducing a systematic approach focusing on the patient's problems rather than merely listing symptoms. Dr. Lawrence Weed's introduction of this method in the 1960s marked a significant advancement in medical documentation. The POMR framework consists of four key components: the database, problem list, plan of care, and progress notes.
1.3K
01:15Introduction to Statistical Process Control
593
Statistical Process Control (SPC) is a method used to monitor and control quality within processes, particularly in manufacturing and service delivery, by employing statistical methods. SPC aims to distinguish between natural (common cause) variation and variation due to specific changes or events (special cause), allowing for timely improvements and sustained quality. The control chart, a pivotal tool in SPC, visually displays data over time alongside a central line of upper and lower control...
593
01:30Health Information Technology and Healthcare Information System
3.3K
Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
3.3K
01:21Methods of Documentation III: PIE
2.0K
Problem-intervention-evaluation (PIE) is a systematic approach to documentation used in healthcare settings for clinical decision-making and patient care planning. It is a structured approach to organizing patient data based on problems, interventions, and evaluations. Here's a breakdown of its key features and considerations:
2.0K
01:22Healthcare Associated Infections II: Preventive Measures
3.6K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
3.6K