The impact of lean six sigma program on the performance standards of pre-hospital emergency: A semi-experimental study

Background: Emergency medical services (EMSs) organize care provided to patients in out-of-hospital settings, playing a crucial role in minimizing physical and psychological harm resulting from diseases and emergencies. Consequently, pre-hospital emergency is an integral component of healthcare syst...

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Main Authors: Ehsan Koshki, Mohammad Zarezadeh, Khadijeh Nasiriani
Format: Article
Language:English
Published: Zanjan University of Medical Sciences and Health Services 2024-08-01
Series:Preventive Care in Nursing and Midwifery Journal
Subjects:
Online Access:http://nmcjournal.zums.ac.ir/article-1-916-en.pdf
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author Ehsan Koshki
Mohammad Zarezadeh
Khadijeh Nasiriani
author_facet Ehsan Koshki
Mohammad Zarezadeh
Khadijeh Nasiriani
author_sort Ehsan Koshki
collection DOAJ
description Background: Emergency medical services (EMSs) organize care provided to patients in out-of-hospital settings, playing a crucial role in minimizing physical and psychological harm resulting from diseases and emergencies. Consequently, pre-hospital emergency is an integral component of healthcare systems, requiring performance standards to improve outcomes for injuries and other illnesses. Thus, the effective utilization of modern management methodologies is essential in this context. Objectives: The current study aimed to determine the impact of the Lean Six Sigma (LSS) program on performance standards of pre-hospital emergency. Methods: This single-group quasi-experimental study with a pretest-posttest design was conducted on 50 pre-hospital emergency personnel in Koohdasht County in 2023 using a census method. The research tool included a performance standard measurement checklist, completed through observation before and after implementing the LSS method. Data were analyzed using the paired t-test in SPSS v.18 software. Results: The findings revealed that the majority of participants held bachelor’s degrees (54%), were contractual employees (56%), and were all male. There was a statistically significant difference in the mean score of the performance standards in the personnel (p=0.001), equipment (p<0.001), and overall (p<0.001) dimensions before and after the intervention. Conclusion: Based on the findings, the implementation of the LSS program was able to enhance the performance standards of pre-hospital emergency in the personnel and equipment dimensions, and overall. Hence, the use of this method is recommended in other centers and other dimensions affecting the performance standards of pre-hospital emergency.
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spelling doaj-art-46dd611b45384c3eae00b567cc5985e62024-11-27T06:37:20ZengZanjan University of Medical Sciences and Health ServicesPreventive Care in Nursing and Midwifery Journal2588-44412588-445X2024-08-01142515810.61186/pcnm.14.2.51The impact of lean six sigma program on the performance standards of pre-hospital emergency: A semi-experimental studyEhsan Koshki0https://orcid.org/0009-0000-3740-8876Mohammad Zarezadeh1https://orcid.org/0000-0001-8256-910XKhadijeh Nasiriani2https://orcid.org/0000-0003-3600-9456Department of Nursing, Nursing and Midwifery Care Research Center, Non-Communicable Diseases Research Institute, Shahid Sadougi University of Medical Sciences, Yazd, Iran Department of Health Management and ecomomics, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran Department of Nursing, Nursing and Midwifery Care Research Center, Non-Communicable Diseases Research Institute, Shahid Sadougi University of Medical Sciences, Yazd, Iran Background: Emergency medical services (EMSs) organize care provided to patients in out-of-hospital settings, playing a crucial role in minimizing physical and psychological harm resulting from diseases and emergencies. Consequently, pre-hospital emergency is an integral component of healthcare systems, requiring performance standards to improve outcomes for injuries and other illnesses. Thus, the effective utilization of modern management methodologies is essential in this context. Objectives: The current study aimed to determine the impact of the Lean Six Sigma (LSS) program on performance standards of pre-hospital emergency. Methods: This single-group quasi-experimental study with a pretest-posttest design was conducted on 50 pre-hospital emergency personnel in Koohdasht County in 2023 using a census method. The research tool included a performance standard measurement checklist, completed through observation before and after implementing the LSS method. Data were analyzed using the paired t-test in SPSS v.18 software. Results: The findings revealed that the majority of participants held bachelor’s degrees (54%), were contractual employees (56%), and were all male. There was a statistically significant difference in the mean score of the performance standards in the personnel (p=0.001), equipment (p<0.001), and overall (p<0.001) dimensions before and after the intervention. Conclusion: Based on the findings, the implementation of the LSS program was able to enhance the performance standards of pre-hospital emergency in the personnel and equipment dimensions, and overall. Hence, the use of this method is recommended in other centers and other dimensions affecting the performance standards of pre-hospital emergency. http://nmcjournal.zums.ac.ir/article-1-916-en.pdftotal quality managementemergency medical servicesinstitutional practice
spellingShingle Ehsan Koshki
Mohammad Zarezadeh
Khadijeh Nasiriani
The impact of lean six sigma program on the performance standards of pre-hospital emergency: A semi-experimental study
Preventive Care in Nursing and Midwifery Journal
total quality management
emergency medical services
institutional practice
title The impact of lean six sigma program on the performance standards of pre-hospital emergency: A semi-experimental study
title_full The impact of lean six sigma program on the performance standards of pre-hospital emergency: A semi-experimental study
title_fullStr The impact of lean six sigma program on the performance standards of pre-hospital emergency: A semi-experimental study
title_full_unstemmed The impact of lean six sigma program on the performance standards of pre-hospital emergency: A semi-experimental study
title_short The impact of lean six sigma program on the performance standards of pre-hospital emergency: A semi-experimental study
title_sort impact of lean six sigma program on the performance standards of pre hospital emergency a semi experimental study
topic total quality management
emergency medical services
institutional practice
url http://nmcjournal.zums.ac.ir/article-1-916-en.pdf
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