出版社：International Medical Journal Management and Indexing System
摘要：Objective: Hospital managers in the World and Turkey are under pressure of decreasing excessive operational costs and improving healthcare quality. One of the interventions that will smooth of the severity of this pressure is to manage the waste in the healthcare services. The Hospital Inpatient Waste Identification Tool (HIWIT) is one of the best application tools, which will bridge the knowledge, practice and leadership gaps in this context. The main objective of this study is to examine THE waste in THE hospital inpatient settings in the context of HIWITs 5 modules. Methods: This study was conducted by using quantitative research methods. Research and Education Hospital of Duzce University was chosen as a sample center of this research. HIWIT, ward module, patient care module, diagnosis module, treatment module and patient module, was used to collect the data. Three healthcare personnel, June 15th, 2012 and December 31st 2012, carried out application of the modules. Results: 27 waste types were defined and their proportions were determined. Overall waste proportions of five modules were like followed: Word Module 11,11%, Patient Module 16,50%, Patient Care Module 2,52%, Diagnosis Module 44,20% and Treatment Module 25,29 %. The cost of determined using ward module only is 1.725.275 $. Healthcare-associated infections, delay in clinical care and flow delay were determined as the most important waste types in terms of clinical and patient safety for utilization of Social Security Institution (SGK). Conclusion: It is conferred in practice that HIWIT is a handy tool in definition of waste and costing. Reimbursement agencies are the ones, which will take the most advantage of defined waste types. Four components were intended to acquire through waste study: improving performance, diminishing operational costs, shortening operational cycles and improving patient safety. After identifying the main priority areas of waste types, a financial expert or team should be utilized in understanding the financial implications of them. Diagnosis, treatment and patient care modules particularly are expected to contribute more to patient safety which is one of the four intended output components.
关键词：Waste; Healthcare-Associated Infection; Process Flow; Lean Service
