Fishbone analysis of reasons for delayed physician response to referrals.

Fishbone analysis of reasons for delayed physician response to referrals.

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... outcomes for all referrals (i.e., incomplete, inappropriate, approved) were documented in a database. A fishbone diagram, or Cause-Effect diagram (Figure 4), was utilized to identify the causes of the delay, as well as a ...

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... They stated that multidisciplinary team approach along with Six Sigma training is the most crucial for successful implementation of Six Sigma. Alkinaidri and Alsulami [30] improved the delays in referral system of hospital using Lean Six Sigma approach. After the project, a little improvement in the response time of physicians to the referral system was achieved. ...
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... Four of the studies were conducted in United States of America (11. 12, 35, 36), two were conducted in South Africa (14,37), while one study was done each in Italy, Taiwan, UK, Kenya, and Malawi (1,8,13,29,38). Six of the papers were retrospective cohort studies (12,15,35,37,39,40), four randomized control trials (RCT) (1,11,13,14), two mixed method involving qualitative and quantitative approaches (29,38) and one system simulation study (8). ...
... 12, 35, 36), two were conducted in South Africa (14,37), while one study was done each in Italy, Taiwan, UK, Kenya, and Malawi (1,8,13,29,38). Six of the papers were retrospective cohort studies (12,15,35,37,39,40), four randomized control trials (RCT) (1,11,13,14), two mixed method involving qualitative and quantitative approaches (29,38) and one system simulation study (8). ...
... These include resource allocation criteria (1,11,12,13,14,35,36). Three studies evaluated provision of patient referral including simulation optimization methods for solving patient referral problems in hospital environment, challenges facing implementation of referral system for quality health care services, and provision of referral services at primary care (8,29,38). ...
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... Between 2014 and 2015, the number of referrals requested of and accepted by secondary healthcare providers increased by 13.6% and 11.5%%, respectively, illustrating the necessity of improving the referral system in Saudi Arabia (Alkinaidri & Alsulami, 2018). In 2018, Alkinaidri and Alsulami (2018) identified the following issues in the Saudi health referral system: delays in responding to referral requests, incomplete referral documents, lack of internal communication consultants, and lack of follow up by coordinators. ...
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