Journal of evaluation in clinical practice最新文献

{"title":"The Experience of Setting up a Vascular Access Unit in a South European Large Hospital: The Step-by-Step Description of the First Year of Activity.","authors":"Stefano Benvenuti, Elena Porteri, Rosanna Ceresoli, Cristian Pintossi, Gabriele Bartolini, Francesca Zanatta, Patrizia Bevilacqua, Paolo Musatti, Sonia Beretti, Enrico Comberti, Fabio Marinoni, Davide Costabile, Elisabetta Zanetti, Marta Gazzaneo, Federico Finetti, Baudolino Mussa, Andrea Verzeletti, Daniele Alberti, Camillo Rossi","doi":"10.1111/jep.14294","DOIUrl":"https://doi.org/10.1111/jep.14294","url":null,"abstract":"<p><strong>Aim: </strong>The article aims to describe the establishment and development of the Vascular Access Unit in a major hospital in Southern Europe during the SARS-COV2 pandemic and to evaluate the benefits brought by the Unit.</p><p><strong>Implications for the profession and patient care: </strong>The advantages of having a vascular access service for managing various vascular devices are widely recognized in many countries, due to the perceived benefits of reducing complications, increasing efficiency, and lowering costs.</p><p><strong>Methods: </strong>Operators were thoroughly and appropriately trained, enhancing the quality and suitability of vascular access by forming a multidisciplinary team to redesign the vascular access process.</p><p><strong>Results: </strong>In the first year, starting from July 2021, we implanted 6125 catheters. The Vascular Access Team achieved a higher percentage of first-attempt cannulation success, which correlated with fewer complications, such as bleeding, and improved patient satisfaction. The complication rate was very low, with most issues arising from improper management.</p><p><strong>Conclusion: </strong>Establishing Vascular Access Teams should be a priority in large hospitals, as they can positively impact ward organization and significantly enhance patient satisfaction.</p>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 1","pages":"e14294"},"PeriodicalIF":2.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143080342","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pain sensitisation in patients with sickle cell disease: A preliminary study.","authors":"Ailyn Garcia-Hernandez, Pablo de la Coba, Raúl J Martinez-Triana, Gustavo A Reyes Del Paso","doi":"10.1111/jep.14101","DOIUrl":"10.1111/jep.14101","url":null,"abstract":"<p><strong>Background: </strong>Responses to experimental pain have suggested central and peripheral sensitisation in adult patients with sickle cell disease (SCD). Recent studies have proposed an algometry-derived dynamic measure of pain sensitisation, slowly repeated evoked pain (SREP), which is useful in the discrimination of painful conditions related to central sensitisation. Pain and fatigue are two symptoms that affect the general functioning of patients with SCD most significantly, however, research about experimental dynamic pain measures and their relation to the main symptoms of SCD (pain and fatigue) is still scarce.</p><p><strong>Objective: </strong>This preliminary study aimed to test the utility of the SREP protocol for detecting pain sensitisation in patients with SCD, and to evaluate the associations of pain sensitisation, pain threshold, and pain tolerance with the main clinical symptoms of SCD, pain and fatigue.</p><p><strong>Methods: </strong>Twenty-two female outpatients with SCD and 20 healthy women participated. Pain threshold, pain tolerance, and pain sensitisation were assessed by algometry in the fingernail. Clinical pain, fatigue, anxiety, depression and pain catastrophizing were evaluated.</p><p><strong>Results: </strong>No group differences were found in pain threshold and tolerance. However, using the SREP protocol, pain sensitisation was greater in patients than in healthy participants, even after controlling for psychological variables and body mass index. Pain threshold and tolerance were inversely associated with fatigue levels in the SCD group, with pain tolerance being the main predictor.</p><p><strong>Conclusions: </strong>Pain threshold and tolerance did not discriminate between patients and healthy individuals, but were useful for predicting fatigue severity in SCD. The SREP protocol provides a useful dynamic measure of pain for the discrimination and detection of enhanced pain sensitisation in patients with SCD, which could contribute to more personalised pain evaluations and treatment for these patients.</p>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":" ","pages":"e14101"},"PeriodicalIF":2.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11664496/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141633687","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Machine Learning in Optimising Nursing Care Delivery Models: An Empirical Analysis of Hospital Wards.","authors":"Manar Aslan, Ergin Toros","doi":"10.1111/jep.70001","DOIUrl":"10.1111/jep.70001","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Objective: &lt;/strong&gt;This study aims to assess the performance of machine learning (ML) techniques in optimising nurse staffing and evaluating the appropriateness of nursing care delivery models in hospital wards. The primary outcome measures include the adequacy of nurse staffing and the appropriateness of the nursing care delivery system.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Historical and current healthcare challenges, such as nurse shortages and increasing patient acuity, necessitate innovative approaches to nursing care delivery. For instance, the COVID-19 pandemic highlighted the need for flexible and scalable staffing models to manage surges in patient volume and acuity.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Materials and methods: &lt;/strong&gt;A descriptive study was conducted in 39 inpatient wards across a university hospital and three state hospitals, involving 117 ward-level observations. Data were collected using the Rush Medicus Patient Classification Scale and analysed using k-Nearest Neighbour, Support Vector Machine, Random Forest, and Logistic Regression algorithms. Effectiveness was measured by the accuracy of machine learning predictions regarding nurse staffing adequacy, while suitability was determined by the congruence between observed nursing care models and patient needs.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Reporting method: &lt;/strong&gt;STROBE checklist.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;The Random Forest algorithm demonstrated the highest accuracy in predicting both nurse staffing adequacy and the appropriateness of nursing care delivery systems. The study found that 68.4% of wards had sufficient nurse staffing and 26.5% of wards used appropriate care delivery models, with functional nursing and total patient care models being the most commonly used.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Discussion: &lt;/strong&gt;The study highlights functional nursing and total patient care models, emphasising the need to consider nurse qualifications and patient needs in selecting care systems. Machine learning, particularly the Random Forest algorithm, proved effective in aligning staffing with patient requirements.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;Machine learning, particularly the Random Forest algorithm, proves effective in optimising nursing care delivery models, suggesting significant potential for enhancing patient care and nurse satisfaction.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Implications: &lt;/strong&gt;The research underscores machine learning's role in improving nursing care delivery, aligning nurse staffing with patient needs, and advancing healthcare outcomes.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Impact: &lt;/strong&gt;The findings advocate for integrating machine learning in the planning of nursing care delivery models. This study sets a precedent for using data-driven approaches to improve nurse staffing and care delivery, potentially enhancing global clinical outcomes and operational efficiencies. The global clinical community can learn from this study the value of employing machine learning techniques to make informed, evidence-based decisions in ","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 1","pages":"e70001"},"PeriodicalIF":2.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11748821/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143006728","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Rehabilitation Management of Neck Pain-Development of a Diagnostic Framework Based on the Pain and Disability Drivers Management Model.","authors":"Thomas Gerard, Florian Naye, Simon Decary, Pierre Langevin, Chad Cook, Yannick Tousignant-Laflamme","doi":"10.1111/jep.14299","DOIUrl":"https://doi.org/10.1111/jep.14299","url":null,"abstract":"<p><strong>Rationale: </strong>Neck pain is a major cause of disability worldwide, and current rehabilitation strategies show limited effectiveness. Subgrouping patients by their primary pain and disability drivers can help tailor treatments. At this end, the Pain and Disability Drivers Management (PDDM) was developed and has demonstrated preliminary effectiveness in the management of low back pain. Nevertheless, the PDDM model was only validated for this population. Adapting this framework to patients with neck pain would provide a more global view of the patient's experience of pain and support a genuine biopsychosocial intervention.</p><p><strong>Aims and objectives: </strong>The aim of this study was to develop and validate the content of the PDDM model for patients living with neck pain.</p><p><strong>Methods: </strong>Through a modified DELPHI study design, participants with clinical and research expertize in rehabilitation of neck pain were invited to participate. A questionnaire was developed using literature reviews and endorsed by a steering committee. The relevance of each element of the newly adapted model was evaluated on a 4-point Likert scale. An item reached consensus if it obtained the predefined threshold of > 78% \"relevant\" and \"very relevant.\" Participants left comments on terminology and recommended items to add in early rounds. Quantitative and qualitative analyses were performed.</p><p><strong>Results: </strong>An invitation was sent to 1650 potential participants, from which 155 accessed the survey, 64 completed the first round and 55 the second round. A total of 70 elements met consensus and were distributed across six domains: \"Nociceptive pain drivers\", \"nociplastic pain drivers,\" \"drivers associated with neuropathic pain\", \"comorbidity drivers\", \"cognitive-emotional drivers\" and \"environmental or lifestyle drivers, and social determinants of health.\"</p><p><strong>Conclusion: </strong>Through a modified DELPHI study, the PDDM model was updated and adapted to people with neck pain. Subsequent steps include clinical integration and measures of efficacy when used for assessment/treatment.</p>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 1","pages":"e14299"},"PeriodicalIF":2.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143080436","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effect of breastfeeding education with digital storytelling on fathers' breastfeeding self-efficacy.","authors":"Feyza Aktaş Reyhan","doi":"10.1111/jep.14102","DOIUrl":"10.1111/jep.14102","url":null,"abstract":"<p><strong>Rationale: </strong>There is growing evidence that fathers play an important role in the breastfeeding process and that fathers need education about breastfeeding. In our age of rapidly developing technology, the use of new teaching techniques in the education of fathers will provide more effective results.</p><p><strong>Aims: </strong>In this study, the effect of breastfeeding education given with digital storytelling method on fathers' breastfeeding self-efficacy was examined.</p><p><strong>Methods: </strong>The study is a pretest-posttest randomized controlled trial. The study was conducted with the husbands of 80 pregnant women admitted to the childbirth preparation class of a state hospital. The study included a control group and an intervention of educational videos using a digital storytelling technique. Fathers were recruited from hospital antenatal classes and randomized to one of the two groups. Personal Information Form and Paternal Breastfeeding Self-Efficacy Scale-Short Form were used for data collection. Each father completed data collection forms at the beginning of the study and at 3 months postpartum. The η² effect size was calculated for significant differences in the independent and dependent groups t test methods used in the analysis.</p><p><strong>Results: </strong>There was a significant difference between the posttest scores of the fathers in the intervention and control groups (p < 0.05). When the effect sizes were analysed, it was found that the increase in the intervention group (t = -24.342) was higher than the control group (t = -8.385).</p><p><strong>Conclusion: </strong>In the current study, the effect of using digital storytelling method in breastfeeding education on fathers' breastfeeding self-efficacy was found to be significantly higher than routine education. It is recommended that this new method be used in education and counselling and that studies be conducted to examine its effect on breastfeeding behaviour and fathers' breastfeeding support.</p>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":" ","pages":"e14102"},"PeriodicalIF":2.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141748412","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychometric evaluation of the Turkish version of the nurses' perception of the gap between knowledge and practice scale.","authors":"Dilek Demir Kösem, Şenay Demir, Murat Bektaş, İlknur Bektaş","doi":"10.1111/jep.14204","DOIUrl":"10.1111/jep.14204","url":null,"abstract":"<p><strong>Background: </strong>Progress in the nursing profession and clinical decision-making are largely sustained by the coherence between theory and practice. The quality of healthcare provided by nurses and patient outcomes are adversely impacted by the gap between knowledge and practice. Measurement tools used to assess nurses' perceptions of this gap are inadequate in Türkiye. This research aimed to adapt the nurses' perception of the gap between knowledge and practice scale into Turkish and to evaluate its reliability and validity.</p><p><strong>Methods: </strong>The study, in which a methodological design was employed, was conducted with 406 nurses between March and June 2022. A descriptive information form and the nurses' perception of the gap between knowledge and practice scale (NPGKPS) were employed to gather data. The validity study included content and construct validity analyses, and the reliability study included item analysis, split-half test, and Cronbach alpha coefficients.</p><p><strong>Results: </strong>The scale had 35 items and four dimensions, which explained 54.65% of the total variance. The goodness of fit values, which were found following a confirmatory factor analysis, were estimated as follows: CMIN = 1808.984, DF = 512, CMIN/DF = 3.533, IFI = 0.89, TLI = 0.87, RFI = 0.83, CFI = 0.89, RMSEA = 0.079, and NFI = 0.86. Cronbach's alpha coefficient of the total scale was estimated as 0.95 and it was in the range of 0.84 to 0.93 for four factors.</p><p><strong>Conclusion: </strong>In conclusion, the nurses' perception of the gap between knowledge and practice scale was a reliable and valid measure which could be applied to Turkish society.</p>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":" ","pages":"e14204"},"PeriodicalIF":2.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142502018","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of community pharmacists' knowledge, practice and barriers towards diabetes management in Asir region, Saudi Arabia.","authors":"Heba H Salem, Naglaa S Bazan, Waad Al Addal, Mona Alkhmash, Mashael Abu Bana, Sumayah M Al Awad, Hind S Asiri, Samar D Alwadei, Arwa Khaled","doi":"10.1111/jep.14121","DOIUrl":"10.1111/jep.14121","url":null,"abstract":"<p><strong>Rationale, aims and objectives: </strong>Diabetes mellitus is a global serious health problem that has a clear negative impact on economy. The high prevalence of diabetes worldwide urges for prevention and educational programs. Engagement of community pharmacists in offering various diabetes care services enables delivery of quality of care for patients and could play key role in diabetes management. The current study was designed to assess the knowledge towards diabetes among community pharmacists and to investigate their role in diabetes management through identifying different diabetes care services they provide in Asir region, Saudi Arabia. In addition, possible barriers for providing these services were evaluated.</p><p><strong>Method: </strong>A cross-sectional study was performed using an online self-administered anonymous survey that consisted of 4 domains: demographics, knowledge, practice and barriers related to diabetes management.</p><p><strong>Results: </strong>A total of 258 pharmacists completed the survey, and one-third of respondents (34.5%) demonstrated good knowledge while 42.2% showed moderate knowledge towards diabetes. Respondents of the age group (30-39) years, males, those with bachelor's degree and those with 5 years or less of experience had higher mean knowledge. Nearly half of the participants had positive practice. The most prominent (75%) services offered by the community pharmacists were counselling on the appropriate administration, handling and storage of insulin and the appropriate time to administer oral antidiabetic drugs. Pharmacists who received training had higher mean practice scores. Lack of time, lack of diabetic patients visiting the pharmacy and low patient expectations regarding pharmacists' role in diabetes care were identified as the most important barriers they encountered.</p><p><strong>Conclusion: </strong>Community pharmacists of Asir region exhibited moderate knowledge and practices regarding diabetes management. Our results support the need for national advanced diabetes training programs targeting community pharmacists for providing quality of care services for diabetic patients Moreover, strategies to overcome the reported barriers are indispensable.</p>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":" ","pages":"e14121"},"PeriodicalIF":2.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141893563","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The CONECT-6 case-finding tool to identify patients with complex needs: A few tips to promote understanding.","authors":"Émilie Angrignon-Girouard, Charlotte Schwarz, Dana Howse, Kris Aubrey, Mathieu Bisson, Maud-Christine Chouinard, Laura Dickinson, Shelley Doucet, Marie-France Dubois, Olivier Dumont-Samson, Catherine Hudon","doi":"10.1111/jep.14129","DOIUrl":"10.1111/jep.14129","url":null,"abstract":"","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":" ","pages":"e14129"},"PeriodicalIF":2.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11771697/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141916923","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of evidence-based nursing practices on individualised care: A cross-sectional descriptive study.","authors":"Cevriye Ozdemir, Merdiye Sendir, Rabia Eren, Gizem Kubat Bakir, Hamiyet Kizil","doi":"10.1111/jep.14154","DOIUrl":"10.1111/jep.14154","url":null,"abstract":"<p><strong>Aim: </strong>This study was conducted to determine the effect of nurses' attitudes towards evidence-based practices on individualised nursing care.</p><p><strong>Methods: </strong>This study is a cross-sectional descriptive trial. The descriptive analysis included 200 clinical nurses working in a private hospital between April and September 2022. Data were collected with a personal information form, Individualised Care Scale (A-Nurse Version), and Evidence-Based Nursing Attitude Questionnaire. The relationship between the scales and effect was examined by Pearson correlation and linear regression analyses. T-test, one-way analysis of variance (ANOVA), and post hoc (Tukey, LSD) analysis were used in the statistical analysis of nurses according to their descriptive characteristics. This study has adhered to the STROBE checklist for reporting.</p><p><strong>Results: </strong>They had high mean scores on Individualised Care Scale total (3.68 ± 1.25) and from Clinical Situation (3.78 ± 1.30) and Decisional Control (3.82 ± 1.35) subscales and average score from the Personal Life (3.32 ± 1.29) subscale. Their mean score from the Evidence-Based Nursing Attitude Questionnaire was average (47.64 ± 10.99). There was a positive moderate (r = 0.50, p = 0.000 < 0.05) significant correlation between the scales.</p><p><strong>Conclusion: </strong>Positive attitude towards evidence-based nursing practices positively affects individualised care. Variables such as professional experience positively affect nurses' attitudes towards evidence-based nursing. A positive and significant relationship was found between nurses' attitudes towards evidence-based practice and their attitudes towards individualised care.</p>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":" ","pages":"e14154"},"PeriodicalIF":2.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11748364/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142365503","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reducing turnaround time for routine outpatient biochemical tests through Lean Six Sigma: A case study in China.","authors":"Xinzhe Zhao, Xiaoping Qin, Yuli Miao","doi":"10.1111/jep.14116","DOIUrl":"10.1111/jep.14116","url":null,"abstract":"<p><strong>Background: </strong>Routine clinical biochemistry tests are crucial for clinical diagnostics and play a key role in enhancing outpatient turnover efficiency and patient satisfaction. This study aimed to implement Lean Six Sigma in the biochemistry laboratory of a hospital in China to improve efficiency and quality by reducing turnaround time.</p><p><strong>Methods: </strong>The study was conducted from January to December 2023, using the DMAIC (Define, Measure, Analyze, Improve, Control) framework, and employed tools such as the voice of the customer, Value Stream Mapping, '5 whys' technique, Nominal Group Technique, and Pareto chart.</p><p><strong>Results: </strong>The turnaround time for outpatient routine clinical biochemistry tests was reduced from 139 min to 58 min (p < 0.05), effectively increasing both patient and physician satisfaction.</p><p><strong>Conclusions: </strong>Lean Six Sigma aimed to reduce the turnaround time for biochemical tests have significant advantages. This study confirms the effectiveness of Lean Six Sigma in a Chinese clinical laboratory setting and provides guidance for optimizing efficiency in global clinical laboratories with limited implementation experience, constrained technical and equipment resources, and high demand for medical diagnostics.</p>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":" ","pages":"e14116"},"PeriodicalIF":2.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141855717","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}