{"id":"https://openalex.org/W2076695698","doi":"https://doi.org/10.12927/hcq.2006.17905","title":"Application of Lean Six Sigma for Patients Presenting with ST-Elevation Myocardial Infarction: The Hamilton Health Sciences Experience","display_name":"Application of Lean Six Sigma for Patients Presenting with ST-Elevation Myocardial Infarction: The Hamilton Health Sciences Experience","publication_year":2006,"publication_date":"2006-01-15","ids":{"openalex":"https://openalex.org/W2076695698","doi":"https://doi.org/10.12927/hcq.2006.17905","mag":"2076695698","pmid":"https://pubmed.ncbi.nlm.nih.gov/16548435"},"language":"en","primary_location":{"id":"doi:10.12927/hcq.2006.17905","doi":"https://doi.org/10.12927/hcq.2006.17905","is_oa":false,"landing_page_url":"https://doi.org/10.12927/hcq.2006.17905","pdf_url":null,"source":{"id":"https://openalex.org/S4210202300","display_name":"Healthcare Quarterly","issn_l":"1710-2774","issn":["1710-2774","1929-6347"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","medline","poland-20","russia-white-list-3"],"host_organization":"https://openalex.org/P4310320841","host_organization_name":"Longwoods Publishing","host_organization_lineage":["https://openalex.org/P4310320841"],"host_organization_lineage_names":["Longwoods Publishing"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Healthcare Quarterly","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5075104580","display_name":"A. AlDarrab","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I98251732","display_name":"McMaster University","ror":"https://ror.org/02fa3aq29","country_code":"CA","type":"education","lineage":["https://openalex.org/I98251732"]}],"countries":["CA"],"is_corresponding":false,"raw_author_name":"Ayad Aldarrab","raw_affiliation_strings":["Royal College Residency Training Program, McMaster University, Hamilton, Ontario"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Royal College Residency Training Program, McMaster University, Hamilton, Ontario","institution_ids":["https://openalex.org/I98251732"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Christopher Fernandes","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Christopher Fernandes","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5069975500","display_name":"James L. Velianou","orcid":"https://orcid.org/0000-0003-0204-3701","observed_orcids":["https://orcid.org/0000-0003-0204-3701"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"James Velianou","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5007241038","display_name":"Madhu K. Natarajan","orcid":"https://orcid.org/0000-0001-6372-1348","observed_orcids":["https://orcid.org/0000-0001-6372-1348"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Madhu Natarajan","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5050901562","display_name":"Rosanne Zimmerman","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Rosanne Zimmerman","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5101144182","display_name":"Rhonda L. Smith","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Rhonda Smith","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5073052748","display_name":"Teresa Y. Smith","orcid":"https://orcid.org/0000-0002-2895-8638","observed_orcids":["https://orcid.org/0000-0002-2895-8638"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Teresa Smith","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5113900240","display_name":"Jennifer Pickering","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Jennifer Pickering","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":1.3932,"has_fulltext":false,"cited_by_count":17,"citation_normalized_percentile":{"value":0.83097981,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":97},"biblio":{"volume":"9","issue":"1","first_page":"56","last_page":"61"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12871","display_name":"Healthcare Quality and Management","score":0.8144999742507935,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T12871","display_name":"Healthcare Quality and Management","score":0.8144999742507935,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11095","display_name":"Emergency and Acute Care Studies","score":0.11169999837875366,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11773","display_name":"Healthcare Operations and Scheduling Optimization","score":0.03869999945163727,"subfield":{"id":"https://openalex.org/subfields/1803","display_name":"Management Science and Operations Research"},"field":{"id":"https://openalex.org/fields/18","display_name":"Decision Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/lean-six-sigma","display_name":"Lean Six Sigma","score":0.968999981880188},{"id":"https://openalex.org/keywords/st-elevation-myocardial-infarction","display_name":"ST-elevation myocardial infarction","score":0.9760000109672546},{"id":"https://openalex.org/keywords/acute-myocardial-infarction","display_name":"acute myocardial infarction","score":0.9259999990463257},{"id":"https://openalex.org/keywords/emergency-department-crowding","display_name":"emergency department overcrowding","score":0.9850000143051147},{"id":"https://openalex.org/keywords/quality-improvement","display_name":"quality improvement","score":0.7879999876022339},{"id":"https://openalex.org/keywords/emergency-department-workflow","display_name":"emergency department workflow","score":0.5}],"concepts":[{"id":"https://openalex.org/C2778872837","wikidata":"https://www.wikidata.org/wiki/Q7113614","display_name":"Overcrowding","level":2,"score":0.7851133346557617},{"id":"https://openalex.org/C2778139897","wikidata":"https://www.wikidata.org/wiki/Q6509447","display_name":"Lean Six Sigma","level":4,"score":0.7486798763275146},{"id":"https://openalex.org/C500558357","wikidata":"https://www.wikidata.org/wiki/Q12152","display_name":"Myocardial infarction","level":2,"score":0.7275128960609436},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.6827102899551392},{"id":"https://openalex.org/C23119410","wikidata":"https://www.wikidata.org/wiki/Q236908","display_name":"Six Sigma","level":3,"score":0.6303603053092957},{"id":"https://openalex.org/C2780724011","wikidata":"https://www.wikidata.org/wiki/Q1295316","display_name":"Emergency department","level":2,"score":0.5879366397857666},{"id":"https://openalex.org/C71405471","wikidata":"https://www.wikidata.org/wiki/Q757012","display_name":"Quality management","level":3,"score":0.5657858848571777},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.40418335795402527},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.3768855929374695},{"id":"https://openalex.org/C164705383","wikidata":"https://www.wikidata.org/wiki/Q10379","display_name":"Cardiology","level":1,"score":0.3470541834831238},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.3440236449241638},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.3282313942909241},{"id":"https://openalex.org/C137335462","wikidata":"https://www.wikidata.org/wiki/Q380772","display_name":"Lean manufacturing","level":2,"score":0.2699151337146759},{"id":"https://openalex.org/C21547014","wikidata":"https://www.wikidata.org/wiki/Q1423657","display_name":"Operations management","level":1,"score":0.1433902084827423},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.11406692862510681},{"id":"https://openalex.org/C127413603","wikidata":"https://www.wikidata.org/wiki/Q11023","display_name":"Engineering","level":0,"score":0.10344097018241882},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.07981029152870178},{"id":"https://openalex.org/C198783460","wikidata":"https://www.wikidata.org/wiki/Q629173","display_name":"Management system","level":2,"score":0.0},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D003441","descriptor_name":"Crowding","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D004554","descriptor_name":"Electric Countershock","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D004562","descriptor_name":"Electrocardiography","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D004636","descriptor_name":"Emergency Service, Hospital","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":true},{"descriptor_ui":"D004636","descriptor_name":"Emergency Service, Hospital","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007324","descriptor_name":"Institutional Management Teams","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009203","descriptor_name":"Myocardial Infarction","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":true},{"descriptor_ui":"D009203","descriptor_name":"Myocardial Infarction","qualifier_ui":"Q000188","qualifier_name":"drug therapy","is_major_topic":true},{"descriptor_ui":"D009864","descriptor_name":"Ontario","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011785","descriptor_name":"Quality Assurance, Health Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D012985","descriptor_name":"Software Design","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013997","descriptor_name":"Time Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D015912","descriptor_name":"Thrombolytic Therapy","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D017064","descriptor_name":"Process Assessment, Health Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D017146","descriptor_name":"Models, Organizational","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D017410","descriptor_name":"Practice Guidelines as Topic","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D019985","descriptor_name":"Benchmarking","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.12927/hcq.2006.17905","doi":"https://doi.org/10.12927/hcq.2006.17905","is_oa":false,"landing_page_url":"https://doi.org/10.12927/hcq.2006.17905","pdf_url":null,"source":{"id":"https://openalex.org/S4210202300","display_name":"Healthcare Quarterly","issn_l":"1710-2774","issn":["1710-2774","1929-6347"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","medline","poland-20","russia-white-list-3"],"host_organization":"https://openalex.org/P4310320841","host_organization_name":"Longwoods Publishing","host_organization_lineage":["https://openalex.org/P4310320841"],"host_organization_lineage_names":["Longwoods Publishing"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Healthcare Quarterly","raw_type":"journal-article"},{"id":"pmid:16548435","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/16548435","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Healthcare quarterly (Toronto, Ont.)","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"score":0.98580002784729,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2605245501","https://openalex.org/W4317651414","https://openalex.org/W2990407856","https://openalex.org/W7020482254","https://openalex.org/W2952960280","https://openalex.org/W4406146197","https://openalex.org/W3027886765","https://openalex.org/W2800553319","https://openalex.org/W2239471631","https://openalex.org/W2036003955"],"abstract_inverted_index":{"Most":[0],"patients":[1,35],"with":[2,36],"symptomatic":[3],"acute":[4],"myocardial":[5],"infarction":[6],"(AMI),":[7],"the":[8,18,44,58],"leading":[9],"cause":[10],"of":[11,25,34],"death":[12],"in":[13],"western":[14],"industrialized":[15],"nations,":[16],"use":[17],"emergency":[19],"department":[20],"(ED)":[21],"as":[22],"their":[23],"point":[24],"entry.":[26],"Yet,":[27],"one":[28],"identified":[29],"barrier":[30],"to":[31,57],"early":[32],"recognition":[33],"AMI":[37],"is":[38],"ED":[39],"overcrowding.":[40],"In":[41],"this":[42],"paper,":[43],"author":[45],"presents":[46],"a":[47],"quality":[48],"improvement":[49],"model":[50],"that":[51],"applies":[52],"Lean":[53],"Six":[54],"Sigma":[55],"guidelines":[56],"clinical":[59],"setting.":[60]},"counts_by_year":[{"year":2020,"cited_by_count":1},{"year":2019,"cited_by_count":1},{"year":2018,"cited_by_count":1},{"year":2017,"cited_by_count":1},{"year":2015,"cited_by_count":1},{"year":2014,"cited_by_count":3},{"year":2013,"cited_by_count":1},{"year":2012,"cited_by_count":1}],"updated_date":"2026-11-07T11:25:07.637180","created_date":"2016-06-24T00:00:00"}
