Dr. Ruchi Garg, Dilshad Pathan


This article describes the Discharge process in a tertiary care hospital with a define, measure, analyze, improve, and control (DMAIC) approach. For this study we have used process mapping, Ishikawa Analysis to make decisions. The findings suggested that focusing on physician preparation for discharge order writing would have the greatest impact. A significant reduction in the average discharge time from 4.15 to 3.14h.”
KEYWORDS: Ishikawa Analysis, Process Flow

Full Text:



Ajamu and Ketabi (Feb 2007). “An analysis of the average waiting time during the patient discharge process at Kashani Hospital in Esfahan, Iran: A case study”: Health Information Management Journal Vol. 36(2), ISSN 1833- 3583. Available at:

Khurma. N (2009). “Analysis, Modeling and Improvement of Patient Discharge Process in a Regional Hospital”: University of Windsor. Electronic Theses and Dissertations. Paper 155. Available at:

National Accreditation Board for Hospitals and Health Care Providers (Nov 2011). Accreditation Standards for Hospitals, 3rd edition AAC 13, 14. [12] Ortiga B. (2012). “Standardizing admission and discharge processes to improve patient flow”: A cross sectional study: BMC Health Services Research2012. 1186/1472- 6963-12-180. Available at:

Silva (2014). “Reasons for discharge delays in teaching hospitals”: PMC, Vol. 48(2) pg. 214-. Available at:

Tak.S (2013). “A comparative time motion study of all types of patient discharges in a hospital”: Global Journal of Medicine and Public Health. Vol. 2(3). Available at:

How to cite this article:

Dr. Ruchi Garg, Dilshad Pathan, Implementation of six sigma to improve the discharge process; International Journal of Nursing and Medical Science 2018; 7 (4), 17-29.


  • There are currently no refbacks.