Derleme
BibTex RIS Kaynak Göster

POKA-YOKE’NİN SAĞLIK SEKTÖRÜNDE UYGULANABİLİRLİĞİ: LİTERATÜR TARAMASI

Yıl 2025, Cilt: 24 Sayı: 48, 659 - 685, 18.12.2025
https://doi.org/10.55071/ticaretfbd.1665049

Öz

Sağlık sektörü, insan yaşamını doğrudan etkileyen kritik kararların alındığı, hata kabul etmeyen bir alandır. Bu sektörde yapılabilecek en küçük hatalar dahi hasta güvenliğini ciddi şekilde tehlikeye atabilir ve telafisi zor sonuçlara yol açabilir. Bu bağlamda sıfır hata yaklaşımının benimsenmesi, sağlık hizmetlerinin güvenilirliğini artırmak açısından büyük önem taşımaktadır. Endüstriyel kökenli bir yöntem olan Poka-Yoke, hataları oluşmadan önce önlemeye odaklanan pratik ve etkili bir hata önleme yaklaşımıdır. Bu çalışmada, Poka-Yoke yönteminin sağlık sektörüne uygulanabilirliğini değerlendirmek amacıyla yapılmış olan akademik yayınlar sistematik bir şekilde incelenmiştir. Bu çalışmada toplam 50 bilimsel çalışma analiz edilerek, sağlık hizmetlerinde insan hatalarının önlenmesine yönelik Poka-Yoke uygulamalarının kapsamı ve etkileri tartışılmıştır. Çalışmanın bulguları, Poka-Yoke’nin özellikle ilaç yönetimi, laboratuvar süreçleri, cerrahi prosedürler ve hasta kayıt sistemlerinde önemli faydalar sağladığını ve sıfır hata hedefine katkı sunduğunu ortaya koymaktadır. Bu kapsamlı literatür taraması, Poka-Yoke'nin sağlık hizmetlerine adaptasyonunun hasta güvenliği, süreç verimliliği ve kalite standartlarının yükseltilmesi açısından potansiyel taşıdığını göstermektedir.

Kaynakça

  • Abbasgholizadeh Rahimi, S., Jamshidi, A., Ait-Kadi, D. & Ruiz, A. (2015). Using fuzzy cost-based FMEA, GRA and profitability theory for minimizing failures at a healthcare diagnosis service. Quality and Reliability Engineering International, 31(4), 601-615.
  • Abecassis, Z.A., McElroy, L.M., Patel, R.M., Khorzad, R., Carroll IV, C. & Mehrotra S. (2015). Applying fault tree analysis to the prevention of wrong-site surgery. Journal of Surgical Research, 193(1), 88-94.
  • Al Kuwaiti, A. (2016). Application of Six Sigma methodology to reduce medication errors in the outpatient pharmacy unit: A case study from the King Fahd University Hospital. Saudi Arabia International Journal for Quality Research, 10(2), 267-278.
  • Almutairi, D., Alrghaib, L., Alenezi, M., Almutairi, M., Alajami, R., & Alfandi, L. (2020). Waiting time reduction in outpatient clinic using Lean techniques. In IIE Annual Conference. Proceedings (pp. 435-440). Institute of Industrial and Systems Engineers (IISE).
  • Anjalee, J.A.L., Rutter, V. & Samaranayake, N.R. (2021). Application of failure mode and effect analysis (FMEA) to improve medication safety: a systematic review. Postgraduate Medical Journal, 97(1145), 168-174.
  • Anjalee, J.L., Rutter, V. & Samaranayake, N.R. (2021). Application of failure mode and effects analysis (FMEA) to improve medication safety in the dispensing process–a study at a teaching hospital, Sri Lanka. BMC Public Health, 21(1), 1-13.
  • Armin, H., Toussani, S., Gousheh, S.N.H., Gholamnia, R. & Khaloo, S.S. (2022). Investigating the safety and health risks ranking in the hospital using the integrated approach of failure modes and effects analysis (FMEA) and Fuzzy-based Multiple Criteria Decision Making (MCDM) method. Academic Journal of Health Sciences: Medicina Balear, 37(1), 41-47.
  • Aydan, M. (2010). Sağlık hizmetleri kalite iyileştirme çalışmalarında hata tür ve etkileri analizinin bir üniversite hastanesinde uygulanabilirliği. Yüksek Lisans Tezi, Hacettepe Üniversitesi, Sağlık Bilimleri Enstitüsü, Sağlık Yönetimi A.B.D., Türkiye.
  • Bonfant, G. (2010). Clinical risk analysis with failure mode and effect analysis (FMEA) model in a dialysis unit. JN Journal of Nephrology, 23(1), 111-8.
  • Castle, L., Franzblau-Isaac, E. & Paulsen, J. (2005). Using Six Sigma to reduce medication errors in a home-delivery pharmacy service. The Joint Commission Journal on Quality and Patient Safety, 31(6), 319-324.
  • Celotto, D., Perri, G., Farneti, F., Fantini, D., Degan, S., Grillone, L., ve ark. (2018). Failure Mode and Effects Analysis (FMEA) to prevent and contrast violence on Healthcare Workers (HWs). European Journal of Public Health, 28(4), 218-275.
  • Chen, X., Li, X., Liu, Y., Yao, G., Yang, J., Li, J. & Qiu, F. (2021). Preventing dispensing errors through the utilization of lean six sigma and failure model and effect analysis: A prospective exploratory study in China. Journal of Evaluation in Clinical Practice, 27(5), 1134-1142.
  • Chiozza, M. L. & Ponzetti, C. (2009). FMEA: a model for reducing medical errors. Clinica Chimica Acta, 404(1), 75-78.
  • de Barros, L. B., Bassi, L. C., Caldas, L. P., Sarantopoulos, A., Zeferino, E. B. B., Minatogawa, V., & Gasparino, R. C. (2021). Lean Healthcare Tools for Processes Evaluation: An Integrative Review. International journal of environmental research and public health, 18(14), 7389. https://doi.org/10.3390/ijerph18147389
  • Erbayraktar, B. (2019). Tıbbi laboratuvarda preanalitik süreçteki hata kaynaklarının belirlenmesinde ve önlenmesinde bir risk yönetim modelinin uygulanması. Yüksek Lisans Tezi, Sağlık Bilimleri Enstitüsü.
  • Erdoğan Tarakçı, İ. (2020). Turizm işletmelerinde hizmet hataları ve hizmet telafisi yöntemlerinin müşteri memnuniyeti üzerindeki etkisi: Bir uygulama. Türk Turizm Araştırmaları Dergisi, 4(1), 259-278.
  • Etienne, E. C., & Etienne, M. E. (2021). Six-Sigma and Lean Thinking in Healthcare: A Comprehensive literature review and Critical assessment. Review of Contemporary Business Research, 9(1 & 2). https://doi.org/10.15640/rcbr.v9n1-2a2
  • George, A., Joseph, A.M., Kolencherry, S., Kodath, V.V., Menaka, K., Duraisingh, B. ve ark. (2018). Application of Six Sigma DMAIC methodology to reduce medication errors in a major trauma care centre in India. Indian Journal of Pharmacy Practice, 11(4), 182-187.
  • Grout, J. R., & Toussaint, J. S. (2009). Mistake-proofing healthcare: Why stopping processes may be a good start. Business Horizons, 53(2), 149–156. https://doi.org/10.1016/j.bushor.2009.10.007
  • Güven, M. (2014). Hasta güvenliği ve tıbbi hatalar: Antalya Atatürk devlet hastanesinde çalışan hemşirelerin hasta güvenliği ihlali ve tıbbi hata tanıklıkları. Yüksek Lisans Tezi, Sosyal Bilimler Enstitüsü.
  • Haddad, M. G., Zouein, P. P., Salem, J., & Otayek, R. (2016). Case study of Lean in hospital admissions to Inspire Culture Change. Engineering Management Journal, 28(4), 209–223. https://doi.org/10.1080/10429247.2016.1234896
  • Hoefsmit, P. C., Schretlen, S., Does, R. J. M. M., Verouden, N. J., & Zandbergen, H. R. (2023). Quality and process improvement of the multidisciplinary Heart Team meeting using Lean Six Sigma. BMJ Open Quality, 12(1), e002050. https://doi.org/10.1136/bmjoq-2022-002050
  • Harolds, J. A. (2023). Quality and safety in healthcare, part LXXXVIII: introduction to the Toyota production system. Clinical Nuclear Medicine, 48(5), e278-e280.
  • Iswanto, A. (2016). Using the Lean Six Sigma (DMAIC Framework) for Risk Elimination of Medication Errors at Kemang Medical Care. https://dx.doi.org/10.2139/ssrn.2745298
  • Khorasani, S. T., Feizi, R., & Tohidi, H. (2018). The effect of Poka-Yoke implementation on intravenous medication error in hospital inpatient pharmacy. In Proceedings of the 2018 IISE Annual Conference.
  • Kumar, S., & Aldrich, K. (2010). Overcoming barriers to electronic medical record (EMR) implementation in the US healthcare system: A comparative study. Health Informatics Journal, 16(4), 306–318. https://doi.org/10.1177/1460458210380523
  • Kumar, S., Livermont, G., & McKewan, G. (2010). Stage implementation of RFID in hospitals. Technology and Health Care, 18(1), 31–46. https://doi.org/10.3233/thc-2010-0570
  • Kumar, S., & Steinebach, M. (2008). Eliminating US hospital medical errors. International Journal of Health Care Quality Assurance, 21(5), 444–471. https://doi.org/10.1108/09526860810890431
  • Kuwaiti, A. A. (2016). Application Of Six Sigma Methodology To Reduce Medication Errors In The Outpatient Pharmacy Unit: A Case Study From The King Fahd University Hospital, Saudi Arabia. Directory of Open Access Journals. https://doi.org/10.18421/ijqr10.02-03
  • Mancosu, P., Nicolini, G., Goretti, G., De Rose, F., Franceschini, D., Ferrari, C., Reggiori, G., Tomatis, S., & Scorsetti, M. (2018). Applying Lean-Six-Sigma Methodology in radiotherapy: Lessons learned by the breast daily repositioning case. Radiotherapy and Oncology, 127(2), 326–331. https://doi.org/10.1016/j.radonc.2018.02.019
  • Ngaorungsi, T., & Chutima, P. (2024). Operational process improvement for outpatient services at a Private Medium-Sized Hospital. Engineering Journal, 28(2), 29–65. https://doi.org/10.4186/ej.2024.28.2.29
  • Latino, R.J. ve Flood, A. (2004). Optimizing FMEA and RCA efforts in health care. Journal of Healthcare Risk Management, 24(3), 21-8.
  • Liu, H.C., Zhang, L.J., Ping, Y.J., ve Wang, L. (2020). Failure mode and effects analysis for proactive healthcare risk evaluation: a systematic literature review. Journal of Evaluation in Clinical Practice, 26(4), 1320-1337.
  • Mendes, M.E., Ebner, P.D.A.R., Romano, P., Pacheco Neto, M., Sant’anna, A. ve Sumita, N.M. (2013). Practical aspects of the use of FMEA tool in clinical laboratory risk management. Jornal Brasileiro de Patologia e Medicina Laboratorial, 49, 174-181.
  • Ojo, B., Feldman, R., & Rampersad, S. (2022). Lean methodology in quality improvement. Paediatric anaesthesia, 32(11), 1209–1215. https://doi.org/10.1111/pan.14439
  • Önder, S. (2019). Özel hastanelerde kalite iyileştirme sürecinde hata türü ve etkileri analizi (FMEA) ve bir uygulama. Yüksek Lisans Tezi, Sağlık Bilimleri Enstitüsü.
  • Pehlivanoğlu, Ş. (2003). Toplam kalite yönetimi sürecinde kurum içi iletişim etkinliğinin sağlanmasında Poka-Yoke tekniği. Doctoral dissertation, DEÜ Sosyal Bilimleri Enstitüsü.
  • Sallam, M. (2024). Enhancing hospital pharmacy operations through Lean and Six Sigma strategies: a systematic review. Cureus, 16(3).
  • Saranjam, B., Naghizadeh, L., Rahimi, E., Etemad, M. ve Babaei-Pouya, A.M.I.N. (2020). Assessment of Health and Safety Hazards in Hospitals using Five Methods and Comparing the Results with the FMEA Method. Choice, 1127, 30.
  • Sattigeri, R. C., & Kulkarni, D. G. (2020). Lean concepts in service industry-health sector. Int. J. Adv. Sci. Technol, 29(8), 1463-1466.
  • Sattigeri, R. C., & Kulkarni, D. G. (2021). Impact of implementation of Poka-Yoke in hospitals.
  • Savković, M., Caiazzo, C., Djapan, M., Vukićević, A. M., Pušica, M., & Mačužić, I. (2022). Development of modular and Adaptive Laboratory Set-Up for Neuroergonomic and Human-Robot Interaction Research. Frontiers in Neurorobotics, 16. https://doi.org/10.3389/fnbot.2022.863637
  • Shahin, A. & Ghasemaghaei, M. (2010). Service poka yoke. International Journal of Marketing Studies, 2(2), 190.
  • Shingo, S. (1986). Zero quality control: source inspection and the Poka-Yoke system. https://library.pqm.co.id/index.php?p=show_detail&id=1369&keywords=
  • Sobral, J., Teixeira, D., Morais, H. ve Neves, M. (2017). Methodology to assess medical processes based on a Failure Mode and Effects Analysis (FMEA). 2017 IEEE 5th Portuguese Meeting on Bioengineering (ENBENG).
  • Soliman-Junior, J., Tzortzopoulos, P., & Kagioglou, M. (2020). Exploring mistakeproofing in healthcare design. Annual Conference of the International Group for Lean Construction. https://doi.org/10.24928/2020/0034
  • Southard, P. B., Chandra, C., & Kumar, S. (2012). RFID in healthcare: a Six Sigma DMAIC and simulation case study. International Journal of Health Care Quality Assurance, 25(4), 291–321. https://doi.org/10.1108/09526861211221491
  • Sunder, V.M. & Kunnath, N.R. (2020). Six Sigma to reduce claims processing errors in a healthcare payer firm. Production Planning & Control, 31(6), 496-511.
  • Tabibzadeh, M. & Muralidharan, A. (2019). Reducing medication errors and increasing patient safety: Utilizing the fault tree analysis. in Advances in Human Factors and Ergonomics in Healthcare and Medical Devices: Proceedings of the AHFE 2018 International Conference on Human Factors and Ergonomics in Healthcare and Medical Devices, Temmuz 21-25, 2018, Loews Sapphire Falls Resort at Universal Studios, Orlando, Florida, USA, pp. 207-218, Springer International Publishing.
  • Trakulsunti, Y., Antony, J., Edgeman, R., Cudney, B., Dempsey, M. & Brennan, A. (2022). Reducing pharmacy medication errors using Lean Six Sigma: A Thai hospital case study. Total Quality Management & Business Excellence, 33(5-6), 664-682.
  • Uzun, L.N. (2019). Dijitalleşmenin hemşirelik uygulamalarına harcanan zamana ve hasta güvenliğine etkisinin yalın hastane yaklaşımıyla incelenmesi. Yüksek Lisans Tezi, Sağlık Bilimleri Enstitüsü.
  • Vanker, N., Van Wyk, J., Zemlin, A.E. & Erasmus, R.T. (2010). A Six Sigma approach to the rate and clinical effect of registration errors in a laboratory. Journal of Clinical Pathology.
  • Van Dalen, A.S.H., Strandbygaard, J., Van Herzeele, I., Boet, S., Grantcharov, T.P. & Schijven, M.P. (2021). Six Sigma in surgery: how to create a safer culture in the operating theatre using innovative technology. British Journal of Anaesthesia, 127(6), 817-820.
  • Wetterneck, T.B., Hundt, A.S. & Carayon, P. (2009). FMEA team performance in health care: A qualitative analysis of team member perceptions. Journal of Patient Safety, 5(2).

THE APPLICABILITY OF POKA-YOKE IN THE HEALTH SECTOR: A LITERATURE REVIEW

Yıl 2025, Cilt: 24 Sayı: 48, 659 - 685, 18.12.2025
https://doi.org/10.55071/ticaretfbd.1665049

Öz

The healthcare sector is an area where critical decisions that directly affect human life are made, and where errors are not tolerated. Even the smallest mistakes in this field can seriously endanger patient safety and lead to consequences that are difficult to remedy. In this context, the adoption of a zero-defect approach is of great importance for enhancing the reliability of healthcare services. Poka-Yoke, an error-prevention method originating from industrial practices, is a practical and effective approach that focuses on preventing errors before they occur. This study systematically reviews academic publications that evaluate the applicability of the Poka-Yoke method in the healthcare sector. A total of 50 scientific studies were analyzed to discuss the scope and impact of Poka-Yoke applications aimed at preventing human errors in healthcare services. The findings of the study reveal that Poka-Yoke provides significant benefits particularly in medication management, laboratory processes, surgical procedures, and patient record systems, contributing to the goal of zero defects. This comprehensive literature review demonstrates that the adaptation of Poka-Yoke to healthcare services holds potential for improving patient safety, process efficiency, and quality standards.

Kaynakça

  • Abbasgholizadeh Rahimi, S., Jamshidi, A., Ait-Kadi, D. & Ruiz, A. (2015). Using fuzzy cost-based FMEA, GRA and profitability theory for minimizing failures at a healthcare diagnosis service. Quality and Reliability Engineering International, 31(4), 601-615.
  • Abecassis, Z.A., McElroy, L.M., Patel, R.M., Khorzad, R., Carroll IV, C. & Mehrotra S. (2015). Applying fault tree analysis to the prevention of wrong-site surgery. Journal of Surgical Research, 193(1), 88-94.
  • Al Kuwaiti, A. (2016). Application of Six Sigma methodology to reduce medication errors in the outpatient pharmacy unit: A case study from the King Fahd University Hospital. Saudi Arabia International Journal for Quality Research, 10(2), 267-278.
  • Almutairi, D., Alrghaib, L., Alenezi, M., Almutairi, M., Alajami, R., & Alfandi, L. (2020). Waiting time reduction in outpatient clinic using Lean techniques. In IIE Annual Conference. Proceedings (pp. 435-440). Institute of Industrial and Systems Engineers (IISE).
  • Anjalee, J.A.L., Rutter, V. & Samaranayake, N.R. (2021). Application of failure mode and effect analysis (FMEA) to improve medication safety: a systematic review. Postgraduate Medical Journal, 97(1145), 168-174.
  • Anjalee, J.L., Rutter, V. & Samaranayake, N.R. (2021). Application of failure mode and effects analysis (FMEA) to improve medication safety in the dispensing process–a study at a teaching hospital, Sri Lanka. BMC Public Health, 21(1), 1-13.
  • Armin, H., Toussani, S., Gousheh, S.N.H., Gholamnia, R. & Khaloo, S.S. (2022). Investigating the safety and health risks ranking in the hospital using the integrated approach of failure modes and effects analysis (FMEA) and Fuzzy-based Multiple Criteria Decision Making (MCDM) method. Academic Journal of Health Sciences: Medicina Balear, 37(1), 41-47.
  • Aydan, M. (2010). Sağlık hizmetleri kalite iyileştirme çalışmalarında hata tür ve etkileri analizinin bir üniversite hastanesinde uygulanabilirliği. Yüksek Lisans Tezi, Hacettepe Üniversitesi, Sağlık Bilimleri Enstitüsü, Sağlık Yönetimi A.B.D., Türkiye.
  • Bonfant, G. (2010). Clinical risk analysis with failure mode and effect analysis (FMEA) model in a dialysis unit. JN Journal of Nephrology, 23(1), 111-8.
  • Castle, L., Franzblau-Isaac, E. & Paulsen, J. (2005). Using Six Sigma to reduce medication errors in a home-delivery pharmacy service. The Joint Commission Journal on Quality and Patient Safety, 31(6), 319-324.
  • Celotto, D., Perri, G., Farneti, F., Fantini, D., Degan, S., Grillone, L., ve ark. (2018). Failure Mode and Effects Analysis (FMEA) to prevent and contrast violence on Healthcare Workers (HWs). European Journal of Public Health, 28(4), 218-275.
  • Chen, X., Li, X., Liu, Y., Yao, G., Yang, J., Li, J. & Qiu, F. (2021). Preventing dispensing errors through the utilization of lean six sigma and failure model and effect analysis: A prospective exploratory study in China. Journal of Evaluation in Clinical Practice, 27(5), 1134-1142.
  • Chiozza, M. L. & Ponzetti, C. (2009). FMEA: a model for reducing medical errors. Clinica Chimica Acta, 404(1), 75-78.
  • de Barros, L. B., Bassi, L. C., Caldas, L. P., Sarantopoulos, A., Zeferino, E. B. B., Minatogawa, V., & Gasparino, R. C. (2021). Lean Healthcare Tools for Processes Evaluation: An Integrative Review. International journal of environmental research and public health, 18(14), 7389. https://doi.org/10.3390/ijerph18147389
  • Erbayraktar, B. (2019). Tıbbi laboratuvarda preanalitik süreçteki hata kaynaklarının belirlenmesinde ve önlenmesinde bir risk yönetim modelinin uygulanması. Yüksek Lisans Tezi, Sağlık Bilimleri Enstitüsü.
  • Erdoğan Tarakçı, İ. (2020). Turizm işletmelerinde hizmet hataları ve hizmet telafisi yöntemlerinin müşteri memnuniyeti üzerindeki etkisi: Bir uygulama. Türk Turizm Araştırmaları Dergisi, 4(1), 259-278.
  • Etienne, E. C., & Etienne, M. E. (2021). Six-Sigma and Lean Thinking in Healthcare: A Comprehensive literature review and Critical assessment. Review of Contemporary Business Research, 9(1 & 2). https://doi.org/10.15640/rcbr.v9n1-2a2
  • George, A., Joseph, A.M., Kolencherry, S., Kodath, V.V., Menaka, K., Duraisingh, B. ve ark. (2018). Application of Six Sigma DMAIC methodology to reduce medication errors in a major trauma care centre in India. Indian Journal of Pharmacy Practice, 11(4), 182-187.
  • Grout, J. R., & Toussaint, J. S. (2009). Mistake-proofing healthcare: Why stopping processes may be a good start. Business Horizons, 53(2), 149–156. https://doi.org/10.1016/j.bushor.2009.10.007
  • Güven, M. (2014). Hasta güvenliği ve tıbbi hatalar: Antalya Atatürk devlet hastanesinde çalışan hemşirelerin hasta güvenliği ihlali ve tıbbi hata tanıklıkları. Yüksek Lisans Tezi, Sosyal Bilimler Enstitüsü.
  • Haddad, M. G., Zouein, P. P., Salem, J., & Otayek, R. (2016). Case study of Lean in hospital admissions to Inspire Culture Change. Engineering Management Journal, 28(4), 209–223. https://doi.org/10.1080/10429247.2016.1234896
  • Hoefsmit, P. C., Schretlen, S., Does, R. J. M. M., Verouden, N. J., & Zandbergen, H. R. (2023). Quality and process improvement of the multidisciplinary Heart Team meeting using Lean Six Sigma. BMJ Open Quality, 12(1), e002050. https://doi.org/10.1136/bmjoq-2022-002050
  • Harolds, J. A. (2023). Quality and safety in healthcare, part LXXXVIII: introduction to the Toyota production system. Clinical Nuclear Medicine, 48(5), e278-e280.
  • Iswanto, A. (2016). Using the Lean Six Sigma (DMAIC Framework) for Risk Elimination of Medication Errors at Kemang Medical Care. https://dx.doi.org/10.2139/ssrn.2745298
  • Khorasani, S. T., Feizi, R., & Tohidi, H. (2018). The effect of Poka-Yoke implementation on intravenous medication error in hospital inpatient pharmacy. In Proceedings of the 2018 IISE Annual Conference.
  • Kumar, S., & Aldrich, K. (2010). Overcoming barriers to electronic medical record (EMR) implementation in the US healthcare system: A comparative study. Health Informatics Journal, 16(4), 306–318. https://doi.org/10.1177/1460458210380523
  • Kumar, S., Livermont, G., & McKewan, G. (2010). Stage implementation of RFID in hospitals. Technology and Health Care, 18(1), 31–46. https://doi.org/10.3233/thc-2010-0570
  • Kumar, S., & Steinebach, M. (2008). Eliminating US hospital medical errors. International Journal of Health Care Quality Assurance, 21(5), 444–471. https://doi.org/10.1108/09526860810890431
  • Kuwaiti, A. A. (2016). Application Of Six Sigma Methodology To Reduce Medication Errors In The Outpatient Pharmacy Unit: A Case Study From The King Fahd University Hospital, Saudi Arabia. Directory of Open Access Journals. https://doi.org/10.18421/ijqr10.02-03
  • Mancosu, P., Nicolini, G., Goretti, G., De Rose, F., Franceschini, D., Ferrari, C., Reggiori, G., Tomatis, S., & Scorsetti, M. (2018). Applying Lean-Six-Sigma Methodology in radiotherapy: Lessons learned by the breast daily repositioning case. Radiotherapy and Oncology, 127(2), 326–331. https://doi.org/10.1016/j.radonc.2018.02.019
  • Ngaorungsi, T., & Chutima, P. (2024). Operational process improvement for outpatient services at a Private Medium-Sized Hospital. Engineering Journal, 28(2), 29–65. https://doi.org/10.4186/ej.2024.28.2.29
  • Latino, R.J. ve Flood, A. (2004). Optimizing FMEA and RCA efforts in health care. Journal of Healthcare Risk Management, 24(3), 21-8.
  • Liu, H.C., Zhang, L.J., Ping, Y.J., ve Wang, L. (2020). Failure mode and effects analysis for proactive healthcare risk evaluation: a systematic literature review. Journal of Evaluation in Clinical Practice, 26(4), 1320-1337.
  • Mendes, M.E., Ebner, P.D.A.R., Romano, P., Pacheco Neto, M., Sant’anna, A. ve Sumita, N.M. (2013). Practical aspects of the use of FMEA tool in clinical laboratory risk management. Jornal Brasileiro de Patologia e Medicina Laboratorial, 49, 174-181.
  • Ojo, B., Feldman, R., & Rampersad, S. (2022). Lean methodology in quality improvement. Paediatric anaesthesia, 32(11), 1209–1215. https://doi.org/10.1111/pan.14439
  • Önder, S. (2019). Özel hastanelerde kalite iyileştirme sürecinde hata türü ve etkileri analizi (FMEA) ve bir uygulama. Yüksek Lisans Tezi, Sağlık Bilimleri Enstitüsü.
  • Pehlivanoğlu, Ş. (2003). Toplam kalite yönetimi sürecinde kurum içi iletişim etkinliğinin sağlanmasında Poka-Yoke tekniği. Doctoral dissertation, DEÜ Sosyal Bilimleri Enstitüsü.
  • Sallam, M. (2024). Enhancing hospital pharmacy operations through Lean and Six Sigma strategies: a systematic review. Cureus, 16(3).
  • Saranjam, B., Naghizadeh, L., Rahimi, E., Etemad, M. ve Babaei-Pouya, A.M.I.N. (2020). Assessment of Health and Safety Hazards in Hospitals using Five Methods and Comparing the Results with the FMEA Method. Choice, 1127, 30.
  • Sattigeri, R. C., & Kulkarni, D. G. (2020). Lean concepts in service industry-health sector. Int. J. Adv. Sci. Technol, 29(8), 1463-1466.
  • Sattigeri, R. C., & Kulkarni, D. G. (2021). Impact of implementation of Poka-Yoke in hospitals.
  • Savković, M., Caiazzo, C., Djapan, M., Vukićević, A. M., Pušica, M., & Mačužić, I. (2022). Development of modular and Adaptive Laboratory Set-Up for Neuroergonomic and Human-Robot Interaction Research. Frontiers in Neurorobotics, 16. https://doi.org/10.3389/fnbot.2022.863637
  • Shahin, A. & Ghasemaghaei, M. (2010). Service poka yoke. International Journal of Marketing Studies, 2(2), 190.
  • Shingo, S. (1986). Zero quality control: source inspection and the Poka-Yoke system. https://library.pqm.co.id/index.php?p=show_detail&id=1369&keywords=
  • Sobral, J., Teixeira, D., Morais, H. ve Neves, M. (2017). Methodology to assess medical processes based on a Failure Mode and Effects Analysis (FMEA). 2017 IEEE 5th Portuguese Meeting on Bioengineering (ENBENG).
  • Soliman-Junior, J., Tzortzopoulos, P., & Kagioglou, M. (2020). Exploring mistakeproofing in healthcare design. Annual Conference of the International Group for Lean Construction. https://doi.org/10.24928/2020/0034
  • Southard, P. B., Chandra, C., & Kumar, S. (2012). RFID in healthcare: a Six Sigma DMAIC and simulation case study. International Journal of Health Care Quality Assurance, 25(4), 291–321. https://doi.org/10.1108/09526861211221491
  • Sunder, V.M. & Kunnath, N.R. (2020). Six Sigma to reduce claims processing errors in a healthcare payer firm. Production Planning & Control, 31(6), 496-511.
  • Tabibzadeh, M. & Muralidharan, A. (2019). Reducing medication errors and increasing patient safety: Utilizing the fault tree analysis. in Advances in Human Factors and Ergonomics in Healthcare and Medical Devices: Proceedings of the AHFE 2018 International Conference on Human Factors and Ergonomics in Healthcare and Medical Devices, Temmuz 21-25, 2018, Loews Sapphire Falls Resort at Universal Studios, Orlando, Florida, USA, pp. 207-218, Springer International Publishing.
  • Trakulsunti, Y., Antony, J., Edgeman, R., Cudney, B., Dempsey, M. & Brennan, A. (2022). Reducing pharmacy medication errors using Lean Six Sigma: A Thai hospital case study. Total Quality Management & Business Excellence, 33(5-6), 664-682.
  • Uzun, L.N. (2019). Dijitalleşmenin hemşirelik uygulamalarına harcanan zamana ve hasta güvenliğine etkisinin yalın hastane yaklaşımıyla incelenmesi. Yüksek Lisans Tezi, Sağlık Bilimleri Enstitüsü.
  • Vanker, N., Van Wyk, J., Zemlin, A.E. & Erasmus, R.T. (2010). A Six Sigma approach to the rate and clinical effect of registration errors in a laboratory. Journal of Clinical Pathology.
  • Van Dalen, A.S.H., Strandbygaard, J., Van Herzeele, I., Boet, S., Grantcharov, T.P. & Schijven, M.P. (2021). Six Sigma in surgery: how to create a safer culture in the operating theatre using innovative technology. British Journal of Anaesthesia, 127(6), 817-820.
  • Wetterneck, T.B., Hundt, A.S. & Carayon, P. (2009). FMEA team performance in health care: A qualitative analysis of team member perceptions. Journal of Patient Safety, 5(2).
Toplam 54 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Endüstri Mühendisliği
Bölüm Derleme
Yazarlar

Hüseyin Akıncı 0009-0004-8606-161X

Yavuz Özdemir 0000-0001-6821-9867

Mustafa Yıldırım 0000-0001-5709-4421

Hakan Kavak 0009-0004-8753-5696

Gönderilme Tarihi 25 Mart 2025
Kabul Tarihi 20 Mayıs 2025
Erken Görünüm Tarihi 9 Aralık 2025
Yayımlanma Tarihi 18 Aralık 2025
Yayımlandığı Sayı Yıl 2025 Cilt: 24 Sayı: 48

Kaynak Göster

APA Akıncı, H., Özdemir, Y., Yıldırım, M., Kavak, H. (2025). POKA-YOKE’NİN SAĞLIK SEKTÖRÜNDE UYGULANABİLİRLİĞİ: LİTERATÜR TARAMASI. İstanbul Ticaret Üniversitesi Fen Bilimleri Dergisi, 24(48), 659-685. https://doi.org/10.55071/ticaretfbd.1665049
AMA Akıncı H, Özdemir Y, Yıldırım M, Kavak H. POKA-YOKE’NİN SAĞLIK SEKTÖRÜNDE UYGULANABİLİRLİĞİ: LİTERATÜR TARAMASI. İstanbul Ticaret Üniversitesi Fen Bilimleri Dergisi. Aralık 2025;24(48):659-685. doi:10.55071/ticaretfbd.1665049
Chicago Akıncı, Hüseyin, Yavuz Özdemir, Mustafa Yıldırım, ve Hakan Kavak. “POKA-YOKE’NİN SAĞLIK SEKTÖRÜNDE UYGULANABİLİRLİĞİ: LİTERATÜR TARAMASI”. İstanbul Ticaret Üniversitesi Fen Bilimleri Dergisi 24, sy. 48 (Aralık 2025): 659-85. https://doi.org/10.55071/ticaretfbd.1665049.
EndNote Akıncı H, Özdemir Y, Yıldırım M, Kavak H (01 Aralık 2025) POKA-YOKE’NİN SAĞLIK SEKTÖRÜNDE UYGULANABİLİRLİĞİ: LİTERATÜR TARAMASI. İstanbul Ticaret Üniversitesi Fen Bilimleri Dergisi 24 48 659–685.
IEEE H. Akıncı, Y. Özdemir, M. Yıldırım, ve H. Kavak, “POKA-YOKE’NİN SAĞLIK SEKTÖRÜNDE UYGULANABİLİRLİĞİ: LİTERATÜR TARAMASI”, İstanbul Ticaret Üniversitesi Fen Bilimleri Dergisi, c. 24, sy. 48, ss. 659–685, 2025, doi: 10.55071/ticaretfbd.1665049.
ISNAD Akıncı, Hüseyin vd. “POKA-YOKE’NİN SAĞLIK SEKTÖRÜNDE UYGULANABİLİRLİĞİ: LİTERATÜR TARAMASI”. İstanbul Ticaret Üniversitesi Fen Bilimleri Dergisi 24/48 (Aralık2025), 659-685. https://doi.org/10.55071/ticaretfbd.1665049.
JAMA Akıncı H, Özdemir Y, Yıldırım M, Kavak H. POKA-YOKE’NİN SAĞLIK SEKTÖRÜNDE UYGULANABİLİRLİĞİ: LİTERATÜR TARAMASI. İstanbul Ticaret Üniversitesi Fen Bilimleri Dergisi. 2025;24:659–685.
MLA Akıncı, Hüseyin vd. “POKA-YOKE’NİN SAĞLIK SEKTÖRÜNDE UYGULANABİLİRLİĞİ: LİTERATÜR TARAMASI”. İstanbul Ticaret Üniversitesi Fen Bilimleri Dergisi, c. 24, sy. 48, 2025, ss. 659-85, doi:10.55071/ticaretfbd.1665049.
Vancouver Akıncı H, Özdemir Y, Yıldırım M, Kavak H. POKA-YOKE’NİN SAĞLIK SEKTÖRÜNDE UYGULANABİLİRLİĞİ: LİTERATÜR TARAMASI. İstanbul Ticaret Üniversitesi Fen Bilimleri Dergisi. 2025;24(48):659-85.