Document Type : Research Paper


Department of Mechanical Engineering, Higher Technological Institute, 10th of Rmadan City, Egypt.


The purpose of this paper is to enhance the quality of private hospitals in Egypt. The health care field, especially in the private hospital in Egypt has acquired huge importance lately because of its great contribution to the fast handling of patients. Today, customers of the private hospitals complain from slow handling during registration process, which may lead to making the patient condition worse and may refers to bad performance of the hospital at all. In view of the importance of these complains, the researcher selected the (PATH) as a tool to improve the quality in emergency department at hospital. Using that tool structural and organizational changes such as: quality committees; multidisciplinary teams and technology investments. The study found that applying the (PATH) in the emergency department leads to decrease the patient waiting time and leads to improve the overall performance of the ( Sina  hospital).


Main Subjects

  1. Abbasimehr, H., & Khodizadeh Nahari, M. (2020). Improving demand forecasting with LSTM by taking into account the seasonality of data. Journal of applied research on industrial engineering7(2), 177-189. DOI: 22105/jarie.2020.232594.1168
  2. Ali, A. Y. (2020). Six Sigma-DMAIC and food waste hierarchy-based framework for reducing food waste in University canteens in Ethiopia. International journal of research in industrial engineering9(1), 77-83. DOI: 22105/riej.2020.209160.1105
  3. Shih, A. (2007). Measuring hospital performance: the importance of process measures. Commonwealth Fund.  
  4. Bakhshi, M., Hashemi, S. E., & Dezhdar, H. (2020). Applying mathematical modeling to create job rotation for improve workforce performance in semi-automatic systems. International journal of research in industrial engineering9(4), 318-327. DOI: 22105/riej.2020.243223.1140
  5. Barry, T. J. (1991). Management excellence through quality. Asq Press.
  6. Crosby, P. B. (1984). Quality without tears: the art of hassle free management, new customer satisfaction and job satisfaction in a service environment. Hum relat46(3), 725-727.
  7. Deming, W. E., & Edwards, D. W. (1982). Quality, productivity, and competitive position(Vol. 183). Cambridge, MA: Massachusetts Institute of Technology, Center for advanced engineering study.
  8. World Health Organization. (2007). Performance assessment tool for quality improvement in hospitals. Retrieved from
  9. Hoyle, D., & Thompson, J. (2000). Converting a quality management system using the process approach. Transition Support.
  10. Jackson, S., & Bircher, R. (2002). Transforming a run down general practice into a leading edge primary care organisation with the help of the EFQM excellence model. International journal of health care quality assurance, 15(6), 255-267.
  11. Womack, J. P., & Jones, D. T. (2003). Lean thinking: banish waste and create wealth in your corporation, revised and updated. Free Press
  12. Klazinga, N. (2000). Re-engineering trust: the adoption and adaption of four models for external quality assurance of health care services in western European health care systems. International journal for quality in health care12(3), 183-189.
  13. Kristensen, F. B., Husereau, D., Huić, M., Drummond, M., Berger, M. L., Bond, K., ... & Wailoo, A. (2019). Identifying the need for good practices in health technology assessment: summary of the ISPOR HTA council working group report on good practices in HTA. Value in health22(1), 13-20.
  14. Arcelay, A., Sánchez, E., Hernández, L., Inclán, G., Bacigalupe, M., Letona, J., ... & Martínez‐Conde, A. E. (1999). Self‐assessment of all the health centres of a public health service through the European model of total quality management. International journal of health care quality assurance, 12(2), 54-59.
  15. Nabitz, U., Klazinga, N., & Walburg, J. A. N. (2000). The EFQM excellence model: European and Dutch experiences with the EFQM approach in health care. International journal for quality in health care12(3), 191-202.
  16. Nabitz, U. W., & Walburg, J. A. (2000). Addicted to quality–winning the dutch quality award based on the EFQM Model. International journal of health care quality assurance. 13(6), 259-265.
  17. Vallejo, P., Saura, R. M., Sunol, R., Kazandjian, V., Ureña, V., & Mauri, J. (2006). A proposed adaptation of the EFQM fundamental concepts of excellence to health care based on the PATH framework. International journal for quality in health care18(5), 327-335.
  18. Sicotte, C., Champagne, F., Contandriopoulos, A. P., Barnsley, J., Béland, F., Leggat, S. G., ... & Baker, G. R. (1998). A conceptual framework for the analysis of health care organizations' performance. Health services management research11(1), 24-41. DOI: 1177/095148489801100106
  19. Simón, R., Guix, J., Nualart, L., Surroca, R. M., & Carbonell, J. M. (2001). Use of several models as diagnostic and quality improvement tool: EFQM and joint commission. Rev calidad asistencial16(5). (In Spanish). DOI: 1016 / S1134-282X (01) 77427-1
  20. Alteras, T., Meyer, J., & Silow-Carroll, Sh. (2007). Hospital quality improvement: strategies and lessons from u.s. hospital Retrieved from
  21. Tennant, G. (2017). Six Sigma: SPC and TQM in manufacturing and services. Routledge.
  22. Veillard, J., Champagne, F., Klazinga, N., Kazandjian, V., Arah, O. A., & Guisset, A. L. (2005). A performance assessment framework for hospitals: the WHO regional office for Europe PATH project. International journal for quality in health care17(6), 487-496.
  23. Joynt, K. E., Harris, Y., Orav, E. J., & Jha, A. K. (2011). Quality of care and patient outcomes in critical access rural hospitals. Jama306(1), 45-52.