{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,23]],"date-time":"2025-08-23T00:08:40Z","timestamp":1755907720851,"version":"3.44.0"},"publisher-location":"New York, NY, USA","reference-count":37,"publisher":"ACM","license":[{"start":{"date-parts":[[2024,5,17]],"date-time":"2024-05-17T00:00:00Z","timestamp":1715904000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["dl.acm.org"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,5,17]]},"DOI":"10.1145\/3673971.3674008","type":"proceedings-article","created":{"date-parts":[[2024,9,9]],"date-time":"2024-09-09T12:22:16Z","timestamp":1725884536000},"page":"291-297","update-policy":"https:\/\/doi.org\/10.1145\/crossmark-policy","source":"Crossref","is-referenced-by-count":21,"title":["Applying the DMAIC Cycle and Machine Learning to Examine COVID-19's Effects on Emergency Department-LOS"],"prefix":"10.1145","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9735-5227","authenticated-orcid":false,"given":"Arianna","family":"Scala","sequence":"first","affiliation":[{"name":"Department of Public Health, University of Naples ?Federico II?, Italy"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0929-567X","authenticated-orcid":false,"given":"Teresa Angela","family":"Trunfio","sequence":"additional","affiliation":[{"name":"Department of Advanced Biomedical Sciences, University of Naples ?Federico II?, Italy"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9485-1687","authenticated-orcid":false,"given":"Giovanni","family":"Improta","sequence":"additional","affiliation":[{"name":"Department of Public Health, University of Naples ?Federico II?, Italy and \rInterdepartmental Center for Research in Healthcare Management and Innovation in Healthcare (CIRMIS), University of Naples ?Federico II?, Italy"}]}],"member":"320","published-online":{"date-parts":[[2024,9,9]]},"reference":[{"key":"e_1_3_2_1_1_1","volume-title":"January 1","author":"Hartnett K. P.","year":"2020","unstructured":"Hartnett, K. P., Kite-Powell, A., DeVies, J., Coletta, M. A., Boehmer, T. K., Adjemian, J., & Gundlapalli, A. V. (2020). Impact of the COVID-19 pandemic on emergency department visits\u2014United States, January 1, 2019\u2013May 30, 2020. Morbidity and Mortality Weekly Report, 69(23), 699."},{"doi-asserted-by":"publisher","key":"e_1_3_2_1_2_1","DOI":"10.1097\/SLA.0000000000005152"},{"key":"e_1_3_2_1_3_1","volume-title":"The impact of the COVID-19 pandemic on emergency department visits and patient safety in the United States. The American journal of emergency medicine, 38(9), 1732-1736","author":"Boserup B.","year":"2020","unstructured":"Boserup, B., McKenney, M., & Elkbuli, A. (2020). The impact of the COVID-19 pandemic on emergency department visits and patient safety in the United States. The American journal of emergency medicine, 38(9), 1732-1736"},{"key":"e_1_3_2_1_4_1","volume-title":"January 1","author":"Hartnett K. P.","year":"2020","unstructured":"Hartnett, K. P., Kite-Powell, A., DeVies, J., Coletta, M. A., Boehmer, T. K., Adjemian, J., & Gundlapalli, A. V. (2020). Impact of the COVID-19 pandemic on emergency department visits\u2014United States, January 1, 2019\u2013May 30, 2020. Morbidity and Mortality Weekly Report, 69(23), 699."},{"doi-asserted-by":"publisher","key":"e_1_3_2_1_5_1","DOI":"10.1371\/journal.pone.0252441"},{"doi-asserted-by":"publisher","key":"e_1_3_2_1_6_1","DOI":"10.1017\/S1481803500002451"},{"key":"e_1_3_2_1_7_1","volume-title":"The Lean Six Sigma Pocket Toolbook: A Quick Reference Guide to 100 Tools for Improving Quality and Speed","author":"George M. L.","year":"2005","unstructured":"George, M. L., Rowlands, D., Price, M., & Maxey, J. (2005). The Lean Six Sigma Pocket Toolbook: A Quick Reference Guide to 100 Tools for Improving Quality and Speed. McGraw-Hill Education."},{"key":"e_1_3_2_1_8_1","volume-title":"The Six Sigma Handbook","author":"Pyzdek T.","year":"2014","unstructured":"Pyzdek, T., & Keller, P. (2014). The Six Sigma Handbook, Fourth Edition. McGraw-Hill Education."},{"key":"e_1_3_2_1_9_1","volume-title":"The Machine That Changed the World: The Story of Lean Production\u2013Toyota's Secret Weapon in the Global Car Wars That Is Now Revolutionizing World Industry","author":"Womack J. P.","year":"1990","unstructured":"Womack, J. P., Jones, D. T., & Roos, D. (1990). The Machine That Changed the World: The Story of Lean Production\u2013Toyota's Secret Weapon in the Global Car Wars That Is Now Revolutionizing World Industry. Free Press."},{"key":"e_1_3_2_1_10_1","volume-title":"Lean Six Sigma: Combining Six Sigma Quality with Lean Production Speed","author":"George M. L.","year":"2003","unstructured":"George, M. L. (2003). Lean Six Sigma: Combining Six Sigma Quality with Lean Production Speed. McGraw-Hill Education."},{"key":"e_1_3_2_1_11_1","volume-title":"The Six Sigma Way: How GE, Motorola, and Other Top Companies Are Honing Their Performance","author":"Pande P. S.","year":"2000","unstructured":"Pande, P. S., Neuman, R. P., & Cavanagh, R. R. (2000). The Six Sigma Way: How GE, Motorola, and Other Top Companies Are Honing Their Performance. McGraw-Hill Education."},{"key":"e_1_3_2_1_12_1","volume-title":"Learning to See: Value Stream Mapping to Add Value and Eliminate MUDA","author":"Rother M.","year":"1999","unstructured":"Rother, M., & Shook, J. (1999). Learning to See: Value Stream Mapping to Add Value and Eliminate MUDA. Lean Enterprise Institute."},{"key":"e_1_3_2_1_13_1","volume-title":"Design for Six Sigma: A Practical Approach through Innovation","author":"Antony J.","year":"2004","unstructured":"Antony, J. (2004). Design for Six Sigma: A Practical Approach through Innovation. Springer."},{"key":"e_1_3_2_1_14_1","volume-title":"Integrating DMAIC approach of Lean Six Sigma and theory of constraints toward quality improvement in healthcare. Rev. Environ. Health 34(4), 427\u2013434","author":"Ahmed S.","year":"2019","unstructured":"Ahmed, S.: Integrating DMAIC approach of Lean Six Sigma and theory of constraints toward quality improvement in healthcare. Rev. Environ. Health 34(4), 427\u2013434 (2019)."},{"key":"e_1_3_2_1_15_1","volume-title":"Implementing Six Sigma: Smarter Solutions Using Statistical Methods","author":"Breyfogle III, F. W.","year":"1999","unstructured":"Breyfogle III, F. W. (1999). Implementing Six Sigma: Smarter Solutions Using Statistical Methods. Wiley."},{"key":"e_1_3_2_1_16_1","volume-title":"Making Six Sigma Last: Managing the Balance Between Cultural and Technical Change","author":"Eckes G.","year":"2001","unstructured":"Eckes, G. (2001). Making Six Sigma Last: Managing the Balance Between Cultural and Technical Change. Wiley."},{"volume-title":"Improta","author":"Cesarelli G.","unstructured":"Cesarelli, G., Montella, E., Scala, A., Raiola, E., Triassi, M., Improta, G.: DMAIC approach for the reduction of healthcare-associated infections in the neonatal intensive care unit of theuniversity hospital of Naples \u2018Federico II.\u2019 In: Jarm, T., Cvetkoska, A.,Mahni\u02c7c-Kalamiza,","key":"e_1_3_2_1_17_1"},{"doi-asserted-by":"publisher","key":"e_1_3_2_1_18_1","DOI":"10.1504\/IJHTM.2020.116783"},{"doi-asserted-by":"publisher","key":"e_1_3_2_1_19_1","DOI":"10.1145\/3472813.3472823"},{"doi-asserted-by":"publisher","key":"e_1_3_2_1_20_1","DOI":"10.1001\/archsurg.142.5.461"},{"doi-asserted-by":"crossref","unstructured":"Scala Arianna Anna Borrelli and Giovanni Improta. \"Predictive analysis of lower limb fractures in the orthopedic complex operative unit using artificial intelligence: The case study of AOU Ruggi.\" Scientific Reports 12.1 (2022): 22153.","key":"e_1_3_2_1_21_1","DOI":"10.1038\/s41598-022-26667-0"},{"doi-asserted-by":"crossref","unstructured":"Scala Arianna Teresa Angela Trunfio and Giovanni Improta. \"Classification and regression model to manage the hospitalization for laparoscopic cholecystectomy.\" Scientific Reports 13.1 (2023): 14700.","key":"e_1_3_2_1_22_1","DOI":"10.1038\/s41598-023-41597-1"},{"doi-asserted-by":"publisher","key":"e_1_3_2_1_23_1","DOI":"10.3390\/bioengineering10040440"},{"key":"e_1_3_2_1_24_1","volume-title":"Proceedings of the 5th International Conference on Medical and Health Informatics (pp. 63-67)","author":"Trunfio T. A.","year":"2021","unstructured":"Trunfio, T. A., Maria Ponsiglione, A., Ferrara, A., Borrelli, A., & Gargiulo, P. (2021, May). A comparison of different regression and classification methods for predicting the length of hospital stay after cesarean sections. In Proceedings of the 5th International Conference on Medical and Health Informatics (pp. 63-67)."},{"doi-asserted-by":"publisher","key":"e_1_3_2_1_25_1","DOI":"10.1145\/3502060.3503630"},{"doi-asserted-by":"publisher","key":"e_1_3_2_1_26_1","DOI":"10.1145\/3498731.3498755"},{"doi-asserted-by":"publisher","key":"e_1_3_2_1_27_1","DOI":"10.1145\/3502060.3503628"},{"key":"e_1_3_2_1_28_1","volume-title":"Naples. In Proceedings of the 2021 10th International Conference on Bioinformatics and Biomedical Science (pp. 144-147)","author":"Majolo M.","year":"2021","unstructured":"Majolo, M., Ponsiglione, A. M., Longo, G., Russo, G., Triassi, M., Raiola, E., & Improta, G. (2021, October). Studying length of stay in the Emergency Department of AORN \u201cAntonio Cardarelli\u201d of Naples. In Proceedings of the 2021 10th International Conference on Bioinformatics and Biomedical Science (pp. 144-147)."},{"doi-asserted-by":"crossref","unstructured":"Cesarelli M. Romano M. Bifulco P. Improta G. & D'Addio G. (2012 August). An application of symbolic dynamics for FHRV assessment. In MIE (pp. 123-127).","key":"e_1_3_2_1_29_1","DOI":"10.3233\/978-1-61499-101-4-123"},{"key":"e_1_3_2_1_30_1","volume-title":"Romano","author":"Ponsiglione A.M.","year":"2021","unstructured":"Ponsiglione, A.M., Amato, F., Romano, M.: Multiparametric investigation of dynamics in fetal heart rate signals. Bioengineering 9(1), 8 (2021)"},{"doi-asserted-by":"crossref","unstructured":"Ponsiglione A.M. Cosentino C. Cesarelli G. Amato F. Romano M.: A comprehensive review of techniques for processing and analyzing fetal heart rate signals. Sensors 21(18) 6136 (2021)","key":"e_1_3_2_1_31_1","DOI":"10.3390\/s21186136"},{"doi-asserted-by":"publisher","key":"e_1_3_2_1_32_1","DOI":"10.1111\/jep.13302"},{"key":"e_1_3_2_1_33_1","first-page":"140","article-title":"Prognostic decision support using symbolic dynamics in CTG monitoring","volume":"186","author":"Cesarelli M.","year":"2013","unstructured":"Cesarelli, M., Romano, M., Bifulco, P., Improta, G. and D'Addio, G., 2013. Prognostic decision support using symbolic dynamics in CTG monitoring. EFMI-STC, 186, pp.140-144.","journal-title":"EFMI-STC"},{"doi-asserted-by":"crossref","unstructured":"Ponsiglione A.M. Amato F. Cozzolino S. Russo G. Romano M. Improta G.: A hybrid analytic hierarchy process and likert scale approach for the quality assessment of medical education programs. Mathematics 10(9) 1426 (2022)","key":"e_1_3_2_1_34_1","DOI":"10.3390\/math10091426"},{"doi-asserted-by":"publisher","key":"e_1_3_2_1_35_1","DOI":"10.3390\/ijerph191610021"},{"doi-asserted-by":"publisher","key":"e_1_3_2_1_36_1","DOI":"10.3390\/ijerph19052498"},{"volume-title":"2019 41st Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC) (pp. 3286-3289)","author":"D'Addio G.","unstructured":"D'Addio, G., Donisi, L., Pagano, G., Improta, G., Biancardi, A. and Cesarelli, M., 2019, July. Agreement between opal and G-walk wearable inertial systems in gait analysis on normal and pathological subjects. In 2019 41st Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC) (pp. 3286-3289). IEEE.","key":"e_1_3_2_1_37_1"}],"event":{"acronym":"ICMHI 2024","name":"ICMHI 2024: 2024 8th International Conference on Medical and Health Informatics","location":"Yokohama Japan"},"container-title":["Proceedings of the 2024 8th International Conference on Medical and Health Informatics"],"original-title":[],"link":[{"URL":"https:\/\/dl.acm.org\/doi\/10.1145\/3673971.3674008","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/dl.acm.org\/doi\/pdf\/10.1145\/3673971.3674008","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,22]],"date-time":"2025-08-22T19:47:02Z","timestamp":1755892022000},"score":1,"resource":{"primary":{"URL":"https:\/\/dl.acm.org\/doi\/10.1145\/3673971.3674008"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,5,17]]},"references-count":37,"alternative-id":["10.1145\/3673971.3674008","10.1145\/3673971"],"URL":"https:\/\/doi.org\/10.1145\/3673971.3674008","relation":{},"subject":[],"published":{"date-parts":[[2024,5,17]]},"assertion":[{"value":"2024-09-09","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}