354 Septembar 2022. | Volumen 3 / Broj 3 | SRPSKI MEDICINSKI čASOPIS LEKARSKE KOMORE SAŽETAK Brzina pružanja usluga pacijentima direktno utiče na uspeh zdravstvenih organizacija. U tom pogledu, implementacija savremenih koncepata u zdravstvenim organizacijama predstavlja sinonim za uspeh. Predmet istraživanja: Predmet istraživanja ovog rada je mogućnost primene SIPOC metode na klinički proces u akušerstvu. Preciznije, primena navedene metode značila bi brže odvijanje aktivnosti u okviru kliničkog procesa (pregestacijsko savetovanje, ante- natalna zdravstvena nega trudnica, porođaji, nadzor porodilja u periodu puerperijuma). Kroz aktivnosti navedenog kliničkog procesa nastoje se zadovoljiti zdravstvene potrebe trudnica i porodilja. Primena SIPOC metode nije toliko aktuelna u kliničkim procesima, posebno kliničkom procesu u akušerstvu, te stoga ovaj rad otvara jedno novo istraživačko područje. Cilj: Cilj ovog rada jeste da ukaže na aktuelnost SIPOC metode, kao jednog od alata u okviru Lean metodologije, koji se može koristiti za unapređenje kliničkog procesa u aku- šerstvu. Materijali i metode: U radu su korišćenje sledeće metode: metoda analize, induktivno – deduktivna metoda, metoda sinteze, metoda deskripcije i metoda dokazivanja. Takođe je korišćena analiza slučaja, kod primene SIPOC matrice u ginekološko-akušerskoj ambu- lanti. Rezultati: Rezultati istraživanja su pokazali da implementacija savremenih metoda ima pozitivan uticaj na poboljšanje efkasnosti pružanja zdravstvenih usluga. SIPOC metoda je uticala na poboljšanje efkasnosti kliničkog procesa u akušerstvu. Na osnovu pregleda literature i dobijenih rezultata, utvrđeno je da ne postoji formalizovan koncept sa instruk- cijama o implementaciji metoda poboljšanja kliničkih procesa. Ključne reči: metode, zdravstvene usluge, akušerstvo ABSTRACT The promptness of providing services to patients directly afects the success of healthcare organizations. In this regard, the implementation of contemporary concepts in health- care organizations is synonymous with success. Subject of research: The subject being researched in this paper is the possibility of apply- ing the SIPOC method to the clinical process in obstetrics. A more precise application of the abovementioned method would mean a prompter implementation of activities within the clinical process (pregestational counseling, antenatal care of expectant mothers, deliveries, supervision of women during puerperium). Through the activities of the abovementioned clinical process, an efort is made to meet the health needs of expectant and new mothers. The application of the SIPOC method is not sufciently present in clinical processes, espe- cially the clinical process in obstetrics, and therefore this paper opens a new research area. Aim: The aim of this paper is to indicate the relevance of the SIPOC method as one of the tools within the Lean methodology, which can be used to improve the clinical process in obstetrics. Materials and methods: The following materials and methods were applied in this study: the method of analysis, the inductive – deductive method, the method of syn- thesis, the method of description, the method of proof. Case analysis was also used in the application of the SIPOC matrix at a gynecology and obstetrics outpatient clinic. Results: The results of the research showed that there was a positive impact on improving the efciency of the provision of health services, through the implementation of modern methods. The SIPOC method afected the improvement of the efciency of the clinical process in obstet- rics. The review of the literature and the obtained results revealed that there is no formalized concept with instructions on the implementation of clinical process improvement methods. Keywords: methods, health services, obstetrics Autor za korespondenciju: Edin Međedović Klinika za ginekologiju i porodiljstvo, Univerzitetsko-klinički centar Saraje- vo, Sarajevo, Bosna i Hercegovina 71000 Sarajevo, Bosna i Hercegovina Elektronska adresa: medjedovic.e@gmail.com Corresponding author: Edin Međedović Clinic of Gynecology and Obstetrics, Clinical Center University of Sarajevo, Sarajevo, Bosnia and Herzegovina 71000 Sarajevo, Bosnia and Herzegovina E-mail: medjedovic.e@gmail.com Edin Međedović 1, 2 , Lara Spalldi Barišić 3 , Enida Nevačinović 4 , Admir Rama 5 , Anida Kurtović 6 , Anis Cerovac 7, 8 1 Klinički centar Univerziteta Sarajevo, Klinika za ginekologiju i porodiljst- vo, Sarajevo, Bosna i Hercegovina 2 Sarajevo Medical School, School of Science and Technology, Odeljenje za ginekologiju, akušerstvo i reproduktivnu medicinu, Sarajevo, Bosna i Hercegovina 3 Poliklinika „Veritas“, Odeljenje za ginekologiju i akušerstvo, Zagreb, Hrvatska 4 Klinički centar Univerziteta u Tuzli, Klinika za ginekologiju i akušerstvo, Tuzla, Bosna i Hercegovina 5 Bahceci IVF Centar, Sarajevo, Bosna i Hercegovina 6 Dom zdravlja „Sarajevo“, Odeljenje ginekologije, Sarajevo, Bosna i Herce- govina 7 Opšta bolnica Tešanj, Odeljenje za ginekologiju i porodiljstvo, Tešanj, Bosna i Hercegovina 8 Univerzitet u Tuzli, Medicinski fakultet u Tuzli, Tuzla, Bosna i Hercegovina 1 Clinical Center University of Sarajevo, Clinic of Gynecology and Obstetrics, Sarajevo, Bosnia and Herzegovina 2 Sarajevo Medical School, Sarajevo School of Science and Technology, Department of Gynecology, Obstetrics and Reproductive Medicine, Sarajevo, Bosnia and Herzegovina 3 "Veritas" Clinic, Department of Obstetrics and Gynecology, Zagreb, Croatia 4 University Clinical Center Tuzla, Clinic of Gynecology and Obstetrics, Bosnia and Herzegovina 5 Bahceci IVF Center, Sarajevo, Bosnia and Herzegovina 6 Health Care Center "Sarajevo", Department of Gynecology, Sarajevo, Bosnia and Herzegovina 7 Tešanj General Hospital, Department of Gynecology and Obstetrics, Tešanj, Bosnia and Herzegovina 8 University of Tuzla, Faculty of Medicine in Tuzla, Tuzla, Bosnia and Herze- govina Primljeno • Received: July 4, 2022; Revidirano • Revised: July 22, 2022; Prihvaćeno • Accepted: August 10, 2022; Online frst: September 25, 2022 SIPOC METHOD OF OPTIMIZING THE CLINICAL PROCESS IN OBSTETRICS SIPOC METODA OPTIMIZACIJE KLINIČKOG PROCESA U AKUŠERSTVU DOI: 10.5937/smclk3-38976 PREGLEDNI RAD REVIEW ARTICLE