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Implementing family-based discharge planning, which relies on the participation of family members, can help stroke victims feel better. The purpose of this study was to identify the effect of family-based discharge planning on the quality of life of stroke patients based on journal literature reviews. Methode uses systematic literature reviews of journals taken from research in 15 journals, which were discovered through screening results of a number of journals from Google Scholar, Cochrane, Science Direct, Pubmed, and Wile using the keywords "Discharge Planning" AND "Family" AND "Quality Of Life" AND "Stroke OR Post Stroke". Writing research journals from the 2017-2021 time frame  and those that complied with inclusion and exclusion standards, in PICOTS format, both national and international journals. Results from 15 design journals used quasy experimental (33.5%), Systematic Review (13.4%), Randomized controlled (13.4%), Cross sectional survey (6.7%), Longitudinal Survey (6.7%), True Experimental (6.7%), Parallel group (13.4%), Retrospective Study (6.7%). Conclusion Discharge planning provides family caregiver education about stroke. The support of family members is very important in improving the patient's health by contributing to quality care and creating a pleasant atmosphere.  

The quality of hospital services will affect patient satisfaction and also their loyalty in using these facilities and the rapid development of health services currently requires hospital managers to run their business well. in the hospital. This study uses the method of literature review (literature review) with search engines used in literature searches including Google Scholar and Research gate with the keywords Service Quality Improvement, Lean Six Sigma, Hospitals. The resulting articles were selected based on publications published between 2018 and 2023. The results showed that the application of lean six sigma in hospitals in improving the quality of their services can be carried out through the DMAIC (Define, Measure, Analyze, Improve, Control) approach. The conclusions of this study indicate that the application of lean six sigma can reduce difficulties, increase speed, and separate activities that have added value or value added from activities that have no added value or non-value added in hospitals, such as improving service quality by setting priorities by according to the highest gap required by the patient.