...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>International journal of health care quality assurance >Lean and Six Sigma in acute care: a systematic review of reviews
【24h】

Lean and Six Sigma in acute care: a systematic review of reviews

机译：精益和六西格码在急诊中：系统评价

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Purpose - The purpose of this paper is to present a systematic review of literature reviews, summarizing how Lean and Six Sigma management techniques have been implemented in acute care settings to date, and assessing their impact. To aid decision makers who wish to use these techniques by identifying the sectors of activity most often targeted, the main results of the interventions, as well as barriers and facilitators involved. To identify areas of future research. Design/methodology/approach - A literature search was conducted, using eight databases. The methodological quality of the selected reviews was appraised with AMSTAR. A narrative synthesis was performed according to the guidelines proposed by Popay et al. (2006). Data were reported according to PRISMA. Findings - The literature search identified 149 publications published from 1999 to January 2015. Seven literature reviews were included into the systematic review, upon appraisal. The overall quality of the evidence was poor to fair. The clinical settings most described were specialized health care services, including operating suites, intensive care units and emergency departments. The outcomes most often appraised related to processes and quality. The evidence suggests that Lean and Six Sigma are better adapted to settings where processes involve a linear sequence of events. Research limitations/implications - There is a need for more studies of high methodological quality to better understand the effects of these approaches as well as the factors of success and barriers to their implementation. Field studies comparing the effects of Lean and Six Sigma to those of other process redesign or quality improvement efforts would bring a significant contribution to the body of knowledge. Practical implications - Lean and Six Sigma can be considered valuable process optimization approaches in acute health care settings. The success of their implementation requires significant participation of clinical personnel from the frontline as well as clinical leaders and managers. More research is needed to better understand the factors of success and the barriers to their implementation, as well as their long-term impact. Originality/value - This is the first broad systematic review of reviews, synthesizing data pertaining to implementation issues and results in acute care settings, to be published. It will benefit health care managers assessing the potential of these approaches and the potential drawbacks associated with their implementation. Moreover, it identifies directions for future research.
机译：目的-本文的目的是对文献综述进行系统的综述，总结迄今为止在急性护理环境中如何实施精益和六西格码管理技术，并评估其影响。为了帮助希望使用这些技术的决策者确定最经常作为目标的活动领域，干预措施的主要结果以及所涉及的障碍和促进者。确定未来的研究领域。设计/方法/方法-使用八个数据库进行了文献检索。所选评论的方法学质量由AMSTAR进行评估。根据Popay等人提出的指南进行叙述性合成。 （2006）。根据PRISMA报告数据。调查结果-文献检索确定了1999年至2015年1月间出版的149种出版物。经评估，系统评价纳入了七篇文献综述。证据的总体质量差强人意。描述最多的临床环境是专门的医疗保健服务，包括手术室，重症监护室和急诊科。最常评估的结果与过程和质量有关。有证据表明，精益和六个西格玛更适合于过程涉及线性事件序列的环境。研究的局限性/含意-需要进行更多的高质量方法研究，以更好地了解这些方法的效果以及成功的因素和实施这些方法的障碍。将精益和六西格码的效果与其他流程重新设计或质量改进工作的效果进行比较的现场研究将为知识体系带来重大贡献。实际意义-精益和六个西格玛可被视为在急性医疗保健环境中有价值的过程优化方法。其成功实施需要一线临床人员以及临床负责人和管理人员的大力参与。需要做更多的研究，以更好地了解成功的因素，实施成功的障碍及其长期影响。原创性/价值-这是首次对评论进行广泛的系统评价，综合了与实施问题和急性护理环境中的结果有关的数据，将予以发布。这将使医疗保健管理人员受益，评估这些方法的潜力以及与实施这些方法相关的潜在弊端。此外，它确定了未来研究的方向。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号