Chassin Robert
Mount Sinai Medical Center, New York, NY 10029, USA.
Mt Sinai J Med. 2008 Jan-Feb;75(1):45-52. doi: 10.1002/msj.20011.
Lean Six Sigma, in various forms, has been used widely in many Fortune 500 companies. Motorola, General Electric, Sony, American Express, and Bechtel all use Six Sigma to improve quality and performance. While the impact of this methodology has been documented extensively by the press in manufacturing and transactional settings, less evidence is available regarding its utility in health care environments. Mount Sinai Medical Center initiated a Six Sigma program in 2000 to determine its applicability and value in a large academic medical center. This article discusses Mount Sinai Medical Center's experience adapting this methodology to improve both patient care and business processes and outcomes. We present an overview of Six Sigma, and offer examples of projects undertaken using this data-driven approach to performance improvement. Lastly, the article provides insights and lessons learned regarding this organization-wide experience.
精益六西格玛以各种形式在许多财富500强公司中得到广泛应用。摩托罗拉、通用电气、索尼、美国运通和柏克德公司都使用六西格玛来提高质量和绩效。虽然媒体广泛报道了这种方法在制造和交易环境中的影响，但关于其在医疗保健环境中的效用的证据较少。西奈山医疗中心于2000年启动了一项六西格玛计划，以确定其在大型学术医疗中心的适用性和价值。本文讨论了西奈山医疗中心采用这种方法来改善患者护理以及业务流程和成果的经验。我们概述了六西格玛，并提供了使用这种数据驱动的绩效改进方法所开展项目的示例。最后，本文提供了关于这一全组织范围经验的见解和经验教训。
