Niemeijer Gerard C, Trip Albert, de Jong Laura J, Wendt Klaus W, Does Ronald J M M
Department of Lean Six Sigma, Martini Hospital Groningen, Groningen, The Netherlands.
Qual Manag Health Care. 2012 Oct-Dec;21(4):262-8. doi: 10.1097/QMH.0b013e31826e74b7.
Lean Six Sigma (LSS) is an originally industry-based methodology for cost reduction and quality improvement. In more recent years, LSS was introduced in health care as well. This article describes the experiences of the University Medical Center Groningen, the second largest hospital in the Netherlands, with LSS. It was introduced in 2007 to create the financial possibility to develop innovations. In this article, we describe how LSS was introduced, and how it developed in the following years. We zoom in at the traumatology department, where all main processes have been analyzed and improved. An evaluation after 5 years shows that LSS helped indeed reducing cost and improving quality. Moreover, it aided the transition of the organization from purely problem oriented to more process oriented, which in turn is helpful in eliminating waste and finding solutions for difficult problems. A major benefit of the program is that own employees are trained to become project leaders for improvement. Several people from the primary process were thus stimulated and equipped to become role models for continuous improvement.
精益六西格玛（LSS）最初是一种基于行业的降低成本和提高质量的方法。近年来，它也被引入到医疗保健领域。本文介绍了荷兰第二大医院格罗宁根大学医学中心在精益六西格玛方面的经验。该方法于2007年被引入，为创新发展创造了资金可能性。在本文中，我们描述了精益六西格玛是如何被引入的，以及在接下来的几年里它是如何发展的。我们将重点放在创伤科，该科室的所有主要流程都已得到分析和改进。5年后的一项评估表明，精益六西格玛确实有助于降低成本和提高质量。此外，它有助于组织从单纯的问题导向型转变为更注重流程导向型，这反过来又有助于消除浪费并找到解决难题的方法。该项目的一个主要好处是，让员工接受培训成为改进项目的负责人。这样一来，几个主要流程中的人员受到激励并具备了成为持续改进榜样的能力。
