Wackerbarth Sarah B, Strawser-Srinath Jamie R, Conigliaro Joseph C
University of Kentucky, Lexington, KY
University of Kentucky, Lexington, KY.
Am J Med Qual. 2015 May;30(3):248-54. doi: 10.1177/1062860614527784. Epub 2014 Mar 26.
Organizations use lean principles to increase quality and decrease costs. Lean projects require an understanding of systems-wide processes and utilize interdisciplinary teams. Most lean tools are straightforward, and the biggest barrier to successful implementation is often development of the team aspect of the lean approach. The purpose of this article is to share challenges experienced by a lean team charged with improving a hospital discharge process. Reflection on the experience provides an opportunity to highlight lessons from The Team Handbook by Peter Scholtes and colleagues. To improve the likelihood that process improvement initiatives, including lean projects, will be successful, organizations should consider providing training in organizational change principles and team building. The authors' lean team learned these lessons the hard way. Despite the challenges, the team successfully implemented changes throughout the organization that have had a positive impact. Training to understand the psychology of change might have decreased the resistance faced in implementing these changes.
组织运用精益原则来提高质量并降低成本。精益项目需要对全系统流程有所理解，并利用跨学科团队。大多数精益工具都很简单直接，而成功实施的最大障碍往往是精益方法中团队方面的发展。本文的目的是分享一个负责改进医院出院流程的精益团队所经历的挑战。对这段经历的反思提供了一个机会，来突出彼得·肖尔特斯及其同事所著《团队手册》中的经验教训。为提高包括精益项目在内的流程改进举措取得成功的可能性，组织应考虑提供组织变革原则和团队建设方面的培训。作者所在的精益团队是吃了苦头才学到这些经验教训的。尽管面临挑战，该团队仍在整个组织中成功实施了带来积极影响的变革。关于理解变革心理的培训或许能减少在实施这些变革时所面临的阻力。
