Bertolaccini Luca, Viti Andrea, Terzi Alberto
1 Thoracic Surgery Unit, Sacro Cuore-Don Calabria Research Hospital, Negrar Verona, Italy ; 2 Thoracic Surgery Unit, S. Croce e Carle Hospital, Cuneo, Italy.
J Thorac Dis. 2015 Apr;7(4):E66-8. doi: 10.3978/j.issn.2072-1439.2015.04.11.
Six Sigma and Lean are two quality improvement methodologies. The Lean Six Sigma methodology is applicable to repetitive procedures. Therefore, the use of this methodology in the health-care arena has focused mainly on areas of business operations, throughput, and case management and has focused on efficiency outcomes. After the revision of methodology, the paper presents a brief clinical example of the use of Lean Six Sigma as a quality improvement method in the reduction of the complications during and after lobectomies. Using Lean Six Sigma methodology, the multidisciplinary teams could identify multiple modifiable points across the surgical process. These process improvements could be applied to different surgical specialties and could result in a measurement, from statistical point of view, of the surgical quality.
六西格玛和精益是两种质量改进方法。精益六西格玛方法适用于重复性程序。因此，该方法在医疗保健领域的应用主要集中在业务运营、吞吐量和病例管理方面，并侧重于效率成果。在对方法进行修订后，本文给出了一个简短的临床实例，展示了如何使用精益六西格玛作为一种质量改进方法来减少肺叶切除术中及术后的并发症。使用精益六西格玛方法，多学科团队可以识别整个手术过程中的多个可改进点。这些过程改进可以应用于不同的外科专业，并且从统计学角度来看，可以对手术质量进行衡量。
