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精益六西格玛方法在医疗环境中的应用:综合评价。

Lean Six Sigma methodology application in health care settings: an integrative review.

机构信息

Hospital Alemão Oswaldo Cruz. São Paulo, São Paulo, Brazil.

Universidade Federal de São Paulo, Escola Paulista de Enfermagem. São Paulo, São Paulo, Brazil.

出版信息

Rev Bras Enferm. 2020 Dec 21;73(suppl 5):e20190861. doi: 10.1590/0034-7167-2019-0861. eCollection 2020.

Abstract

OBJECTIVE

to analyze the scientific production on the results of Lean Six Sigma methodology in health care institutions.

METHODS

an integrative literature review, with the following question: what are the results in health institutions using Lean Six Sigma and Six Sigma methodology? The search was carried out at MEDLINE, LILACS, BDENF, CINAHL, Web of Science, and Scopus, with no time frame.

RESULTS

thirty-four articles were included, published between 2005 and 2019, of which 52.9% came from the United States of America. The most commonly found improvements were in hospital institutions and from the perspective of customers and internal processes.

CONCLUSION

using Lean Six Sigma methodology proved to be effective in the different health care settings, evidencing a gap in its application regarding people engagement and training.

摘要

目的

分析医疗保健机构中精益六西格玛方法的成果的科学产出。

方法

这是一项综合文献回顾,提出的问题是:在使用精益六西格玛和六西格玛方法的医疗机构中,有哪些成果?检索范围涵盖了 MEDLINE、LILACS、BDENF、CINAHL、Web of Science 和 Scopus,没有时间限制。

结果

共纳入 34 篇文章,发表时间为 2005 年至 2019 年,其中 52.9% 来自美利坚合众国。最常发现的改进是在医院机构,以及从客户和内部流程的角度。

结论

使用精益六西格玛方法在不同的医疗保健环境中被证明是有效的,这表明在人员参与和培训方面,其应用存在差距。

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