Flug Jonathan A, Stellmaker Jessica A, Sharpe Richard E, Jokerst Clinton E, Tollefson Chris D, Bowman Andrew W, Nordland Michelle, Hannafin Cathy L, Froemming Adam T
From the Departments of Radiology of Mayo Clinic Arizona, 5777 E Mayo Blvd, Phoenix, AZ 85054 (J.A.F., R.E.S., C.E.J., C.D.T., C.L.H.); Mayo Clinic Rochester, Rochester, Minn (J.A.S., M.N., A.T.F.); and Mayo Clinic Florida, Jacksonville, Fla (A.W.B.).
Radiographics. 2022 May-Jun;42(3):919-928. doi: 10.1148/rg.210086. Epub 2022 Mar 25.
Kaizen process improvement is an element of lean production that is an approach to creating continuous improvement. Kaizen is based on the idea that small ongoing positive changes in workflow and elimination of waste can yield major improvements over time. A focused Kaizen event, or rapid process improvement event, can lead to sustainable process improvement in health care settings that are resistant to change. This approach has been proven to be successful in health care. These events are led by a trained facilitator and coach who provides appropriate team education and engagement. To ensure success, the team must embrace the Kaizen culture, which emphasizes the development of a "learning organization" that is focused on relentless pursuit of perfection. The culture empowers all staff to improve the work they perform, with an emphasis on the process and not the individual. Respect for individual people is key in Kaizen. In radiology, this method has been successful in empowering frontline staff to improve their individual workflows. A 5-day Kaizen event has been successful in increasing on-time starts, decreasing lead time, increasing patient and staff satisfaction, and ensuring sustainability. Sustainable success can occur when the team stays true to lean principles, engages leaders, and empowers team members with the use of timely data to drive decision making. RSNA, 2022.
改善流程改进是精益生产的一个要素，是一种实现持续改进的方法。改善基于这样一种理念，即工作流程中持续的小的积极变化以及消除浪费随着时间的推移可以带来重大改进。一个专注的改善活动，或快速流程改进活动，可以在抗拒变革的医疗环境中带来可持续的流程改进。这种方法已被证明在医疗保健领域是成功的。这些活动由一名经过培训的促进者和教练领导，他们提供适当的团队教育和参与。为确保成功，团队必须接受改善文化，这种文化强调发展一个专注于不懈追求完美的“学习型组织”。这种文化使所有员工都有能力改进他们所执行的工作，重点是流程而不是个人。尊重个人是改善的关键。在放射学领域，这种方法已成功地使一线员工有能力改进他们各自的工作流程。一次为期5天的改善活动成功地提高了准时开始率、缩短了前置时间、提高了患者和员工满意度，并确保了可持续性。当团队坚持精益原则、吸引领导者参与并通过使用及时数据推动决策来赋予团队成员权力时，可持续的成功就会出现。RSNA，2022年。
