Sharp Mary Birch Hospital for Women and Newborns, 8555 Aero Drive #340, San Diego CA 92123, USA.
Division of Neonatology, Hospital of the University of Pennsylvania, 3400 Spruce Street, Ravdin Building, 8th floor, Philadelphia, PA 19104, USA.
Clin Perinatol. 2023 Jun;50(2):285-306. doi: 10.1016/j.clp.2023.02.002.
This article reviews several common quality improvement methodologies, including the Model for Improvement, Lean, and Six Sigma. We demonstrate how these methods are based on a similar improvement science foundation. We describe the tools used to understand problems in the context of systems and the mechanisms to learn and build knowledge, using specific examples from the neonatology and pediatric literature. We conclude with a discussion on the importance of the human side of change in quality improvement, including team formation and culture.
本文回顾了几种常见的质量改进方法，包括改进模型、精益和六西格玛。我们展示了这些方法如何基于相似的改进科学基础。我们描述了用于在系统背景下理解问题的工具，以及用于学习和构建知识的机制，并使用新生儿学和儿科学文献中的具体示例进行说明。最后，我们讨论了质量改进中变革的人性化方面的重要性，包括团队组建和文化。
