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精益和/或六西格玛在围手术期的流程优化：综合回顾。

Lean and/or Six Sigma for process optimization in the perioperative period: an integrative review.

机构信息

Universidade de São Paulo. Ribeirão Preto, São Paulo, Brazil.

出版信息

Rev Bras Enferm. 2024 Jun 14;77(2):e20230431. doi: 10.1590/0034-7167-2023-0431. eCollection 2024.

DOI:10.1590/0034-7167-2023-0431
PMID:38896715
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11178310/
Abstract

OBJECTIVE

To analyze the evidence on the influence of Lean and/or Six Sigma for process optimization in the perioperative period.

METHODS

Integrative review carried out in the MEDLINE (PubMed), Web of Science, EMBASE, CINAHL, Scopus and LILACS databases on the use of Lean and/or Six Sigma to optimize perioperative processes. The studies included were analyzed in three thematic categories: flow of surgical patients, work process and length of stay.

RESULTS

The final sample consisted of ten studies, which covered all operative periods. Lean and/or Six Sigma make a significant contribution to optimizing perioperative processes.

FINAL CONSIDERATIONS

Lean and/or Six Sigma optimize perioperative processes to maximize the achievement of system stability indicators, making it possible to identify potential problems in order to recognize them and propose solutions that can enable the institution of patient-centered care.

摘要

目的

分析精益和/或六西格玛对围手术期流程优化的影响的证据。

方法

对 MEDLINE（PubMed）、Web of Science、EMBASE、CINAHL、Scopus 和 LILACS 数据库进行综合回顾，以评估精益和/或六西格玛用于优化围手术期流程的使用情况。对三个主题类别（手术患者流程、工作流程和住院时间）进行了分析。

结果

最终样本由十项研究组成，涵盖了所有手术阶段。精益和/或六西格玛对优化围手术期流程有显著贡献。

最终考虑

精益和/或六西格玛优化围手术期流程，以最大限度地实现系统稳定性指标，从而能够发现潜在问题，识别它们并提出解决方案，从而能够实现以患者为中心的护理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/921c/11178310/6d9748745a4f/0034-7167-reben-77-02-e20230431-gf01-pt.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/921c/11178310/6332469afdbb/0034-7167-reben-77-02-e20230431-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/921c/11178310/6d9748745a4f/0034-7167-reben-77-02-e20230431-gf01-pt.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/921c/11178310/6332469afdbb/0034-7167-reben-77-02-e20230431-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/921c/11178310/6d9748745a4f/0034-7167-reben-77-02-e20230431-gf01-pt.jpg

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本文引用的文献

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Lean Six Sigma methodology to improve the discharge process in a Brazilian intensive care unit.运用精益六西格玛方法改进巴西重症监护病房的出院流程。
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通过精益思维减少手术间的转换时间：一项行动研究项目。
Front Med (Lausanne). 2022 Apr 27;9:822964. doi: 10.3389/fmed.2022.822964. eCollection 2022.
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Quality Improvement to Address Surgical Burden of Disease at a Large Tertiary Public Hospital in Peru.秘鲁一家大型公立医院针对手术疾病负担的质量改进。
World J Surg. 2021 Aug;45(8):2357-2369. doi: 10.1007/s00268-021-06118-z. Epub 2021 Apr 26.
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BMJ. 2021 Mar 29;372:n71. doi: 10.1136/bmj.n71.
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