如何使用精益思维来优化临床途径:系统性审查和拟议的框架来分析系统层面的途径
Joanna R G Vijverberg1,2,3, Marc B V Rouppe van der Voort4, Paul B van der Nat3,5
1Care and Public Health Research Institute, Maastricht University, 6200 MD Maastricht, The Netherlands.
Healthcare (Basel, Switzerland)
|September 28, 2023
概括
本研究引入了一个框架,用精益思维原则量化废弃物,流量和临床途径中的拉动. 它有助于识别改进潜力,并分析医疗保健系统的改进有效性.
科学领域:
- 医疗保健管理的管理
- 过程优化 过程优化
- 系统工程 系统工程
背景情况:
- 精益思维和临床途径是建立的医疗保健改进方法.
- 对于整合精益思维来优化路径和量化这些概念的理解有限.
- 需要一种系统的方法来分析和改进使用精益原则的临床途径.
研究的目的:
- 开发一个框架,使用精益思维对临床途径进行系统级分析.
- 量化医疗保健中的七种废物,流动和拉动.
- 为评估改进潜力和改进后的有效性提供一个工具.
主要方法:
- 进行了系统的文献审查,以确定相关研究.
- 包括标准侧重于患者群体,途径优化和精益思维.
- 数据提取包括测量结果,干预措施和途径类型.
主要成果:
- 审查中包括了36篇文章.
- 没有研究涉及完整的精益思维哲学或"四P"模式 (人,合作伙伴,过程和绩效).
- 大多数研究都使用了过程或问题解决工具,重点是过程测量.
结论:
- 鉴定的措施可以为量化废物,流量和临床途径提供信息.
- 拟议的框架有助于评估路径的改进潜力和改进的影响.
- 建议进行进一步的研究,以验证拟议的量化方法.
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