精益医疗实施对手术过程的经济影响
Marc Sales Coll1, Rodolfo De Castro2, Anna Ochoa de Echagüen1
1Essentia Health Management, 08021 Barcelona, Spain.
实施精益外科手术流程改进,每年节省超过850万欧元. 本研究详细介绍了通过精益管理优化医院运营和增强患者护理的有效策略.
科学领域:
- 医疗保健管理的管理
- 运营研究 运营研究
- 工业工程 工业工程 工业工程
背景情况:
- 医院面临着越来越大的压力,需要提高效率并降低成本.
- 来自制造业的精益管理原则为医疗保健优化提供了潜在的解决方案.
- 关于Lean在医院的经济影响的先前研究是有限的,特别是案例研究.
研究的目的:
- 分析和详细说明具有最高经济影响的外科手术过程改进活动.
- 量化在医院环境中实施精益方法的财务效益.
- 在外科手术区块管理中提供Lean实施的现实世界案例研究.
主要方法:
- 使用制造技术实施精益外科手术过程改进项目的四年实施.
- 方法包括减少等待和更换时间 (SMED),第一次通过,拉动和连续流.
- 对医院手术活动预算的经济影响进行了分析.
主要成果:
- 实现了超过850万欧元的年度运营节约.
- 改善患者流动,专业人员之间的信息管理和物流电路.
- 现在,手术过程的改进已经融入了日常生活.
结论:
- 向流程管理的文化转变支持基于结果的医疗保健和增值支付.
- 长期稳定对于成功实施精益项目至关重要.
- 本案例研究表明,在外科管理中,从基层开始实施精益技术具有显著的经济效益.
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