THE SCIENCE OF QUALITY IMPROVEMENT

被引：17

作者：

Girdler, Steven J. ^{[1
]}

Glezos, Christopher D. ^{[1
]}

Link, Timothy M.

Sharan, Alok ^{[1
]}

机构：

[1] Montefiore Med Ctr, Albert Einstein Coll Med, Bronx, NY 10467 USA

来源：

JBJS REVIEWS | 2016年 / 4卷 / 08期

关键词：

D O I：

10.2106/JBJS.RVW.15.00094

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

The manufacturing industry has supplied many quality-improvement methodologies that have been successfully utilized in health-care delivery, such as Plan-Do-Study-Act (PDSA) cycles, Total Quality Management, Six Sigma, and Lean. Many tools of quality improvement, such as PDSA cycles and DMAIC (Design-Measure-Analyze-Improve-Control) of the Six Sigma method, are similar to the scientific method that is familiar to clinicians. Correct identification of the sources and types of process variation within a system is paramount for process improvement. Reduction in process variation via standardization and reinforcement of process protocols leads to improved process outcomes. Quality-improvement projects should define a clear governance structure to maintain project timeliness and completion.

引用

页数：8