Uporaba metodologije Lean Six Sigma v zdravstveni negi

(diplomsko delo)

Mirjana Mandić (Avtor), Gregor Štiglic (Mentor), Mateja Lorber (Komentor)

Povzetek

Teoretična izhodišča: Metodologiji Lean in Six Sigma sta bili prvotno neodvisni ena od druge. Lean je metodologija za izboljšanje in optimizacijo proizvodnih procesov in storitev. Osredotočena je na izboljševanje kakovosti z zmanjševanjem napak in odpada v procesih. Prvotno jo je razvila avtomobilska industrija Ford leta 1913, dopolnilo in nadgradilo pa podjetje Toyota. Six Sigma je metodologija za izboljšanje procesov s pomočjo podatkov, s katerimi se dosežejo stabilni in predvidljivi rezultati z zmanjšanjem odstopanj in napak v procesu. Razvilo jo je podjetje Motorola. Obe metodologiji sta se združili kot Lean Six Sigma (LSS) in sta s svojimi orodji in načinom interpretacij za izboljšanje delovnega procesa odlična kombinacija za izboljšanje delovnega procesa. Sčasoma so jo pričeli uporabljati tudi na drugih področjih oz. organizacijah kot so šole, bolnišnice, uradi, farmacija idr.. Namen diplomskega dela je predstaviti uporabo metodologije Lean Six Sigma v zdravstveni negi. Raziskovalna metodologija: Diplomsko delo je nastalo s pomočjo deskriptivne metode dela. Z analizo in študijem strokovne in znanstvene literature smo predstavili uporabo metodologije LSS. Pri tem smo uporabili bibliografsko bazo COBISS/OPAC in tuje bibliografske baze CINAHL, Medline, PubMed, ScienceDirect in Google Scholar. Razprava: Zdravstvene ustanove, ki nudijo zdravstvene storitve, se v delovnem procesu srečujejo s problemi in napakami, ki zmanjšujejo učinkovitost dela, ogrožajo pacientovo varnost, zmanjšujejo kakovost, povečujejo stroške in čakalne dobe, kar se kaže pri pacientih in zaposlenih z nezadovoljstvom. Ovire nastanejo običajno pri optimizaciji delovnega procesa zaradi pomanjkanja časa, neznanja, slabega pretoka informacij, pomanjkanja števila oseb idr.. Na podlagi študije primerov prikazanih v diplomski nalogi, so vidna izboljšanja, ki so jih dosegli s pomočjo vpeljave metodologije LSS v proces zdravstvene nege. Sklep: V diplomskem delu smo predstavili in opisali najpogostejše metode in orodja ter prikazali primere dobre prakse pri uvajanju metodologije v bolnišnicah oz. zdravstvenih ustanovah. Prikazano je, da že z osnovnimi orodji in metodami lahko učinkovito in stroškovno izboljšamo delovne procese.

Ključne besede

vitka linija;six sigma;lean;lean six sigma;kontrola kakovosti;DMAIC;

Podatki

Jezik:	Slovenski jezik
Leto izida:	2016
Tipologija:	2.11 - Diplomsko delo
Organizacija:	UM FZV - Fakulteta za zdravstvene vede
Založnik:	[M. Mandič]
UDK:	614(043.2)
COBISS:	2265764
Št. ogledov:	1516
Št. prenosov:	191
Ocena:	0 (0 glasov)
Metapodatki:

Ostali podatki

Sekundarni jezik:	Angleški jezik
Sekundarni naslov:	USE OF LEAN SIX SIGMA METODOLOGY IN NURSING CARE
Sekundarni povzetek:	Theoretical background: Lean and Six Sigma methodologies were originally independent from one another. Lean is a methodology for improvement and optimization of production processes and services. It focuses on improving quality by reducing errors and waste in processes. Originally developed by the automotive industry (Ford 1913), completed and upgraded by company Toyota. Six Sigma is a methodology, developed by Motorola, for improving processes using data to achieve stable and predictable results by reducing discrepancies and errors in the process. Both methodologies are combined as Lean Six Sigma (LSS) and offer with its tools and modes of interpretation perfect combination of work process improvement. Eventually they started to use it in other areas and organizations such as schools, hospitals, offices, pharmacy and others. The aim of this thesis is to demonstrate the use of Lean Six Sigma methodology in nursing. Research Methodology: The thesis is formed by using descriptive methods. By analysing and studying technical and scientific literature, we present the application of the LSS methodology. We used the bibliographic database COBISS/OPAC and foreign bibliographic database CINAHL, Medline, PubMed, ScienceDirect and Google Scholar. Discussion: Organizations that provide patient health care are dealing with problems and mistakes in the working process. These can reduce effectiveness of the work, threaten patient safety, reduce quality, increase costs, increase waiting times, resulting in patients and staff dissatisfaction. Normally obstacles arise in the optimization of the work process due to lack of time, lack of knowledge, poor information flow, lack of personnel and others. On basis of examples shown in this thesis visible improvements can be seen, that have been achieved through the introduction of LSS methodology in the nursing process. Conclusion: In this thesis we present and describe the most common tools, methods and examples of good practice in the implementation of the methodology in hospitals and medical institutions. It is presented, that already with the basic tools and methods, we can cost efficiently improve work processes.
Sekundarne ključne besede:	lean manufacturing;six sigma;lean;lean six sigma;quality control;DMAIC;
URN:	URN:SI:UM:
Vrsta dela (COBISS):	Diplomsko delo
Komentar na gradivo:	Univ. v Mariboru, Fak. za zdravstvene vede
Strani:	VIII, 53 f.
ID:	9167136