沙特阿拉伯急诊医疗服务的精益六西格玛和科特变革管理综合框架

A. Al Owad, Neeraj Yadav, Vimal Kumar, V. Swarnakar, K. Jayakrishna, Salah Haridy, Vishwas Yadav
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摘要

目的 精益六西格玛(LSS)的实施遵循一种结构化的方法,即定义-测量-分析-改进-控制(DMAIC)。早先有关其在急诊医疗服务中应用的研究表明,它需要组织转型,而许多医疗机构认为这很困难。科特(Kotter)变革管理模式有助于组织变革,但迄今为止尚未在 LSS 环境中尝试过。本研究旨在将 LSS 框架与科特变革管理模式相结合,提出一个有助于在紧急医疗服务中部署 LSS 的综合框架。首先,调查了 LSS 的成功因素和障碍,特别是从紧急医疗服务的角度进行调查。然后回顾了科特(Kotter)变革管理模式的特点和优势。随后,对这些模型进行整合,形成一个专门针对在急诊医疗机构部署生命支持系统的框架。利用专家意见评级对该框架的要素进行了分析。研究结果科特模型的八个步骤,如建立紧迫感、形成强大的指导联盟、创造愿景、沟通愿景、授权他人根据愿景采取行动、规划和创造短期胜利、巩固改进和产生更多变化、将新方法制度化,都是从管理者在机构中实施变革时常犯的八个错误中衍生出来的。本研究整合了精益管理原则和科特变革管理模式,并将其应用于急诊科,以减少浪费,提高医疗保健公司的服务质量水平。研究局限/影响本研究为医疗保健机构的急诊科提供了一个整合精益管理和科特变革管理模式的框架,从而为相关文献提供了知识。本框架可为决策者和组织提供指导,因为在任何系统中应用精益管理实践都需要适当的策略。原创性/价值本研究提出的框架是独一无二的,没有任何其他研究提出过在急诊医疗中实施精益管理和科特变革管理模式的综合框架,以克服变革阻力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Integrated Lean Six Sigma and Kotter change management framework for emergency healthcare services in Saudi Arabia
PurposeLean Six Sigma (LSS) implementation follows a structured approach called define-measure-analyze-improve-control (DMAIC). Earlier research about its application in emergency healthcare services shows that it requires organizational transformation, which many healthcare setups find difficult. The Kotter change management model facilitates organizational transformation but has not been attempted in LSS settings till now. This study aims to integrate the LSS framework with the Kotter change management model to come up with an integrated framework that will facilitate LSS deployment in emergency health services.Design/methodology/approachTwo-stage Delphi method was conducted by using a literature review. First, the success factors and barriers of LSS are investigated, especially from an emergency healthcare point of view. The features and benefits of Kotter's change management models are then reviewed. Subsequently, they are integrated to form a framework specific to LSS deployment in an emergency healthcare set-up. The elements of this framework are analyzed using expert opinion ratings. A new framework for LSS deployment in emergency healthcare has been developed, which can prevent failures due to challenges faced by organizations in overcoming resistance to changes.FindingsThe eight steps of the Kotter model such as establishing a sense of urgency, forming a powerful guiding coalition, creating a vision, communicating the vision, empowering others to act on the vision, planning for and creating short-term wins, consolidating improvements and producing still more change, institutionalizing new approaches are derived from the eight common errors that managers make while implementing change in the institution. The study integrated LSS principles and Kotter’s change management model to apply in emergency care units in order to reduce waste and raise the level of service quality provided by healthcare companies.Research limitations/implicationsThe present study could contribute knowledge to the literature by providing a framework to integrate lean management and Kotter's change management model for the emergency care unit of the healthcare organization. This framework guides decision-makers and organizations as proper strategies are required for applying lean management practices in any system.Originality/valueThe proposed framework is unique and no other study has prescribed any integrated framework for LSS implementation in emergency healthcare that overcomes resistance to change.
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