Guiding Inpatient Quality Improvement: A Systematic Review of Lean and Six Sigma

Glasgow, Justin; Scott-Caziewell, Jill R.; Kaboli, Peter J.

doi:10.1016/s1553-7250(10)36081-8

Cited by 129 publications

(112 citation statements)

References 35 publications

Supporting

Mentioning

102

Contrasting

Unclassified

Order By: Relevance

“…Title and abstract review yielded 38 studies eligible for full-text review, after which 18 met the inclusion criteria and were included. To further identify relevant studies, a secondary search was performed of the reference lists of relevant systematic reviews [7][8][9][10][11] and the included articles. After applying the inclusion criteria, an additional 4 articles were identified.…”

Section: Study Selectionmentioning

confidence: 99%

“…Systematic reviews have been conducted to investigate the effectiveness of these methodologies in various health care settings [7][8][9][10][11], but the benefits within the field of radiology remain unknown. Hence, the aim of this study was to conduct a systematic review to investigate the effectiveness of applying Lean, Six Sigma, or Lean Six Sigma within the field of radiology.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Systematic Review of the Application of Lean and Six Sigma Quality Improvement Methodologies in Radiology

Amaratunga

Dobranowski

2016

Journal of the American College of Radiology

View full text Add to dashboard Cite

Section: Study Selectionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Systematic Review of the Application of Lean and Six Sigma Quality Improvement Methodologies in Radiology

Amaratunga

Dobranowski

2016

Journal of the American College of Radiology

View full text Add to dashboard Cite

“…While some studies of P4P demonstrate positive improvements in quality of care, 4 other studies report disappointing results, as documented in several reviews of the literature. 5 Moreover, among studies that do indicate improvements in quality measures, almost no attention has been paid to whether such improvements are sustainable over time, 6 especially if the performance goals and incentives are removed.…”

Section: Introductionmentioning

confidence: 99%

Sustainability of Quality Improvement Following Removal of Pay-for-Performance Incentives

et al. 2013

Self Cite

View full text Add to dashboard Cite

BACKGROUND: Although pay-for-performance (P4P) has become a central strategy for improving quality in US healthcare, questions persist about the effectiveness of these programs. A key question is whether quality improvement that occurs as a result of P4P programs is sustainable, particularly if incentives are removed. OBJECTIVE: To investigate sustainability of performance levels following removal of performance-based incentives. DESIGN, SETTING, AND PARTICIPANTS: Observational cohort study that capitalized on a P4P program within the Veterans Health Administration (VA) that included adoption and subsequent removal of performance-based incentives for selected inpatient quality measures. The study sample comprised 128 acute care VA hospitals where performance was assessed between 2004 and 2010. INTERVENTION: VA system managers set annual performance goals in consultation with clinical leaders, and report performance scores to medical centers on a quarterly basis. These scores inform performance-based incentives for facilities and their managers. Bonuses are distributed based on the attainment of these performance goals. MEASUREMENTS: Seven quality of care measures for acute coronary syndrome, heart failure, and pneumonia linked to performance-based incentives. RESULTS: Significant improvements in performance were observed for six of seven quality of care measures following adoption of performance-based incentives and were maintained up to the removal of the incentive; subsequently, the observed performance levels were sustained. LIMITATIONS: This is a quasi-experimental study without a comparison group; causal conclusions are limited. CONCLUSION: The maintenance of performance levels after removal of a performance-based incentive has implications for the implementation of Medicare's value-based purchasing initiative and other P4P programs. Additional research is needed to better understand human and system-level factors that mediate sustainability of performance-based incentives.KEY WORDS: inpatients; physician incentive plans; quality improvement; quality indicators; reimbursement; incentive; salaries ; fringe benefits.

show abstract

“…No entanto, o termo LSS foi introduzido pela primeira vez na literatura por volta de 2000 LAUREANI e ANTONY, 2012; Embora sejam muitas e notáveis as histórias de sucesso de implantação LSS no mundo industrial, muitos trabalhos acadêmicos apontam que nem todas as organizações obtém benefícios reais da implementação do LSS; uma tentativa mal sucedida de implementação do LSS pode realmente torná-la ineficaz (CHAKRAVORTY, 2009;GLASGOW et al, 2010;KUMAR et al, 2008;ALBLIWI et al, 2014). Alguns relatos de insucessos com a implantação do LSS são apresentados a seguir.…”

Section: Relatos De Sucesso Com a Integraçãounclassified

Lean seis sigma: uma contribuição bibliométrica dos últimos 15 anos

Endler

Bourscheidt

Scarpin

et al. 2016

Revista PO: R. Eletr. de Eng. de Produção e Correlatas

View full text Add to dashboard Cite

Resumo: A organização de dados sobre a produção científica de um período contribui para a continuidade das investigações e evolução de uma dada área do conhecimento. O objetivo principal desse estudo, portanto, é investigar o perfil das pesquisas sobre o Lean Seis Sigma (LSS), entre 1999 e 2014. O trabalho foi realizado apoiando-se em técnicas bibliométricas, por meio da consulta à base ISI Web of Knowledge e seu tratamento dos dados pelos softwares Sitkis ® e Ucinet ® . Para a pesquisa utilizou-se "Lean Six Sigma" como expressão-chave, gerando uma amostra constituída por 84 artigos publicados. Ao final do estudo foram apresentados resultados de estatística descritiva com a identificação dos autores, artigos e periódicos mais referenciados por estudiosos em todo o mundo. Além das principais redes de relacionamento de autores e citações; nuvem de palavras-chave; e as abordagens metodológicas preferidas pelos autores. Este trabalho, então, torna-se um importante aliado no desenvolvimento de novas ideias, conceitos e perspectivas de abordagens sobre o LSS.Palavras-chave: Manufatura Enxuta. Lean production. Seis Sigma. Abstract:The organization of data on the scientific production of a period contributes to the continuity of research and development of a particular area of knowledge. The main objective of this study is, therefore, to investigate the profile of the research, the main themes, trends and gaps of scientific literature on Lean Six Sigma (LSS) between 1999 and 2014. The study was conducted relying on bibliometrics techniques, by consulting the ISI Web of Knowledge and its treatment of data by Sitkis ® and Ucinet ® software. For the research used "Lean Six Sigma" as an expression key, generating a sample of 84 published articles. At the end of the study were presented descriptive statistics results with the identification of the authors, articles and journals most referenced by scholars worldwide. Besides the main social networks of authors and citations; cloud keywords; and methodological approaches preferred by the authors. This work, then, becomes an important ally in the development of new ideas, concepts and perspectives of approaches to the LSS.

show abstract

Guiding Inpatient Quality Improvement: A Systematic Review of Lean and Six Sigma

Cited by 129 publications

References 35 publications

Systematic Review of the Application of Lean and Six Sigma Quality Improvement Methodologies in Radiology

Systematic Review of the Application of Lean and Six Sigma Quality Improvement Methodologies in Radiology

Sustainability of Quality Improvement Following Removal of Pay-for-Performance Incentives

Lean seis sigma: uma contribuição bibliométrica dos últimos 15 anos

Contact Info

Product

Resources

About