Volume 16 article 498 pages: 60 - 69

Published: Mar 15, 2018

DOI: DOI: 10.5937/jaes16-15851

The lean six sigma in a public hospital

Kenza Tadlaoui Anas Chafi Abdelali Ennadi
Open PDF

Abstract

The hospital can be likened to an industrial enterprise with a high level of security expected. Indeed, the patient has particularities: it is a living being brought to the hospital in an uncontrolled manner and diffi cult to regulate or anticipate accurately. In addition, the constraint in the public hospital is fi nancial: It is to treat a maximum of patients, the best possible, with limited fi nancial resources. Despite this constraint, patient demands are high in terms of quality of treatment and medical innovations. Hence the interest of using the methods used in the industrial management of high security environments namely Lean management to adequately meet the constraints of economic and societal effi ciency, fl exibility and security imposed by the hospital stakeholders. In this article, we will try to defi ne the concept of Lean six sigma in care institutions, then we will describe the methodology adopted that of the DMAIC method and in the end to implement the fi rst 3 steps of this method. in a public hospital.

Keywords

DMAIC SCOR ARIS Performance indicator SWOT

References

Didier, V.C (2014). L’hôpital, une entreprise comme les autres ? Oui, mais .. .7 ème Conférence francophone GISEH Gestion et Ingénierie des Systèmes Hospitaliers, Belgique.

Fortineau,V, Lamouri,S, Eckerlein, G (2015). Analyse des potentialités et des limites du LEAN à l’Hôpital: vers une démarche d’excellence hospitalière , QUALITA, Nancy, France.

George, M. L (2003). Lean Six Sigma pour les services, McGraw-Hill, Paris.

Johnson, C, Shanmugam, R, Roberts, L, Zinkgraf, S, Young, M(2004). Linking Lean Healthcare to Six Sigma : An Emergency Department Case Study, liE Annual Conference.

Munro, R. A(2009). Lean Six Sigma for the Healthcare Practice. Milwaakee. ASQ Quality.

Arthur, J(2011). Lean Six Sigma for hospitals: Simple steps to fast, affordable, and fl awless Healthcare. New York, NY: McGraw-Hill.

Carbonneau, C., Benge E., Jaco, M. T., Robinson, M. (2010).A Lean Six Sigma Team Increases Hand Hygiene Compliance and Reduces Hospital-Acquires MRSA Infections by 51%." Journal for Healthcare Quality 32(4) : 10.2010.

Proudlove, N., Moxham, e., Boaden, R. (2010). Lessons for Lean in Healthcare from Using Six Sigma in the NHS, Publie Money & Management 28(1),pp.27-34,DOI:10.1111/j.14679302.2008.00615.x.

Snee, R.D.(2010). Lean Six Sigma-getting better all the time. International Journal of Lean Six Sigma, Vol. 1 Issue: 1, pp.9-29 ,DOI : 10.1108/20401461011033130.

Niemeijer, G.C, Trip ,A., Ahaus, K.T, Does, R.J, Wendt, K.W.(2010) Quality in trauma care: Improving the discharge procedure of patients by means of Lean Six Sigma. Journal of Trauma and Acute Care Surgery, 69(3), pp.614-619, DOI: 10.1097/ TA.0b013e3181e70f90.

Dumoulin J(2006). Analyse du système d’approvisionnement au Maroc : l’expérience de regroupement des achats depuis 2001, Missions OMS, HALSHS-00104206, version1 .TADLAOUI, K, CHAFI, A, ENNADI, A (2016).Modélisation du système d'approvisionnement des produits pharmaceutiques au sein d’un hôpital public. 3ème édition du Colloque International sur le Monitoring des Systèmes Industriels CIMSI.