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To Better Protect Patients, Health Care Needs More ‘Lean Thinking’
为了更好地保护患者、卫生保健需要更多的“精益思想”
Processes that create the problems shouldn’t be used to fix them
产生问题的流程不应该被用来修复它们
As the Supreme Court debates the fate of “Obama Care,” we should recall the formal name of the law: the Patient Protection and Affordable Care Act (PPACA) . Most of the public debate has been about the cost of health care, losing sight of the urgent need to fix the ongoing crisis of quality and patient safety. More health care organizations need to adopt the lean management philosophy to “bend the cost curve” and save lives, as some innovators have proven during the last 10 years.
作为最高法院辩论的命运,“奥巴马保健”，我们应该回想到法律的正式名称：《患者保护与平价医疗法案》(PPACA)。大多数的公开辩论是关于医疗保健成本,而忽略了紧急需要解决目前的质量危机和病人安全。更多的卫生保健组织需要采用精益管理思想-如何“改变成本曲线”和拯救生命,正如一些创新者在过去的10年间已经证明。
The most highly touted aspects of the PPACA include attempts to protect patients by increasing their access to health insurance. A 2009 Harvard Medical School study estimated that 45,000 Americans die each year due to a lack of coverage. Even if patients can get appointments or get admitted to a hospital, there are dangers that are underappreciated by the public. The Department of Health and Human Services reported, in 2008, that 80,000 Medicare patients die each year due to preventable medical errors. Other studies estimate that 90,000 patients are killed annually by hospital-acquired infections. Ironically, we are granting easier access to a very dangerous system.
PPACA最高度吹捧的方面包括通过增加他们的享受医疗保险试图保护病人。2009年哈佛医学院的研究估计，每年有45000名美国人因缺少保险项目而死亡。即使患者可以得到医生预约或得到送入医院，这里面的危险被公众低估了。在2008年卫生与公众服务部门的报告中，每年预计有80000名医疗保险病人死于可预防的医疗差错。其他的研究估计每年由院内感染死亡90000例。具有讽刺意味的是,我们正在允许容易接近一个非常危险的系统。

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