基于精益六西格玛的护理分级质量改进实证研究  

An empirical study on the improvement of nursing classification based on lean six sigma

作　　者：谢彩霞[1] 肖静蓉[1] 蔡王婷[2] 周敏[2] 蒋晓华[2] 石荷叶[2] 

机构地区：[1]四川医学科学院.四川省人民医院护理部,四川成都610072 [2]四川医学科学院.四川省人民医院神经外科,四川成都610072

出　　处：《现代预防医学》2015年第19期3528-3530,3536,共4页Modern Preventive Medicine

摘　　要：目的有效落实卫生行业新标准"护理分级",进行护理分级质量改进。方法应用精益六西格玛的方法,构建质量改进PDAIC模型,并将PDAIC模型应用于神经外科护理分级的质量改进,并采用护理分级合格率对改进效果进行验证。结果改进后护理分级合格率高于改进前,有统计学意义(P<0.001)。结论在精益六西格玛思想下构建的质量改进PDAIC模型有效的提升了神经外科护理分级合格率,此方法可尝试应用于更多的医疗护理质量改进活动。Objective To effectively implement the ＂nursing classification＂ as the new standard in health industry, and to improve the quality of nursing classification. Methods We established the PDAIC model by the method of lean six sigma, and applied it into improving the quality of nursing classification in department of neurosurgery. Results Compared with the situation before improvement, the compliance rate of nursing classification after improvement was higher, and the difference had statistical significance （P〈0.001）. Conclusion The PDAIC model based on the lean six sigma can effectively enhance the qualified rate of nursing classification in department of neurosurgery, and this method can be applied into the other activities of quality improvement on medical care.

关 键 词：精益六西格玛 护理分级 质量改进 PDAIC模型 

分 类 号：R194[医药卫生—卫生事业管理]