基于精益六西格玛的随访再住院患者入院检查流程改造研究  

Lean Six Sigma-Based process transformation on admission physical examination of rehospitalization follow-up patients

作　　者：殷婷婷[1] 许树根[2] 许丽贞[3] 夏敏[1] 李三梅[3] 黄榕[1] 

机构地区：[1]中国人民解放军第一七四医院护理部,361003 [2]中国人民解放军第一七四医院办,361003 [3]中国人民解放军第一七四医院肿瘤中心,361003

出　　处：《国际护理学杂志》2016年第24期3313-3316,共4页international journal of nursing

基　　金：南京军区十八分部医学科技青年培养项目（18FBQN2014004）

摘　　要：目的：探讨应用精益六西格玛对随访再住院患者入院检查流程改造的效果。方法选取肿瘤中心二区随访再住院患者为对照组，按照改造前入院检查流程进行入院检查；选取肿瘤中心一区随访再住院患者为观察组，应用精益六西格DMAIC模型进行流程改造，比较两组入院检查时间、住院时间、患者满意度等指标。结果改进后观察组与对照组患者入院检查时间、住院时间、患者满意度比较，差异均有统计学意义（ P〈0.05）。结论运用精益六西格玛法可有效缩短随访再住院患者入院检查时间和住院时间，提高患者满意度。Objective To explore the effect of Lean Six Sigma in the process transformation on admission physical examination of rehospitalization follow-up patients. Methods The inpatients from the second ward of oncology were taken as the control group, in accordance with the the original process on admission physical examination of rehos-pitalization follow-up patients. The inpatients from the first ward of oncology were taken as the observation group, used the DMAIC model of Lean Six Sigma to transform process. Verify the effect by observing the indicators with two groups, such as the time of admission physical examination, the time of hospital stay and patients＇ satisfaction. Results The time of admission physical examination, the time of hospital stay and patients＇ satisfaction of the two groups after im-provement were significant （ P〈0. 05 ） . Conclusion The application of Lean Six Sigma can shorten the time of admis-sion physical examination and the time of hospital stay, and improve the patients＇ satisfaction.

关 键 词：精益六西格玛 随访 再住院患者 入院检查 DMAIC模型 

分 类 号：R47[医药卫生—护理学]