六西格玛管理法在优化急查检验报告单等待时间中的应用  

Application of Six Sigma management on shortening the waiting time of acquiring urgent laboratory reports

作　　者：高兴[1] 张云[1] 梁佳丽 GAO Xing, ZHANG Yun, LIANG Jia-li.(Clinical laboratory of Navy General Hospital, Chin)

机构地区：[1]解放军海军总医院检验科,北京100048

出　　处：《中国急救复苏与灾害医学杂志》2018年第5期468-470,共3页China Journal of Emergency Resuscitation and Disaster Medicine

摘　　要：目的探讨应用六西格玛管理法缩短门、急诊患者在检验高峰时段检验报告单等待的时间。方法2016年9—12月海军总医院运用六西格玛管理法，按照定义、测量、分析、改进、控制这5个步骤，对门、急诊患者的急查检验报告单等待时间进行调查并分析，找出导致门、急诊患者等待急查检验报告单的时间过长的主要原因，提出整改的措施，改进检验流程，优化等待环节。结果门诊患者急查检验报告单等待时间由改进前的平均135．8min缩至118．4min，六西格玛值（Z值）从1．56提高到2．76；急诊患者检验报告单等待时间由改进前的平均63．1min缩至54．2min，六西格玛值（Z值）从2．43提高到3．39。结论通过六西格玛管理法在门、急诊检验流程中的应用。有效缩短了患者报告单的等待时间，提高了患者的满意度，为医院赢得了很好的经济效益和社会效益。objective To explore the effects of six sigma management in shorting the waiting time of patients in outpatient and emergency departments to acquire urgent laboratory reports in rush hours. Methods According to the five step methods of Six Sigma management （define,measure,analyze,improve and control）-the clinical data of waiting time from checking the laboratory sheets by nurses to delivering the examination results by the lab technicians were collected from 1500 laboratory items in outpatient and 500 items in emergency department. Brainstorming was pradcticed so as to find the significant infiencing factors in dirrent links and develop the corresponding countermeasures. The waiting time and satiscation of the patients were recorded again and aanlyzed one month after the improvement of specific procedures. Results One month after the specific technical operation procedures were improved, the wilting time was shortened by 17.4 min （from 135.8 rain to 118.4 min） and the Six Sigma value （Z value） was raised from 1.56 to 2.76 （both P〈0.05） for the outpatients; and the wilting time was shortened by 8.9 rain （from 135.8 rain to 118.4 min） , and the Z value was rsised from 2.43 to 3.39 （both P〈0.05） for the emergent patietns. Conclusion Application of Six Sigma management effectively shorten the waiting time acquiring urgent laboratory reports and enhance the satisfaction of patients.

关 键 词：六西格玛管理法 门、 急诊患者 报告单 等待时间 

分 类 号：R5[医药卫生—内科学]