应用六西格玛方法提高自体输血率的研究  

The role of Six Sigma quality management in promoting the rate of autologous blood transfusion

作　　者：陈飞 叶一冰[1] 应伊丽 丁教教[1] 李俊[1] CHEN Fei;YE Yibing;YING Yili;DING Jiaojiao;LI Jun(Taizhou Hospital of Zhejiang Province,Taizhou 311000,China)

机构地区：[1]台州医院,浙江台州317000

出　　处：《中国输血杂志》2019年第4期389-392,共4页Chinese Journal of Blood Transfusion

摘　　要：目的探讨六西格玛质量管理方法在提高自体输血率中的应用价值。方法项目组运用六西格玛质量管理中的定义、测量、分析、改进、控制5个步骤,采用头脑风暴、鱼骨图、Pareto图、关联矩阵、潜在失效模式分析等质量工具,对现有自体输血流程能力及影响质量关键点的关键因素进行分析,制定出相应的改进措施及控制计划,持续改进,并对改进前后的自体输血率进行分析。结果改进后本院自体输血率从5.95%提高至13.57%,流程能力Z值从-2.15提高到1.74(P<0.05),改进前后有显著性差异。结论运用六西格玛质量管理方法,基于问题现状,找出关键因素,从而改善自体输血流程,提高了全院自体输血率。Objective To acquire an overview understanding of the application of Six Sigma quality management method in promoting the rate of autologous blood transfusion in our hospital.Methods Quality tools such as brainstorming,fishbone diagram,Pareto chart,incidence matrix as well as failure mode and effect analysis were used to understand the current process capability of autologous blood transfusion and the key factors affecting the quality,following five steps,i.e.definition,measurement,analysis,improvement and control,given out in Six Sigma quality management.Corresponding improvement measures and control plans were formulated aiming at a further improvement.The changes of the rate of autologous blood transfusion were observed before and after the application of Six Sigma.Results After the the application of Six Sigma,the rate of autologous blood transfusion increased from 5.95%to 13.57%and process capability(Z value)increased from-2.15 to 1.74(P<0.05).There were significant differences before and after the application.Conclusion Six Sigma quality management method contributes to find out the key issue based on the current situation analysis and then improve the process of autologous blood transfusion,which served as a positive role in promoting the whole rate of autologous blood transfusion in our hospital.

关 键 词：六西格玛 关联矩阵 潜在失效模式分析 自体输血 

分 类 号：R457.1[医药卫生—治疗学]