中国康复理论与实践2017，Vol.23Issue(7)：843-847,5.DOI:10.3969/j.issn.1006-9771.2017.07.023
运用六西格玛法缩短危重患者从病房到重症监护室的转运时间
Shortening Transfer Time of Critical Inpatients from Ward to Intensive Care Unit:Based on Six Sigma
摘要
Abstract
Objective To shorten the transfer time of critical inpatients from wards to intensive care unit (ICU). Methods From Novem-ber to December, 2015, 30 critical inpatients transferred from wards to ICU were investigated, and analyzed with Six Sigma DMAIC five-step method. There were 7 main processes and 22 sub-processes refined in transfer procedure, as well as the key quality points and the factors influencing the safety of transferring. Some improvement advice were recommended, including multifunctional transfer cart, Check-list before Transfer to Intensive Care Unit for Critical Patients, setting up transport group, training for young nurses and application of SBAR communication. Other 30 critical inpatients transferred from wards to ICU, from May to June, 2016, after the series of control pro-grams, were investigated. Results After improvement, the total transfer time from wards to ICU decreased (t=15.052, P<0.001), without the increase of human power and unsafety issues. The rescue success rate increased from 91.67%to 98.01%. Conclusion The process transfer-ring patient from wards to ICU has been reengineered based on Six Sigma DMAIC management, that reduces the time and improve the res-cue success rate.关键词
六西格玛法/危重患者/转运时间/护理/流程再造Key words
Six Sigma/critical patients/transfer time/nursing/process reengineering分类
医药卫生引用本文复制引用
宋剑平,冯燕,吕敏芳,徐珏华,张玉萍..运用六西格玛法缩短危重患者从病房到重症监护室的转运时间[J].中国康复理论与实践,2017,23(7):843-847,5.基金项目
浙江省医药卫生科技计划资助项目(No.2013KYA086). （No.2013KYA086）
