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目的:探讨六西格玛管理法在手术室患者接送流程中的实施效果,并分析其重要性。方法:选择2014年3月~2015年2月在浙江省景宁畲族自治县人民医院手术室实施手术治疗的患者作为研究对象,按照随机抽样的方法抽取160例患者为对照组,另随机抽取172例患者作为干预组。对照组按常规安全管理程序,进行手术患者的接送工作;干预组以六西格玛管理法,对手术患者的接送进行流程管理。比较两组患者安全意外事件发生率、关键事项漏交率、医护不良反应发生率,并比较两组患者的满意度、手术医生的满意度情况。结果:干预组和对照组的安全意外事件发生率、关键事项漏交率和医护不良反应发生率均有显著性差异,干预组明显低于对照组(P<0.05)。而患者的满意度、手术医生的满意度同样具有显著性差异,干预组明显高于对照组(P<0.05)。结论:实行六西格玛管理法后,手术患者接送流程得到优化,接送过程中的安全缺陷显著减少,接送满意度显著提升,接送过程更加高效,更加安全。六西格玛管理法是手术患者接送的一项有效流程优化方法,是改善手术患者整体服务质量的重要途径。
OBJECTIVE: To explore the effect of Six Sigma in the shuttle operation in operating room and to analyze its importance. Methods: From March 2014 to February 2015, patients in Surgical Hospital of Jingning She Nationality Autonomous County People’s Hospital in Zhejiang Province were selected as the research object. According to random sampling method, 160 patients were selected as the control group and 172 patients were randomly selected Patients as intervention group. Control group according to routine safety management procedures, surgical patients pick up and transfer work; intervention group to Six Sigma management of surgical patients in the process of transfer. The incidence of safety accidents, the rate of missed visits and the incidence of adverse medical reactions were compared between the two groups. The satisfaction of the two groups of patients and the degree of satisfaction of the surgeons were compared. Results: There were significant differences in the incidence of accidents, leakage rates of key items and incidence of adverse reactions in the intervention group and the control group, and the intervention group was significantly lower than that of the control group (P <0.05). Satisfaction of patients and satisfaction of surgeons were also significantly different, intervention group was significantly higher than the control group (P <0.05). CONCLUSIONS: Six-sigma management method has been adopted to optimize the procedure for the transfer of surgical patients. The safety defects in the process of pick-up and delivery are significantly reduced, the satisfaction of pick-up and delivery is significantly improved, and the pick-up and delivery process is more efficient and safer. Six Sigma is an effective process optimization method for surgical patient transfer and is an important way to improve the overall quality of service in surgical patients.