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首页> 外文会议>International Conference on e-Health Networking, Applications and Services >Applying 'Six-Sigma ' initiative to the Operating Room for improving the efficiency of a patient's surgery process - a case study in one medical center in Northern Taiwan: Operating Room for improving the efficiency of the surgery process
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Applying 'Six-Sigma ' initiative to the Operating Room for improving the efficiency of a patient's surgery process - a case study in one medical center in Northern Taiwan: Operating Room for improving the efficiency of the surgery process

机译：将“六西格玛”倡议倡议进行持续提高患者手术过程的效率 - 以台湾北部的一个医疗中心为例：用于提高手术过程效率的手术室

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The purpose of this research is to explore the impact on the service efficiency of a patient's surgery process in the operating room before and after applying the "six-sigma" initiative. Major measures for revaluation include the patient's holding time in the operating room, the turnaround time between surgery and the six-sigma level. Data collection was entered directly by nursing staff in the operating room that involved observing and recording the timing of each medical procedure and the factors causing variations before the intervention and at three months and six months after the improvement. Statistical analysis was provided by descriptive analysis, t-test and Chi-Square test. 1314 samples were collected before intervention from April 1 to April 30,2005.1120 samples were collected three months after the intervention between August 1 and August 31, 2005. We considered the result as having room for further improvement and took second-step actions. Major interventions included increasing the application of the surgery patient information system to each operation room and providing timely information feedback to each operation room. 1031 samples were collected six months after the program during November 1 to November 30,2005. Patient's holding times in the operating room (T1 + T2 + T4) were improved from 37.9 minutes before intervention to 34.3 minutes in the third month after the intervention and to 31.49 minutes in the sixth months after the intervention. Standard deviation of the retaining time dropped from 37.9 minutes to 34.3 minutes before and three months after the intervention, and dropped even further to 25.68 minutes in the sixth months after the intervention, The turnaround time (T5), dropped from 10.51 minutes to 7.96 minutes in the third month after the intervention, and dropped to 7.42 minutes in the sixth month. Standard deviation of the turnaround time was also reduced from 17.88 minutes to 9.4 minutes to 7.03 minutes respectively. The Six-Sigma level increased from 3.21 to 3.26 and 3.37 respectively. This result of the study supported that the "six sigma" initiative can increase the service efficiency of the operating room by reducing variations in the surgery process, and improving the patient's holding time in the operating room as well as the turnaround time between surgeries. The result of this pilot study could provide administrators of peer hospitals with reference points.
机译：本研究的目的是探讨在应用“六西格玛”倡议的手术室内患者手术过程的服务效率的影响。重估的主要措施包括患者在手术室的持有时间，手术之间的周转时间和六西六厘米。通过手术室的护理人员直接进入数据收集，这些工作室涉及观察和记录每个医疗程序的时间以及在改进后的干预前和三个月和六个月之前引起变化的因素。通过描述性分析，T检验和Chi-Square测试提供统计分析。在5月1日至4月30日至4月30日之前收集了1314个样品，在2005年8月1日至8月31日至8月31日之间进行了三个月后收集了样本。我们将结果视为有进一步改进，并采取第二步行动。主要干预包括将手术患者信息系统的应用增加到每个操作室，并及时向每个操作室提供信息反馈。 1031年11月1日至11月30日在计划后六个月收集了1031个样本。患者在手术室（T1 + T2 + T4）的持久时间从干预前37.9分钟改善了37.9分钟，在干预后的第三个月内到34.3分钟，并在干预后第六个月达到31.49分钟。保留时间的标准偏差从37.9分钟到34.3分钟，在干预后三个月内下降至34.3分钟，并在干预后第六个月进一步下降至25.68分钟，周转时间（T5），从10.51分钟降至7.96分钟干预后的第三个月，第六个月下降至7.42分钟。周转时间的标准偏差也从17.88分钟降至9.4分钟至7.03分钟。六西格玛水平分别从3.21增加到3.26和3.37。这项研究结果支持，“六西格玛”倡议可以通过减少手术过程的变化来提高手术室的服务效率，并改善手术室中的患者的持有时间以及手术之间的周转时间。该试点研究的结果可以为同行医院的管理人员提供参考点。

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