Objective To explore the effect of Six-Sigma management on prevention and control of catheter-related bloodstream infection(CRBSI) in intensive care unit(ICU).Methods Patients with indwelling central venous catheter in the ICU of a hospital in March-December 2015 were selected,five phases of Six Sigma(define,measure,analyze,improve,and control) were used to find out the key factors that affected CRBSI,targeted improvement measures were taken,incidence of CRBSI before and after adopting Six-Sigma was compared.Results After SixSigma management was adopted,incidence of CRBSI declined from 15.95‰(13/815) to 6.19‰(4/646),difference was significant(P＜0.05).Conclusion Six-Sigma management can reveal the defect in workflow,guide researchers to propose corresponding measures,and effectively reduce the incidence of CRBSI in ICU.%目的探讨利用六西格玛管理方法预防控制重症监护病房(ICU)导管相关血流感染(CRBSI)的效果.方法 选取2015年3-12月入住某院ICU留置中心静脉导管的患者,运用六西格玛的界定、测量、分析、改进和控制阶段五步法,找出影响CRBSI的关键因素,并针对性采取改进措施,比较应用六西格玛前后CRBSI发病率.结果 应用六西格玛管理后,CRBSI发病率为6.19‰(4/646),低于管理前的15.95‰(13/815),差异有统计学意义(P＜0.05).结论 六西格玛管理方法能揭示操作环节中的缺陷,进而指导研究者提出相应对策,能有效降低ICU CRBSI发病率.
展开▼
