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首页> 美国卫生研究院文献>Inquiry: A Journal of Medical Care Organization Provision and Financing >Applying Lean Six Sigma to Reduce the Incidence of Unplanned Surgery Cancellation at a Large Comprehensive Tertiary Hospital in China
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Applying Lean Six Sigma to Reduce the Incidence of Unplanned Surgery Cancellation at a Large Comprehensive Tertiary Hospital in China

机译：应用瘦六西格玛将无计划综合大学在中国的外科手术取消的发病率降低

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摘要

Unplanned surgery cancellation (USC) was an important quality management issue in the course of medical care for surgical patients, which caused inappropriate use of hospital resources and had negative impacts on quality and safety. This study used Lean Six Sigma to reduce the incidence of USC. Following the Lean Six Sigma DMAIC (Define, Measure, Analyze, Improve, and Control) process, the main factors influencing the USC were identified, such as the time of informing patient admission, the time of submitting operation notice, and the management of test report follow-up. A series of measures were implemented including improving the health education content of virtual bed patients, standardizing the way of communication between the Admission Management Center and the patients, improving the timing of anesthesia evaluation, optimizing the process of operation notice with an information system, and implementing the regulations of virtual bed management. The incidence of USC reduced from 10.21% in Jan. 2016 to 3.8% in Dec. 2016, and the Z-score increased from 1.25 to 1.68, which improved patient safety and demonstrated that Lean Six Sigma was an effective method to solve cross-department issues in hospital.
机译：计划外手术消除（USC）是医疗过程中对手术病人，这引起使用不当的医院资源，对质量和安全的负面影响的一个重要的质量管理问题。使用精益六西格玛这项研究，以减少USC的发生。以下精益六西格玛DMAIC（定义，测量，分析，改进，和控制）过程中，影响USC的主要因素被确定，如通知病人入院，提交操作通知的时间的时间，并且测试的管理报告的后续行动。一系列的措施来实现，包括提高虚拟床病人的健康教育内容，规范招生管理中心和患者之间的沟通方式，提高麻醉评估的时机，与信息系统优化操作的通知的过程中，实现虚拟床位管理的规定。 USC的发生率从10.21％在2016年1月在2016年12月减少至3.8％，和Z分数从1.25增加至1.68，这提高了患者的安全性，并证明了精益六西格玛是解决跨部门的有效方法在医院的问题。

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