六西格玛管理在留取24 h尿蛋白定量标本流程优化中的应用
| 作者: |
1孙莉莉,
1丁娟,
1郝莉
1 郑州大学第一附属医院肾内科，郑州 450052 |
| 通讯: |
丁娟
Email: zzhsky2012@126.com |
| DOI: | 10.3978/j.issn.2095-6959.2018.01.020 |
| 基金: | 国家自然科学基金(81100510)。 |
摘要
目的：通过六西格玛管理方法对24 h尿蛋白定量标本留取流程进行优化。方法：调查
2016年6至12月需要留取24 h尿蛋白定量标本的1 905例患者中留取失败的原因，应用六西格玛管理法，通过定义、测量、分析、改进和控制5个步骤，优化肾内科24 h尿蛋白定量标本留取流程，将开始实施时(2017年1月)的228例患者与实施半年后(2017年6月)的205例患者进行对比，统计分析改善效果。结果：干预前后，排空膀胱正确率分别为99.12%和100.00%，添加防腐剂正确率为96.93%和100.00%，留取时间正确率分别为98.25%和100.00%，记录尿量正确率分别为98.25%和99.51%；总体上，24 h尿蛋白定量标本留取失败率由原来的7.46%降低至0.49%，差异均有统计学意义(P<0.05)。结论：将六西格玛管理方法应用于肾内科，能优化24 h尿蛋白定量标本留取流程，提升护理服务效率和质量。
关键词：
24 h尿蛋白；六西格玛；护理质量；流程优化
2016年6至12月需要留取24 h尿蛋白定量标本的1 905例患者中留取失败的原因，应用六西格玛管理法，通过定义、测量、分析、改进和控制5个步骤，优化肾内科24 h尿蛋白定量标本留取流程，将开始实施时(2017年1月)的228例患者与实施半年后(2017年6月)的205例患者进行对比，统计分析改善效果。结果：干预前后，排空膀胱正确率分别为99.12%和100.00%，添加防腐剂正确率为96.93%和100.00%，留取时间正确率分别为98.25%和100.00%，记录尿量正确率分别为98.25%和99.51%；总体上，24 h尿蛋白定量标本留取失败率由原来的7.46%降低至0.49%，差异均有统计学意义(P<0.05)。结论：将六西格玛管理方法应用于肾内科，能优化24 h尿蛋白定量标本留取流程，提升护理服务效率和质量。
Application of Six Sigma as optimization strategy to reduce failure rate of the collection of the 24 h urinary protein (M-TP) specimen
CorrespondingAuthor: DING Juan Email: zzhsky2012@126.com
DOI: 10.3978/j.issn.2095-6959.2018.01.020
Foundation: This work was supported by National Natural Science Foundation of China (81100510).
Abstract
Objective: To optimize the collection process of the 24 h urinary protein (M-TP) specimen by Six Sigma method. Methods: The reason for the failure of the M-TP specimen between June 2016 and December 2016 was investigated. Six Sigma management steps includes definition, measurement, analysis, improvement and control, which was applied to optimize the collection process of the M-TP specimen from January 2017 to
June 2017. Results: After application of Six Sigma management, the accuracy rate of bladder emptying increased from 99.12% to 100.00%, the qualified rate of anti-septicadding increased from 96.93% to 100.00%, the accuracy rate of preserving at right time increased from 98.25% to 100.00%, and qualified rate of urine output recording rightly increased from 98.25% to 99.51%. Totally, failure rate of the M-TP preserving decreased from 7.46% to 0.49%. The differences were all statistically significant (P<0.05). Conclusion: The application of the Six Sigma management could effectively optimize the collection process of the M-TP specimen, and improve the efficiency and quality of care services.
Keywords：
24 h urinary protein; Six Sigma; nursing quality; process optimization
June 2017. Results: After application of Six Sigma management, the accuracy rate of bladder emptying increased from 99.12% to 100.00%, the qualified rate of anti-septicadding increased from 96.93% to 100.00%, the accuracy rate of preserving at right time increased from 98.25% to 100.00%, and qualified rate of urine output recording rightly increased from 98.25% to 99.51%. Totally, failure rate of the M-TP preserving decreased from 7.46% to 0.49%. The differences were all statistically significant (P<0.05). Conclusion: The application of the Six Sigma management could effectively optimize the collection process of the M-TP specimen, and improve the efficiency and quality of care services.