摘要目的 应用六西格玛对日间手术接台患者入手术室进行管理,减少手术接台时间延误,提高手术台利用率.方法 通过医院信息系统收集宁波市第一医院2016年10月-2017年4月收治的514例日间手术患者资料,采用六西格玛管理方法定义、测量、分析、改进、控制5个步骤进行分析,通过观察手术接台时间延迟率,分析日间手术延误原因,细化各时间节点主要问题,进行改进.将2017年5-10月收治的687例患者作为干预后组,并对效果进行评价.结果 六西格玛管理后手术接台延误率从干预前的12.26%下降到干预后的1.16%,差异有统计学意义(χ2=65.039,P<0.01).结论 应用六西格玛管理方法能够有效减少日间手术接台患者入手术室延误的发生,缩短日间手术接台时间,提高了手术间的利用率.

abstractsObjective To use Six Sigma management to administrate the procedure when ambulatory surgery patients enter into the operating room, so as to reduce surgery interval and improve utilization rate of the operating table. Methods We included 514 patients with day surgery from October 2016 to April 2017 through the Hospital Information System (HIS) of Ningbo First Hospital. Then we adapted the 5 methods of Six Sigma management including definition, measurement, analysis, improvement, control to analyze the data. By observing the delay rate of operation, the reason of delay in operation was analyzed, and the main problems of each time node were refined and improved. A total of 687 patients admitted from May to October 2017 were selected as the post intervention group and the results were evaluated. Results After the implementation of Six Sigma management, we found that the delay rate of ambulatory surgery was decreased from 12.26% to 1.16%, the difference was statistically significant (χ2=65.039,P<0.01). Conclusions The application of Six Sigma management in day surgery can effectively reduce the delay of day surgery, decrease surgery interval and improve the utilization rate of the operation.