作为精益六西格玛医疗过程改进的一个组成部分的患者队列分析:从化疗日单元的案例研究
Rowan Abuyadek1, Abdalla Shehata1, Wafaa Guirguis1
1Health Administration and Behavioural Sciences Department (Hospital Administration Specialty), High Institute of Public Health, Alexandria University, Alexandria, Egypt.
概括
精益六西格玛 (LSS) 通过减少患者等待时间,改善了化疗准备. 这项研究优先考虑过程改进而不是增加资源,以提高瘤病人的护理和满意度.
科学领域:
- 医疗保健管理的管理
- 运营研究 运营研究
- 在瘤学瘤学.
背景情况:
- 由于长时间的等待时间和服务队列,瘤病患面临重大挑战.
- 化疗准备是一个关键的过程,容易延迟,影响患者的护理和满意度.
研究的目的:
- 应用精益六西格玛 (LSS) 方法来提高化疗准备过程.
- 分析患者文件队列动态,以优先考虑过程改进而不是资源扩展.
主要方法:
- 一个案例研究利用精益六西格玛工具和队列动态在化疗日单元.
- 涉及到定义,测量,分析,改进和控制化疗准备过程.
- 从450个内部和外部客户收集的数据,有25个过程数据点.
主要成果:
- 发现的主要问题是从瘤学家评估到化疗接收的长时间等待.
- 干预前的平均等待时间为65.5分钟,基线西格玛水平为0.78.
- 干预后,平均等待时间减少到58.7分钟 (p=0.05),西格玛水平提高到0.91.
结论:
- 优先考虑流程改进补救措施在复杂的医疗保健环境中至关重要,长时间排队.
- 该研究表明,在瘤护理中,服务提供得到了增强,客户满意度也得到了提高.
- 这项研究为在LSS医疗保健项目中整合患者队列行为分析提供了新的见解.
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