通过精益六西格玛 (Lean Six Sigma) 优化剧院利用率:可持续剧院利用率改进的一个模型
Ibrahim Hemaida1, Laura Crawley2
1Barts Health NHS Trust, London, UK.
Journal of perioperative practice
|February 22, 2026
概括
通过解决预订不足和预先评估能力,可以提高眼科医院效率. 这项质量改进研究使用精益六西格玛将剧院利用率从75.8%提高到81%.
科学领域:
- 医疗保健管理的管理
- 外科手术院的手术室操作.
- 质量改进方法 质量改进方法
背景情况:
- 西部眼科医院的眼科医院利用率为75.8%,低于COVID-19恢复期间85%的国家目标.
- 确定需要解决业绩不佳问题并提高剧院效率.
研究的目的:
- 为了确定剧院利用率下降的原因.
- 实施有针对性的干预措施,以提高剧院效率.
主要方法:
- 雇佣了精益六西格玛DMAIC质量改善框架.
- 干预措施包括增加预评估能力,优化调度,减少提前完成,以及每天审查资源可用性.
- 利用统计方法,如多重回归,实验设计和统计过程控制.
主要成果:
- 分析显示,早期完成,预订不足和有限的预评估能力是低利用率的主要驱动因素.
- 有针对性的干预措施成功地将上限剧院利用率从75.8%提高到81%.
- 通过Plan-Do-Study-Act周期的持续监测确保了性能稳定性和改进.
结论:
- 精益六西格玛与统计分析相结合,显著提高了剧院利用率.
- 优化调度和预评估能力对于效率至关重要,挑战以前的假设.
- 该模型提供了一种可扩展的方法,用于在手术环境中实现可持续的操作改进.
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