应用DMAIC改善产科计划出院率

Applying DMAIC Tool to Improving the Planned Discharge Rate in Obstetric Department

目的探讨开展DMAIC精益管理对产科计划出院率和产妇满意度的影响。方法将2015年6月至2015年12月产科实施精益管理前设为对照组;2016年1月至2016年7月,产科开展精益管理后为观察组。比较两组计划出院率和满意度。结果实施前计划出院率21.58%,实施后计划出院率65.52%,差异具有统计学意义(P<0.05)。满意度改进前59.33%,改进后上升至88.67%。结论开展DMAIC精益管理应用于出院流程实践,提高工作效率,提升产妇对住院的满意度,改善医患关系,值得推广。

Objective To explore the effect of lean management with DMAIC tool on planned discharge rate and patients＇ satisfaction in obstetric department. Methods The data collected before the implementation of lean management from June 2015 to December 2015 was selected as the control group while the data collected after the implementation of lean management from January 2016 to July 2016 was selected as the observation group. The planned discharge rate and patients＇ satisfaction were compared between the two groups. Results The planned discharge rate before and after the implementation of lean management were 21.58% and 65.52% respectively and there was statistically significant difference between two groups（P〈0.05）. The patients＇ satisfaction increased from 59.33% to 88.67% after applying lean management, and the difference was statistically significant（P〈0.05）. Conclusion Lean management with DMAIC tool applied to discharge procedure could improve work efficiency, patients＇ satisfaction and the doctor-patient relationship, which was worth the promotion.