六西格玛理论提升护理文件书写质量的效果评价

Effects of Six Sigma on improving the quality of nursing document writing

目的评价六西格玛理论提升护理文件书写质量的效果。方法采用历史比较法,按年份进行整群抽样,以2018年1-12月病历为对照组,共1833份;以2019年1-12月病历为观察组,共1758份。对照组根据病区培训计划常规落实护理文件书写规范的培训,每班护士进行本班次护理文件书写的完成和自查,护士长随机抽查和负责终末病历的质量把关。观察组应用六西格玛管理理论改进提升实施流程,确定护理文件书写质量改善目标,制订科学可靠的改进方案,追踪实施效果和评价。收集2018年和2019年每月护理文件书写的质控得分、病历错误数量等数据信息,比较两组的错误率和质控成绩。结果观察组每月度每份病历护理文件书写平均错误数低于对照组,护理文件书写质控成绩高于对照组,差异均有统计学意义(P<0.05)。结论在护理文件书写质量管理中,应用六西格玛管理理论能够降低护理文件书写错误率,改善提升护理文件书写质量。

Objective To evaluate the effects of Six Sigma on improving the quality of nursing document writing.Methods By historical comparison and cluster sampling by year,totally 1833 medical records from the hospital from January to December 2018 were included into the control group,while 1758 medical records from the hospital from January to December 2019 were included into the observation group.In the control group,according to the ward training plan,the training of nursing document writing standards was routinely provided.Each shift of nurses completed and examined the nursing document writing of the shift,and the head nurse conducted random inspections and was responsible for the quality of the terminal medical records.In the observation group,the Six Sigma management theory was applied to improve the implementation process.The improvement goals of nursing document writing quality were defined.Scientific and reliable improvement plans were formulated,and the implementation effect was tracked and evaluated.The data and information such as the quality control score and the number of errors in each monthly medical records in 2018 and 2019 were collected,and the error rate and quality control results of the two groups were compared.Results The average number of errors in nursing document writing per month in the observation group was lower,and the quality control performance of nursing document writing was higher than that in the control group,and the difference was statistically significant(P<0.05).Conclusions In the management of nursing document writing quality,the application of Six Sigma can reduce the error rate of nursing document writing and improve the quality of nursing document writing.