六西格玛管理法在改进外周短导管静脉输液质量中的应用

Application of Six Sigma Management Method in improving the quality of peripheral short catheter intravenous infusion

目的探讨六西格玛管理方法对改善外周静脉输液质量的效果。方法采用前后对照的研究方法,应用六西格玛管理方法对护士进行静脉输液标准化培训干预,以北京市海淀医院泌尿外科住院部2018年12月至2019年8月的输液患者为研究对象,其中2018年12月至2019年3月的244例患者为对照组,2019年5月至8月的432例患者为观察组,观察组使用六西格玛管理法进行外周短导管静脉输液的质量控制。对两组外周静脉短导管(安全型留置针、头皮钢针)使用率及外周静脉短导管护理质量问题进行比较。结果观察组的头皮钢针使用率低于对照组,安全型留置针使用率高于对照组,且外周短导管总体护理质量问题发生率低于对照组(均P<0.05)。结论六西格玛管理法作为管理工具可以在一定程度上提高安全性输液工具的使用率,并改善外周短导管静脉输液质量。

Objective To explore the effect of Six Sigma Management Method on improving the efficacy of peripheral intravenous infusion.Methods Self-contrasted research methods was performed with Six Sigma Management Method being applied in nurses'standardized training of intravenous infusion.The infusion patients in the Urology Department of Haidian Hospital from December 2018 to August 2019 were selected.Among them,244 patients who were admitted to Haidian Hospital from December to March 2019 were enrolled into the control group(before the intervention being applied).And 432 patients treated in Haidian Hospital were included in the observation group(after the intervention).The utilization rate of peripheral venous short catheters(safety indwelling needles,scalp steel needles)before and after intervention and the quality of care were compared between the two groups.Results The utilization rate of scalp steel needles in the observation group was lower than that in the control group.And the utilization rate of safe indwelling needles was higher than that in the control group.The incidence of quality problems with peripheral short catheters was lower than that in the control group(all P<0.05).Conclusions The utilization rate of safe infusion tools can be increased to a certain extent through the application of Six Sigma Management method,which improves the quality of intravenous infusion with short peripheral catheters as well.