| 基于六西格玛方法对优化院内科间会诊的研究 |
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| 引用本文： | 闻大翔,陆琳,甘宁,张斌渊,范关荣.基于六西格玛方法对优化院内科间会诊的研究[J].中国医院,2009,13(9):8-11. |
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| 作者姓名： | 闻大翔 陆琳 甘宁 张斌渊 范关荣 |
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| 作者单位： | 上海交通大学医学院附属仁济医院,200127,上海浦东新区东方路1630号 |
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| 基金项目： | 上海市教委课题，上海申康医院发展中心课题 |
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| 摘 要： | 目的：了解院内科间会诊的实施现状，研究有效提升科间会诊完成及时性、积极性和有效性的措施。方法：依据六西格玛管理中的DMAIC（界定-测量-分析-改进-控制）五步模型，回顾性分析科问会诊的完成情况。质量改进措施“OA网上电子会诊”试行后，对试行前后的数据作对照比较分析。结果：χ^2检验结果显示，试行科室“科间普通会诊48小时内完成率”的上升，以及“会诊单填写缺项率”的降低均具有统计学意义。结论：实行“OA网上电子会诊”可以有效缩短会诊等待时间、提高会诊申请单的填写质量，同时加强医务部对会诊工作的动态监管。
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| 关 键 词： | 科间会诊 六西格玛管理 电子会诊 会诊质量 |
Research on inter-sectors consultation based on six sigma methodology |
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| Institution: | WEN Daxiang, LU Lin, GAN Ning et al(Affiliated Renji Hospital, Shanghai Jiaotong University, No.1630, Dongfang Road, Pudong New Area, Shanghai, 200127, PRC) |
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| Abstract: | Objectives： To understand the status quo of inter-sectors consultation and explore measures for improving the timeliness, effectiveness and initiative of inter-sectors consultation. Methods： Based on DMAIC five-step process in six sigma management, inter-sectors consultations were reviewed. The data were compared before and after the implication of OA e-consuhation for quality promotion. Results： According to χ^2 test, the completion rate （within 48 hours） was significantly higher than before and the imperfect application form filling rate was lower than before. Conclusions： OA e-consuhation could effectively shorten waiting time, improve form filling quality and strengthen consultation dynamic surveillance. |
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| Keywords: | inter-sectors consultation six sigma management E-consultation consultation quality |
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