六西格玛管理在预防ICU导管相关血流感染中的应用
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孟新

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R181.3+2

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河南省中医药科研专项课题项目(2014ZY03005)


Application of SixSigma management in prevention of catheterrelated bloodstream infection in intensive care unit
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    摘要:

    目的探讨利用六西格玛管理方法预防控制重症监护病房(ICU)导管相关血流感染(CRBSI)的效果。方法选取2015年3—12月入住某院ICU留置中心静脉导管的患者,运用六西格玛的界定、测量、分析、改进和控制阶段五步法,找出影响CRBSI的关键因素,并针对性采取改进措施,比较应用六西格玛前后CRBSI发病率。结果应用六西格玛管理后,CRBSI发病率为6.19‰(4/646),低于管理前的15.95‰(13/815),差异有统计学意义(P<0.05)。结论六西格玛管理方法能揭示操作环节中的缺陷,进而指导研究者提出相应对策,能有效降低ICU CRBSI发病率。

    Abstract:

    ObjectiveTo explore the effect of SixSigma management on prevention and control of catheterrelated bloodstream infection(CRBSI) in intensive care unit(ICU). MethodsPatients with indwelling central venous catheter in the ICU of a hospital in MarchDecember 2015 were selected, five phases of SixSigma(define, measure, analyze, improve, and control) were used to find out the key factors that affected CRBSI, targeted improvement measures were taken, incidence of CRBSI before and after adopting SixSigma was compared. ResultsAfter SixSigma management was adopted, incidence of CRBSI declined from 15.95‰(13/815) to 6.19‰(4/646), difference was significant(P<0.05). ConclusionSixSigma management can reveal the defect in workflow, guide researchers to propose corresponding measures, and effectively reduce the incidence of CRBSI in ICU.

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引用本文

蒋雪松,孟新.六西格玛管理在预防ICU导管相关血流感染中的应用[J]. 中国感染控制杂志,2017,16(12):1178-1182. DOI:10.3969/j. issn.1671-9638.2017.12.016.
JIANG Xuesong, MENG Xin. Application of SixSigma management in prevention of catheterrelated bloodstream infection in intensive care unit[J]. Chin J Infect Control, 2017,16(12):1178-1182. DOI:10.3969/j. issn.1671-9638.2017.12.016.

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  • 收稿日期:2017-02-15
  • 最后修改日期:2017-04-05
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  • 在线发布日期: 2017-11-30
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