CAJ | 학술논문

目的探讨应用六西格玛管理法缩短呼吸科肺癌化疗用药等待时间，让化疗结束的患者在当天就可以办理出院，不仅合理增加了床位的利用率，而且可以收治急诊留观的危重患者，减轻了医院意外事件发生的风险，同时提高了患者的满意度，更是真正体现医院一切以患者的健康和利益为中心的指导思想。方法根据六西格玛5步法(即定义、测量、分析、改进、控制)对呼吸科肺癌化疗用药等待流程进行改进管理，包括成立六西格玛管理小组，测量肺癌化疗用药等待时间，分析影响肺癌化疗用药等待时间因素，改进影响肺癌化疗用药等待的措施，制订控制措施。结果呼吸科肺癌化疗用药等待时间缩短(P<0.01)。结论应用六西格玛管理方法能有效缩短呼吸科肺癌化疗患者的用药等待时间，提高了工作质量与效率，合理增加了床位的使用率，真正做到了以人为本。
목적탐토응용륙서격마관리법축단호흡과폐암화료용약등대시간，양화료결속적환자재당천취가이판리출원，불부합리증가료상위적이용솔，이차가이수치급진류관적위중환자，감경료의원의외사건발생적풍험，동시제고료환자적만의도，경시진정체현의원일절이환자적건강화이익위중심적지도사상。방법근거륙서격마5보법(즉정의、측량、분석、개진、공제)대호흡과폐암화료용약등대류정진행개진관리，포괄성립륙서격마관리소조，측량폐암화료용약등대시간，분석영향폐암화료용약등대시간인소，개진영향폐암화료용약등대적조시，제정공제조시。결과호흡과폐암화료용약등대시간축단(P<0.01)。결론응용륙서격마관리방법능유효축단호흡과폐암화료환자적용약등대시간，제고료공작질량여효솔，합리증가료상위적사용솔，진정주도료이인위본。
Objective Six sigma management could shorten the waiting time of lung cancer chemotherapy so that patients could be discharged right after their last chemotherapy. It not only increased the utilization of beds, but also admitted critically ill patients from emergency observation wards, which reduced the risk of accidents in hospital and improved patients' satisfaction. It fully reflects the guiding thought that all measures should patient-centered.Method According to 5-steps method of six sigma (define, measure, analyze, improve, control), improved the waiting process management of lung cancer chemotherapy in respiratory department, including the establishment of six sigma management team, measuring the waiting time of lung cancer chemotherapy and analyzing its influencing factors before took improvement measures.Results The waiting time of lung cancer chemotherapy in respiratory department was shortened (P <0.01).Conclusion Six Sigma method can effectively reduce the waiting time of lung cancer chemotherapy, which improves work quality and efficiency, increases the utilization of beds and realizes people-oriented thought.