精益管理在甲状腺穿刺预约流程优化中的应用

基础医学与临床 ›› 2020, Vol. 40 ›› Issue (3): 423-428.

精益管理在甲状腺穿刺预约流程优化中的应用

李广涵¹, 李颖², 郭克科³, 高鹏², 张伟硕⁴, 涂玲⁵, 张波^1*

1.中日友好医院超声医学科,北京100029;
2.中日友好医院教育处,北京100029;
3.碧迪医疗器械(上海)有限公司,上海 200040;
4.中日友好医院医务处,北京100029;
5.中日友好医院信息处,北京100029

收稿日期:2019-11-19 修回日期:2019-12-26 出版日期:2020-03-05 发布日期:2020-03-02
通讯作者: ^*zora19702006@163.com
基金资助:
“互联网+”超声理论与实践教学基地建设——依托国家远程医疗与互联网医学中心(201920202305);北京协和医院2019年学科建设(专项建设项目)(清华211)

Application of lean management in the optimization of thyroid puncture appointment process

LI Guang-han¹, LI Ying², GUO Ke-ke³, GAO Peng², ZHANG Wei-shuo⁴, TU Ling⁵, ZHANG Bo^1*

1. Ultrasound Medical Department;
2. Education Department, China Japan Friendship Hospital;
3. Bidi Medical DevicesShanghai Co., Ltd., Shanghai 200040;
4. Medical Department;
5. Information Department, China Japan Friendship Hospital,Beijing 100029,China

Received:2019-11-19 Revised:2019-12-26 Online:2020-03-05 Published:2020-03-02
Contact: ^*zora19702006@163.com

摘要/Abstract

摘要： 目的利用精益管理理论,优化甲状腺穿刺预约流程。方法以2019年6月至2019年9月中日友好医院超声科行甲状腺穿刺预约的患者为研究对象。分定义、测量、分析、改进和控制5个阶段进行。随机纳入流程改进前50例患者为对照组,流程改进后50例患者为研究组,共收集100例患者,比较两组患者的预约流程总时间,预约流程总行走距离与往返次数,以及患者满意度。结果改进后患者预约流程总时间由(58.6±31.5)min降为(32.5±12.8)min,患者满意度评分由3.3分升高至4.3分;行走距离由(90~546)m变为(94~219)m,其中涉及超声科开检查申请单和缴费行走距离由(78~149)m降为7 m;总排队次数从3~7次降为1~2次。结论基于精益管理优化方法,可以优化穿刺患者预约诊流程,提高患者满意度,有利于医院整体资源更高效运行。

关键词: 精益管理, 甲状腺预约, 流程

Abstract: Objective To optimize the appointment process of thyroid fine needle aspiration by using the theory of lean management. Methods From June to September 2019, the patients who had thyroid puncture appointment in the ultrasound department of China-Japan friendship hospital were studied.Fifty patients before and after the process improvement were randomly included in the control group and 50 patients after the process improvement were in the study group. A total of 100 patients were collected. The total time of the appointment process, the total walking distance and the number of round trips of the appointment process, and the patient satisfaction were compared between the two groups. Results After the improvement, the time of appointment process was reduced from (58.6±31.5)min to (32.5±12.8)min; the satisfaction score of patients was increased from 3.3 to 4.3; and the walking distance was reduced from (90~546)m to (94~219)m, among which the walking distance involving the application form and payment of ultrasound examination was reduced from 78-149 m to 7 m, the total number of waiting in queues reduced from 3-7 to 1-2. Conclusions Based on the optimization method of lean management, it can optimize the process of patients' appointment and improve patients' satisfaction, which is conducive to the more efficient operation of the hospital's overall resources.

Key words: lean management, thyroid appointment, process

中图分类号:

R-012

李广涵, 李颖, 郭克科, 高鹏, 张伟硕, 涂玲, 张波. 精益管理在甲状腺穿刺预约流程优化中的应用[J]. 基础医学与临床, 2020, 40(3): 423-428.

LI Guang-han, LI Ying, GUO Ke-ke, GAO Peng, ZHANG Wei-shuo, TU Ling, ZHANG Bo. Application of lean management in the optimization of thyroid puncture appointment process[J]. Basic & Clinical Medicine, 2020, 40(3): 423-428.