六西格玛管理在预防ICU导管相关血流感染中的应用

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

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.