急诊科六顶思考帽及“5+1”S现场急救管理
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摘要
目的探讨六顶思考帽及"5+1"S现场管理在提高急救质量中的应用效果。方法将急诊科抢救室患者分为2017年运用六顶思考帽及"5+1"S现场管理组及2016年未实施管理的对照组,应用统计学方法比较两组急救治疗总完成时间、物品、药品总找寻时间及交接班所需时间的差异性。结果实施后2017年患者在急诊抢救室治疗总完成时间、物品、药品总找寻时间及交接班所需时间较实施前均明显缩短,P<0.001。结论六顶思考帽及"5+1"S现场管理方法可有效提升急救质量。
Objective To explore the application effects of Six Thinking Hats and "5+1"S on-site management in improving the quality of first aid.Methods We compared the total time of completing the emergency treatment,total rescue room items search time, total drug search time, and the time for shifting people between using Six Thinking Hats and "5+1"S on-site management in 2017 and using traditional management methods in 2016. ResultsAfter implementation, the total time for completing the emergency treatment, total rescue room items search time, total drug search time and handover time in the emergency room in 2017 were significantly shorter than those before the implementation(P<0.001).Conclusion The application of "Six Thinking Hats" thinking method and "5+1"S on-site management can significantly improve the quality of first aid in the emergency room.
Objective To explore the application effects of Six Thinking Hats and "5+1"S on-site management in improving the quality of first aid.Methods We compared the total time of completing the emergency treatment,total rescue room items search time, total drug search time, and the time for shifting people between using Six Thinking Hats and "5+1"S on-site management in 2017 and using traditional management methods in 2016. ResultsAfter implementation, the total time for completing the emergency treatment, total rescue room items search time, total drug search time and handover time in the emergency room in 2017 were significantly shorter than those before the implementation(P<0.001).Conclusion The application of "Six Thinking Hats" thinking method and "5+1"S on-site management can significantly improve the quality of first aid in the emergency room.
引文
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[10] 李勇.“5S”现场管理法在急诊科的运用价值[J].医学理论与实践,2012,25(14):1797-1799.
[2] 李亚军“5+1”S医院精益管理实践[M].北京:中国出版集团世界图书出版公司,2016:3-25.
[3] 张丽琼.5S管理模式在护理管理中的应用探讨[J].岭南急诊医学杂志,2016,21(4):425-426.
[4] 彭磷基.国际医院管理标准(JCI)中国医院实践指南[M].北京:人民卫生出版社,2008:38-121.
[5] 毕东军,张春斐,金文扬,等.“5S”现场管理在急门诊管理中的实践体会[J].护理与康复,2013,12(3):260-261.
[6] 胡贝贝,周丽萍,吴俊,等.应用FOCUS-PDCA及5S对监护室环境进行现场管理[J].护理与康复,2012,11(4):379-381.
[7] 爱德华·德·博诺.六顶思考帽[M].冯杨,译.太原:山西人民出版社,2008:1-50.
[8] 崔晓燕.石柳.“六顶思考帽”在培养病区护士创新意识和思维中的应用[J].护理研究,2010,24(7):626-628.
[9] 季韶艳,高红,魏力.六顶思考帽在护理工作中的应用现状及展望[J].天津护理,2016,24(6):557-558.
[10] 李勇.“5S”现场管理法在急诊科的运用价值[J].医学理论与实践,2012,25(14):1797-1799.