精益管理在产检服务流程改造中的应用

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1、精益管理在产检服务流程改造中的应用徐燕彭桂芝王远流张玉杨越蒋明娟广丙省柳州市妇幼保健院广丙柳州545001目的探讨精益管理在产检服务流程改造中的应用效果。方法应用鱼骨图分析产检流程中造成孕妇候诊时间长、满意度低的原因；应用精益管理理论5S理论、均衡化理论及可视化管理对产检服务流程进行改造，产检服务流程改造前后按医院“一卡通”单号随机抽取1600例孕妇设为对照组和观察组，从医院后台获取候诊时间，采用问卷调查法获取孕妇满意度，比较两组孕妇候诊时间、满意度。结果产检服务流程改造后，观察组候诊时间＜30min600人、30〜60minl00人、60minl00人;满意度87.5%;对照组候诊

2、时间＜30min300人、30〜60minl00人、60min400人；满意度95%;差异有统计学意义（？2=280.0P＜0.05）。结论精益管理在产检服务流程改造中，优化产检服务流程，缩短孕妇候诊时间，提高满意度，进一步深化优质护理，保证病人护理安全。【关键词】产检；流程改造；候诊时间；满意度；医疗行动计划ApplicationofleanmanagementintheserviceprocessoftransformationXuYanPengGuizhiWangYuanliu?YangYueJiangMingjuan【abstract】Objective:toexploret

3、heapplicationofleanmanagementintheserviceprocessoftransformation.Methods：inthefishbonediagramisusedtoanalyzetheprocessofthecausesofpregnantwomanwaitingtimeislong,lowsatisfaction；Applicationofthetheoryofleanmanagementequalizationtheoryandtheoryof5s，visualmanagementoftheserviceprocessoftransforma

4、tion,theserviceprocessofbeforeandafterthemodificationaccordingtothematernalcaremanualnumberrandomly,1600casesofpregnantwomenascontrolgroupandobservationgroup,getonwaitingtimes,appointmentbookingratefromhospitalbackgrounddata，USESthequestionnairesurveyforpregnantwomen'ssatisfaction,comparedtwogr

5、oupsofpregnantwomenonwaitingtimes,appointmentbookingrateandsatisfaction.Results：aftertheserviceprocessoftransformation,theobservationgroupwaitingtimes<30min600,30to60min100,60minlOOpeople；Pregnantwomenappointmentbookingrate80%;87.5%satisfaction；Controlgroupwaitingtimes<30min，300people，30t

6、o60,60min400minlOOpeople；Pregnantwomenappointmentbooking2=?rate100%；95%satisfaction；Differencewasstatisticallysignificant(280.0,P<0.05).Conclusions：theleanmanagementintheserviceprocessofreform,optimizetheserviceofprocess,shortenthewaitingtimeforpregnantwomen，andimprovesatisfaction,pregnantwo

7、menbackintime，tofurtherdeepenthequalityofnursing，ensurethesafetyofpatientcare.【keywords】prenatal;Theprocessmodification；Waitingtime；Appointmentbookingrate；Satisfaction；Healthactionplan［］R062+.2［］A［］1672-5018(2016)02-247-02产前保健是孕产期