Zhejiang Province Taizhou hospital should reduce ERCP postoperative high amylase blood disease incidence effectively by six Sigma methods

Zhejiang Province Taizhou hospital should reduce ERCP postoperative high amylase blood disease incidence effectively by six Sigma methods
Zhejiang Province Taizhou hospital should reduce ERCP postoperative high amylase blood disease incidence effectively by six Sigma methods
According to the intersection of " the the intersection of Chinese and hospital " and the intersection of magazine and 2010 10 report, author the intersection of Zhejiang Province and the intersection of Taizhou and the intersection of hospital and the intersection of leaf and beautiful duckweed,etc. introduce in the intersection of article and those one: U.S.A. mirror learn about drive in the wrong direction cholangiography of pancreas (ERCP) by inner mirror digest, 2005 The application guide in gallbladder pancreas disease has proposed clearly ERCP treats a main means of gallbladder pancreas disease at present. Zhejiang Province Taizhou hospital launched this project since 2000 and already succeeded in finishing more than 6000, complications such as data statistics, postoperative acute pancreatitis, bleeding, infecting, punching,etc. will be 0.78%, 0.60%, 0.45%, 0.12% respectively in 2008, obviously less than the literature to report competence, but the incidence of postoperative high amylase blood disease complication reaches 35.8%, lengthen, recover time while being postoperative, increase the hospitalization cost, influence medical treatment and service quality. This institute adopts six office procedures of Sigma to rectify and improve to this question, achieve the actual effect. This project adopts six Sigma to define (Define) , measurement (Measure) , analysis (Analyze) , improvement (Improve) With controlling (Control) Five footwork, from the quality key (Critical-To-Quality, CTQ) Start with, the ability to the existing procedure and key factor of the quality key of the influence are found out, analyzed, and make corresponding corrective measure and monitored plan. Adopt MiniTab software to analyze and prove statistics about this project. Find out the main reason for influencing the blood disease incidence of the postoperative high amylase, make the corresponding corrective measure, and compare incidence before and after improvement. The result indicates the blood disease incidence of the high amylase is dropped from 34% to 12.1%, the short-term Z value rises to 2.665 from 1.908. Therefore, appraisal system of the risk before setting up the skill, set up ERCP operation doctor's entry system, popularize and apply and cut technology and ENBD in advance, control the operating time of operation strictly, prevent the pancreatic duct from being developed repeatedly, administration method and postoperative rational effective method of the blood disease incidence of the high amylase after reducing the skill by corrective measure of preventative administration before changing the skill.


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