抗生素(英文精品) Application of Six Sigma in a Surgical Infection Prevention Project案例实例.pptVIP

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2018-04-02 发布于天津
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抗生素(英文精品) Application of Six Sigma in a Surgical Infection Prevention Project案例实例.ppt

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Xs = process inputs Xs = process inputs Surgeons feel the anesthesiologist is responsible, the anesthesiologist feels the CRNA is responsible, the CRNA feels the surgery department staff is responsible, etc. Xs = process inputs Xs = process inputs 2003 strategic goal to spread improvements from GI and vascular surgeries to hysterectomy, total hip and knee replacement, coronary artery bypass graft, and other cardiac surgeries Some of the cardiovascular surgeons had already implemented these quality measures for all surgeries they perform as a result of their vascular surgery education Spreading Success Improve Strategic Goal By Quarter 2003 Improve Reviewing the 250 existing order sets to identify preoperative order sets Revising the preoperative order sets and gaining physician specialty approval Breaking the current structure for moving the order sets through the system for printing Aligning surgical prophylactic antibiotic quality goals into executive, director, and clinical physician responsibility and incentives Educating 183 surgeons and residents on quality indicators System and Structure Challenges Improve …be sure the problem doesn’t come back... Control How Do You Control The Problem? Executive sponsor letter to surgeons delineating prophylactic quality indicators, Internet site to access additional information, and sample of data they will receive on a quarterly basis Flowchart of antibiotic process with Intranet link to existing policy for new preoperative order set development Clinical Quality Specialist responsibility for monthly data collection and reporting on indicators and critical variables Clinical physician director accountability for physician outliers Surgical Quality Improvement Council oversight of continued improvements Control Control Plan:Building Systems and Structure Project Scope: Discontinuation of prophylactic antibiotic 24 hours from surgery stop time Strategic Goal 6.2: Improve appropriate administration of prophylactic