目的

探讨六西格玛管理法在介入手术接台工作效率中的应用效果。

方法

采用前后对照的方法，选取改进前2021 年4 至6 月于湖南省人民医院介入复合手术室行介入手术的218 例患者作为对照组，改进后2022 年8 至10 月于湖南省人民医院介入复合手术室行介入手术的230 例患者作为观察组，应用六西格玛管理法中的定义、测量、分析、改进、控制5 个环节依次开展工作，收集手术接台工作中现存的问题，分析影响接台工作效率的原因，采取针对性措施，并进行质量监控。比较改进前后2 组首台手术开台准时率、接台手术术前准备时长、不良事件发生率、患者护理满意度。

结果

观察组首台手术开台准时率（98.0%）高于对照组（82.0%），差异有统计学意义（P ＜0.05）；观察组术前准备时间短于对照组，差异有统计学意义（P ＜0.001）；观察组不良事件发生率（1.96%）低于对照组（13.11%），差异有统计学意义（P ＜0.05）；观察组护理满意度得分92.00（90.00， 96.00）高于对照组82.00（79.00， 86.00），差异有统计学意义（P ＜0.001）。

结论

六西格玛管理法的应用能优化手术接台工作流程，提高介入手术接台工作效率。

Objective

To explore the application effect of the Six Sigma management method in the efficiency of interventional surgical table work.

Methods

Using a before-and-after comparison method， 218 patients who underwent interventional surgery in the composite operating room of Hunan Provincial People's Hospital from April to June 2021 before the improvement were selected as the control group， and 230 patients who underwent interventional surgery in the composite operating room of Hunan Provincial People's Hospital from August to October 2022 after the improvement were selected as the observation group.The five links of definition， measurement， analysis， improvement， and control in the Six Sigma management method were used to carry out the work in sequence， collect the existing problems in surgical reception work， analyze the reasons affecting the efficiency of reception work， take targeted measures， and conduct quality monitoring.Compare the on-time opening rate， preoperative preparation time， incidence of adverse events， and patient nursing satisfaction of the first surgery in two groups before and after improvement.

Result

The on-time opening rate of the first surgery in the observation group （98.0%） was higher than that in the control group （82.0%），and the difference was statistically significant （P＜0.05）； the preoperative preparation time of the observation group was shorter than that of the control group， and the difference was statistically significant （P＜0.001）； the incidence of adverse events in the observation group （0.4%） was lower than that in the control group （2.8%），and the difference was statistically significant （P＜0.05）； the nursing satisfaction score of the observation group was 92.00 （90.00， 96.00）， higher than that of the control group （82.00， 79.00， 86.00）， and the difference was statistically significant （P＜0.001）.

Conclusion

The application of the Six Sigma management method can optimize the surgical docking workflow and improve the efficiency of interventional surgical docking work.