精益管理对门诊采血高峰期患者等候时间的影响窦守坤黄次花柳泽琴万鑫李韶玲肖丹丹南方医科大学深圳医院广东深圳518101【摘要】目的探讨精益管理在缩短门诊采血高峰期患者等候时间中的应用效果。方法成立精益管理项目团队，调查门诊采血高峰期患者等候情况，通过价值流图找到需要改善的爆炸点，应用5Why法找到根本原因，通过改善布局、制定标准化特殊医嘱处理流程、标准化采血操作流程等，比较整改前后患者等候时间。结果精益管理整改后门诊采血高峰期患者平均等候时间、等候时间＞15min的占比均显著短于整改前(均P＜0.001)。结论运用精益管理方法能有效改善门诊采血流程，缩短门诊采血高峰期患者等候时间，值得推广应用。【关键词】精益管理;门诊采血;价值流图;等候时间中图分类号:Ｒ197．323．4文献标志码:Adoi:10．3969/j．issn．1671－332X．2023．02．018EffectofleanproductionmanagementonwaitingtimeofpatientsinthepeakperiodofbloodcollectioninoutpatientdepartmentDOUShoukun，HUANGCihua，LIUZeqin，WANXin，LIShaoling，XIAODandanShenzhenHospital，SouthernMedicalUniversity，Shenzhen518110，China【Abstract】ObjectiveToexploretheeffectofleanproductionmanagementinshorteningthewaitingtimeofpatientsinthepeakperiodoftheoutpatientbloodcollection．MethodsThewaitingtimeofpatientsinthepeakperiodofbloodcollectionintheoutpatientdepartmentwasexploredafterestablishingaleanproductionmanagementprojectteam．Afterthat，theproblemsneededtobeimprovedbyapplyingthemethodsofvaluestreammappingandthebasicrootswiththemethodof5Whyswerefoundout．Finally，afterimprovingthelayoutsandestablishingastandardspecialorderprocessofdoctorsandstandardbloodcollectionprocedures，thewaitingtimebeforeandafterinterventionwascompared．ＲesultsAfterthereformofleanproductionmanage-ment，theproportionofpatients’averagewaitingtimeandwaitingtimegreaterthan15minutesinthepeakperiodofbloodcollec-tionintheoutpatientdepartmentweresignificantlyshortenedthanthatbeforetheimprovement(P＜0．001)．ConclusionLeanproductionmanagementcaneffectivelyimprovetheprocessofbloodcollectionandshortenthewaitingtimeofpatientsinthepeakperiodofbloodcollectionintheoutpatientdepartment，sothismethodiswor...
