Six Sigma 활동을 통한 중증외상환자의 응급실 체류시간 개선 활동

김현수; 김옥준; 최성욱; 김의중; 박영태; 고대이; 조윤경

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자료유형: 학술저널

저자정보: 김현수 (Department of Emergency Medicine, CHA Bundang Medical Center, CHA University) 김옥준 (Department of Emergency Medicine, CHA Bundang Medical Center, CHA University) 최성욱 (Department of Emergency Medicine, CHA Bundang Medical Center, CHA University) 김의중 (Department of Emergency Medicine, CHA Bundang Medical Center, CHA University) 박영태 (Department of Emergency Medicine, CHA Bundang Medical Center, CHA University) 고대이 (Department of Emergency Medicine, CHA Gumi Medical Center, CHA University) 조윤경 (Division of Cardiology Department of Internal Medicine, CHA Gangnam Medical Center, CHA University)

저널정보: 대한외상학회 Journal of trauma and injury : JTI Journal of trauma and injury : JTI 제23권 제2호

발행연도: 2010.1

수록면: 119 - 127 (9page)

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Purpose: This study was conducted to shorten the time spent at each stage of treatment and to reduce the total amount of time patients spend in the emergency department (ED) by applying Six Sigma in the treatment of major trauma patients. Methods: This is a comparative study encompassing 60 patients presenting to the ED of Bundang CHA Hospital from January 2008 to December 2008 and from July 2009 to March 2010. The stages of treatment for major trauma patients were divided into six categories (T1: total emergency department staying time, T2: duration of visit-radiologic evaluation time, T3: duration of visit-consult to department of admission, T4: duration of consultation-issue of hospital admissions time, T5: duration of visit-issue of hospital admissions time, T6: duration of issue of hospital admission-emergency department discharge time) and the total time patients spent in the ED was compared and analyzed for periods; before and after the application of Six Sigma. Results: After the application of Six Sigma, the numerical values in four of the six categories were significantly reduced; T2, T3, T4, and T5. However, the average of the total time patients spent in the ED did not show any remarkable change because the T6 increased highly. The level of Six Sigma increased $0.17{\sigma}$. Conclusion: The application of Six Sigma for major trauma patients in the ED resulted in a significant improvement in the error rate for the total time patients spent in the ED. The Six Sigma activity has shown great potential. Therefore, the project is expected to bring better results in every stage of treatment if the levels of the hospital facilities are improved.

#Six Sigma #Emergency department #major trauma patients

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