Application of the 6Sigma-DMAIC Concept Management in the prevention of falls of elderly inpatients

YANG Xian-zhu; XU Xue-xue; CHEN He-zhen; HU Yue-feng; SHENG Sun-ren

doi:10.16766/j.cnki.issn.1674-4152.002553

Volume 20 Issue 7

Jul. 2022

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Article Navigation > Chinese Journal of General Practice > 2022 > 20(7): 1182-1185

YANG Xian-zhu, XU Xue-xue, CHEN He-zhen, HU Yue-feng, SHENG Sun-ren. Application of the 6Sigma-DMAIC Concept Management in the prevention of falls of elderly inpatients[J]. Chinese Journal of General Practice, 2022, 20(7): 1182-1185. doi: 10.16766/j.cnki.issn.1674-4152.002553

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YANG Xian-zhu, XU Xue-xue, CHEN He-zhen, HU Yue-feng, SHENG Sun-ren. Application of the 6Sigma-DMAIC Concept Management in the prevention of falls of elderly inpatients[J]. Chinese Journal of General Practice, 2022, 20(7): 1182-1185. doi: 10.16766/j.cnki.issn.1674-4152.002553

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Application of the 6Sigma-DMAIC Concept Management in the prevention of falls of elderly inpatients

doi: 10.16766/j.cnki.issn.1674-4152.002553

Department of Orthopedics, the Second Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang 325000, China

Funds:

2021KY214

Received Date: 2021-09-23
Available Online: 2022-09-23

Abstract

Abstract

Objective To study the application of the 6Sigma-DMAIC Concept Management in the prevention and control of falls in elderly inpatients, and to provide a reference for reducing the incidence of falls in elderly inpatients. Methods A total of 216 cases of elderly patients who were hospitalised in the Second Affiliated Hospital of Wenzhou Medical University from March 2019 to September 2020 were selected as the subjects of this study. All patients were divided into control group and study group according to the random number table method, with 108 cases in each group. The patients in the control group received routine fall prevention interventions during hospitalisation, whereas those in the study group implemented preventive measures based on the 6Sigma-DMAIC Concept Management on the basis of routine intervention. The causes of falls in elderly hospitalised patients was counted. Patients' mastery of fall prevention knowledge, the incidence of falls and patients' satisfaction with clinical intervention management measures were compared between the two groups. Results The patients in the study group had a higher level of mastery of fall prevention knowledge, fall handling knowledge, fall prevention facilities and fall prevention techniques than those in the control group, and the difference was statistically significant (all P < 0.05). The total incidence of falls during hospitalisation in the study group (0.93%, 1/108) was lower than that of the control group (7.41%, 8/108), the difference was statistically significant (P < 0.05). Approximately 97.22% (105/108) of the patients in the study group were satisfied with fall prevention management, which was significantly higher than that in the control group (87.04%, 94/108), the difference was statistically significant (P < 0.05). Conclusion The 6Sigma-DMAIC Concept Management has high application value in the fall prevention of elderly inpatients. It can significantly strengthen the knowledge of fall prevention for elderly inpatients and their families, reduce the risk of falls and improve the satisfaction of intervention management.
- 6Sigma-DMAIC Concept Management,
- Elderly,
- Hospitalised patients,
- Fall risk,
- Satisfaction

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References(20)

References

[1]	侯蔚蔚, 孙爱芳, 万岐江, 等. 老年患者住院期间跌倒风险及相关因素分析[J]. 中国医药导刊, 2019, 21(11): 660-664. doi: 10.3969/j.issn.1009-0959.2019.11.006 HOU W W, SUN A F, WAN Q J, et al. Analysis of the Fall Risk and Related Factors in Hospitalized Elderly Patients[J]. Chinese Journal of Medical Guide, 2019, 21(11): 660-664. doi: 10.3969/j.issn.1009-0959.2019.11.006
[2]	王家芳, 包宁. 住院患者跌倒风险因素及管理[J]. 检验医学与临床, 2020, 17(2): 272-274. doi: 10.3969/j.issn.1672-9455.2020.02.042 WANG J F, BAO N. Risk factors and management of falls in hospitalized patients[J]. Laboratory Medicine and Clinic, 2020, 17(2): 272-274. doi: 10.3969/j.issn.1672-9455.2020.02.042
[3]	刘晓梅, 石斌娅, 李红文, 等. 情景模拟结合案例分享在老年患者防跌倒管理中的应用效果[J]. 中华现代护理杂志, 2019, 25(3): 337-340. doi: 10.3760/cma.j.issn.1674-2907.2019.03.017 LIU X M, SHI B Y, LI H W, et al. Effects of scenario simulation combined with case share on fall prevention in elderly patients[J]. Modern Nursing, 2019, 25(3): 337-340. doi: 10.3760/cma.j.issn.1674-2907.2019.03.017
[4]	MANCOSU P, NICOLINI G, GORETTI G, et al. Applying Lean-Six-Sigma Methodology in radiotherapy: Lessons learned by the breast daily repositioning case[J]. Radiother Oncol, 2018, 127(2): 326-331. doi: 10.1016/j.radonc.2018.02.019
[5]	刘佩佩. 六西格玛管理法对减少产科护患纠纷事件的意义[J]. 中医药管理杂志, 2019, 27(11): 64-65. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYYG201911030.htm LIU P P. Significance of Six Sigma Management Method in Reducing Obstetric Nursing Disputes[J]. Journal of Traditional Chinese Medicine Management, 2019, 27(11): 64-65. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYYG201911030.htm
[6]	康凯. 六西格玛流程管理模式在脑外科护理质量管理中的应用[J]. 中国卫生产业, 2019, 16(31): 16-17. https://www.cnki.com.cn/Article/CJFDTOTAL-WSCY201931008.htm KANG K. Application of Six Sigma process management model in quality management of brain surgery nursing[J]. China Health Industry, 2019, 16(31): 16-17. https://www.cnki.com.cn/Article/CJFDTOTAL-WSCY201931008.htm
[7]	刘艾红, 袁金蓉, 彭颖洁, 等. 医疗失效模式与效应分析的护理干预在老年住院患者预防跌倒管理中的应用研究[J]. 护理管理杂志, 2020, 20(1): 69-72. doi: 10.3969/j.issn.1671-315x.2020.01.016 LIU A H, YUAN J R, PENG Y J, et al. Application of nursing intervention based on medical failure mode and effect analysis in the management of falls prevention in elderly hospitalized patients[J]. Journal of Nursing Administration, 2020, 20(1): 69-72. doi: 10.3969/j.issn.1671-315x.2020.01.016
[8]	中国老年保健医学研究会老龄健康服务与标准化分会, 《中国老年保健医学》杂志编辑委员会. 中国老年人跌倒风险评估专家共识(草案)[J]. 中国老年保健医学, 2019, 17(4): 47-48, 50. https://www.cnki.com.cn/Article/CJFDTOTAL-LNBJ201904014.htm Branch of Geriatric Health Service and Standardization, Chinese Society of Geriatric Health Medicine, Editorial Board of Chinese Journal of Geriatric Health Medicine. Expert Consensus on fall risk assessment for the elderly in China (draft)[J]. Chinese Journal of Geriatric Care, 2019, 17(4): 47-48, 50. https://www.cnki.com.cn/Article/CJFDTOTAL-LNBJ201904014.htm
[9]	陈玉梅, 张改, 李淑芳. 168例住院患者跌倒不良事件临床特点的回顾性研究[J]. 上海护理, 2019, 19(3): 60-62. https://www.cnki.com.cn/Article/CJFDTOTAL-SHHL201903025.htm CHEN Y M, ZHANG G, LI S F. A retrospective study on the clinical characteristics of 168 hospitalized patients with adverse events of falls[J]. Shanghai Nursing, 2019, 19(3): 60-62. https://www.cnki.com.cn/Article/CJFDTOTAL-SHHL201903025.htm
[10]	冯霞, 陆皓, 汉瑞娟, 等. 基于JCI标准跌倒风险分级护理在住院患者防跌倒中的作用[J]. 西北国防医学杂志, 2019, 40(11): 709-712. https://www.cnki.com.cn/Article/CJFDTOTAL-XBGY201911013.htm FENG X, LU H, HAN R J, et al. Effect of fall risk stratified nursing based on the JCI standard in preventing the falling of inpatients[J]. Medical Journal of National Defending Forces in Northwest China, 2019, 40(11): 709-712. https://www.cnki.com.cn/Article/CJFDTOTAL-XBGY201911013.htm
[11]	SHAHRBANIAN S, HASHEMI A, HEMAVATTALAB R, et al. The comparison of the effects of physical activity and neurofeedback training on postural stability and risk of fall in elderly women: A single-blind randomized controlled trial[J]. Physiother Theory Pract, 2021, 37(2): 271-278. doi: 10.1080/09593985.2019.1630877
[12]	郭晓贝, 王颖, 杨雪柯, 等. 基于患者参与框架的住院老年患者跌倒预防干预策略的实施[J]. 护理学杂志, 2021, 36(1): 50-53. https://www.cnki.com.cn/Article/CJFDTOTAL-HLXZ202101017.htm GUO X B, WANG Y, YANG X K. Practice of a fall prevention program for the hospitalized elderly based on patient engagement framework[J]. Journal of Nursing Science, 2021, 36(1): 50-53. https://www.cnki.com.cn/Article/CJFDTOTAL-HLXZ202101017.htm
[13]	刘坤, 黄浩, 朱红, 等. 华西跌倒风险评估量表与托马斯跌倒风险评估量表对老年住院病人跌倒的预测价值[J]. 护理研究, 2021, 35(9): 1516-1520. https://www.cnki.com.cn/Article/CJFDTOTAL-SXHZ202109004.htm LIU K, HUANG H, ZHU H. Predictive value of Huaxi Fall Risk Assessment Scale and STRATIFY for fall in elderly inpatients[J]. Chinese Nursing Research, 2021, 35(9): 1516-1520. https://www.cnki.com.cn/Article/CJFDTOTAL-SXHZ202109004.htm
[14]	张雨露, 高春红, 胡晓琳, 等. 六西格玛管理降低老年心血管病患者鼻胃管非计划性拔管率的应用实践[J]. 中西医结合护理(中英文), 2019, 5(6): 1-4. https://www.cnki.com.cn/Article/CJFDTOTAL-ZXHL201906001.htm ZHANG Y L, GAO C H, HU X L, et al. Application and practice of the Six Sigma management in reducing unplanned extubation rate of nasogastric tube in elderly patients with cardiovascular disease[J]. Nursing of Integrated Traditional Chinese and Western Medicine, 2019, 5(6): 1-4. https://www.cnki.com.cn/Article/CJFDTOTAL-ZXHL201906001.htm
[15]	姜惠丽, 宋智慧, 王晓虹. 精益六西格玛DMAIC流程分析在提高透析设备运转管理中的应用[J]. 国际移植与血液净化杂志, 2020, 18(5): 31-34. JIANG H L, SONG Z H, WANG X H. The application of lean six sigma DMAIC process analysis in improving the operation management of dialysis equipments[J]. International Journal of Transplantation and Hemopurification, 2020, 18(5): 31-34.
[16]	LIU Q, ZHU W J, BIAN G R, et al. Application of the sigma metrics to evaluate the analytical performance of cystatin C and design a quality control strategy[J]. Ann Clin Biochem, 2021, 58(3): 203-210.
[17]	俞小红, 王红亚, 傅华君. 基于渐进性抗阻训练的健康管理对绝经后骨质疏松女性跌倒风险的影响[J]. 中华全科医学, 2020, 18(8): 1337-1340. doi: 10.16766/j.cnki.issn.1674-4152.001501 YU X H, WANG H Y, FU H J. Effect of health management combined with calcitriol based on progressive resistance training on CTX, BAP and Fall Risk in postmenopausal osteoporosis women[J]. Chinese Journal of General Practice, 2020, 18(8): 1337-1340. doi: 10.16766/j.cnki.issn.1674-4152.001501
[18]	刘欣敏, 王永红, 高岚. 六西格玛管理法提高脑卒中患者早期康复运动依从性的实践[J]. 护理学杂志, 2019, 34(21): 10-12. https://www.cnki.com.cn/Article/CJFDTOTAL-HLXZ201921005.htm LIU X M, WANG Y H, GAO L. Six Sigma management to improve compliance of early rehabilitation exercise in stroke patients[J]. Journal of Nursing Science, 2019, 34(21): 10-12. https://www.cnki.com.cn/Article/CJFDTOTAL-HLXZ201921005.htm
[19]	薛霞. 6sigma管理在提高专科护理措施落实率中的应用[J]. 中国卫生标准管理, 2018, 9(3): 166-168. https://www.cnki.com.cn/Article/CJFDTOTAL-WSBZ201803092.htm XUE X. The Application of Six Sigma Management in Improving the Implementation Rate of Professional Nursing Measures[J]. China Health Standard Management, 2018, 9(3): 166-168. https://www.cnki.com.cn/Article/CJFDTOTAL-WSBZ201803092.htm
[20]	昝红艳, 谢仙萍, 谭小梅, 等. 六西格玛管理法在降低急诊急腹症分诊失误率中的应用效果[J]. 中国实用护理杂志, 2020, 36(10): 757-758, 760. ZAN H Y, XIE X P, TAN X M, et al. Application of Six Sigma management in reducing the misdiagnosis rate of acute abdomen pre-examination in emergency department[J]. Chinese Journal of Practical Nursing, 2020, 36(10): 757-758, 760.

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Application of the 6Sigma-DMAIC Concept Management in the prevention of falls of elderly inpatients

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