Improving the Utilization Rate of Insulin Pump in Patients with Diabetes Mellitus with Toyota TBP

Xixi Luo, Yan Zhou, Xiaohua Lu, Wane Zhao, Yan Liu, Qinling Chen
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Abstract

Objective: To examine the efficacy of Toyota Business Practice (TBP) method in improving the utilization rate of insulin pump in non-endocrine diabetic patients. Methods: Toyota method is a process requires continuous learning and improvement. The characteristic feature of Toyota's working method is the problem-solving guided by basic consciousness. It is the essential basic knowledge for every person who studies Toyota problem solving methods. TBP is an ideal and scientific tool for achieving goals, careful planning, effective implementation, timely review and effective measures are the ways to make TBP a more efficient and economical tool. It is divided into eight steps including clarify problems, decompose problems, set goals, identify the real causes, formulate countermeasures, implement, evaluate results and processes, as well as consolidate achievements were used in the process of prescribing insulin pump to patients with diabetic treated in non-endocrine department. The efficacy of Toyota TBP will be measured and compared in a cohort before and after the implantation. Results: After utilizing Toyota TBP method, the use of insulin pump in non-endocrinology department increased by 10%. Conclusion: Our data suggested that the Toyota TBP method optimized the process of using insulin pump in non-endocrinology department, improved the work flow and the overall utilization rate as well as the prognosis of patients.
提高糖尿病合并丰田TBP患者胰岛素泵使用率
目的:探讨丰田商业实践(TBP)法在提高非内分泌型糖尿病患者胰岛素泵使用率中的作用。方法:丰田方法是一个需要不断学习和改进的过程。丰田工作方法的特点是以基本意识为导向的问题解决。这是每一个研究丰田问题解决方法的人必备的基础知识。TBP是实现目标的理想和科学的工具,周密的规划、有效的实施、及时的审查和有效的措施是使TBP成为更加高效和经济的工具的途径。在非内分泌科治疗的糖尿病患者胰岛素泵处方过程中,分为明确问题、分解问题、设定目标、找出真正原因、制定对策、实施、评价结果和过程、巩固成果八个步骤。丰田TBP的疗效将在植入前后的队列中进行测量和比较。结果:采用丰田TBP法后,非内分泌科胰岛素泵使用率提高了10%。结论:我们的数据提示丰田TBP法优化了非内分泌科胰岛素泵使用流程,改善了工作流程和整体利用率,改善了患者预后。
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