控制图在卫生保健中的应用研究

Yee Kam Seoh, V. Wong, Mahboobeh Zangeneh Sirdari
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引用次数: 4

摘要

医疗保健系统中最受关注的问题始终是质量控制和质量改进,因为它们对患者的健康状况至关重要。诸如统计过程控制(SPC)图表之类的质量统计工具在减少医疗保健过程中的变化来源以及监视或控制过程的改进方面非常有效。控制图是一种统计过程控制方法,旨在评估制造业的过程改进或变化,并逐渐在医疗保健部门实施。这将使医疗保健组织能够防止在任何听起来不错但对实际进展或改进没有任何积极影响的更改中进行不必要的投资或支出。当人类更多地参与医疗保健时,出错的风险也更大。控制图通过区分常见和特殊的变化原因来帮助确定错误的来源,每种原因都需要医疗保健管理部门做出不同的响应。本文旨在概述SPC理论,并通过介绍控制图在医疗保健部门常见问题中的几个实施示例来探索SPC图的应用。在对医疗保健中的SPC进行简要概述后,采用了两种常用的控制图(个体图和移动范围图,U图)的选择和构建,并以医疗保健为例进行了说明。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A study on the application of control chart in healthcare
The most concerning issues in the healthcare system will always be quality control and quality improvement as they are significant to the health condition of the patient. A quality statistical tool such as statistical process control (SPC) charts will be efficient and highly effective in reducing the sources of variation within the healthcare process and in monitoring or controlling improvement of the process. The control chart is a statistical process control methodology designed to evaluate the process improvement or change in the manufacturing industry and is being implemented gradually in the healthcare sector. This will enable healthcare organizations to prevent unnecessary investment or spending in any changes that sound good but do not have any positive impact on real progress or improvement. When there is greater participation of humans in healthcare, the risks of error are also greater. Control charts help determine the source of error by differentiating the common and special cause of variation, each requiring a different response from healthcare management. This paper intends to deliver an overview of SPC theory and to explore the application of SPC charts by presenting a few examples of the implementation of control charts to common issues in the healthcare sector. After a brief overview of SPC in healthcare, the selection and construction of the two widely used control charts (Individuals and Moving Range chart, U chart) were adopted and illustrated by using the example from healthcare.
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