缩短脑梗塞住院病人的平均住院日浙江省台州医院杜于茜项目陈述：2003年我院平均住院日为11.72天，其中脑梗塞病人平均住院日为14.58天．病人住院费用增加；床位周转率降低；工作人员工作负荷加重；医院收入减少。由此，医院确定了2004年缩短平均住院日1天的目标。项目组织：•赞助人：陈海啸•组长：杜于茜•成员：金笑平，赵俐玲，张丹红•MBB：陈媛项目范围：•神经内科•脑梗塞住院病人•2003.6～2004.10项目目标：•缩短脑梗塞平均住院日2～3天•提高病人满意度团队章程定义事务04.3.24－3.3104.4.1－4.704.4.7－4.1404.4.14－5.1404.5.15－9.104.11.10D定义M测量A分析I改善C控制R报告项目时间表治疗病人出院Y1Y2Y3Y4辅助检查是否确诊否疗程结束是否缓解是否Y5是概括流程图病人入院Y=脑梗塞病人平均住院日Defect=脑梗塞病人住院日>1４.58天(上限：15.9天）测量数据采集表病案号YX1X2X3X4X5X6X7X8X9X10X11X12Y1Y2Y3Y4Y5病程入院时病情是否专病专治有无合并症有无并发症沟通次数治疗方案是否医生要求出院是否病人要求出院是否保险主治医师主管护士102540557095%ConfidenceIntervalforMu121314151695%ConfidenceIntervalforMedianVariable:Y7A-Squared:P-Value:MeanStDevVarianceSkewnessKurtosisNMinimum1stQuartileMedian3rdQuartileMaximum13.26147.890512.00007.7800.00014.57898.727876.17463.1383816.92651714.000010.000013.000017.000077.000015.89659.765514.0000Anderson-DarlingNormalityTest95%ConfidenceIntervalforMu95%ConfidenceIntervalforSigma95%ConfidenceIntervalforMedianDescriptiveStatistics改进前脑梗塞平均住院日为１４.５８人法料主管医师误诊误治家属沟通病房空床率缩短脑梗塞平均住院日机环测首席护士护送队病人专病专治药物治疗方案特殊治疗辅检等待事件检查设备检查项目费用药品病房环境病人家庭条件疗效评价出院标准鱼骨图择日鱼骨图Y4/Y5为主要改进的小Y0123495%ConfidenceIntervalforMu0.00.10.295%ConfidenceIntervalforMedianVariable:Y2A-Squared:P-Value:MeanStDevVarianceSkewnessKurtosisNMinimum1stQuartileMedian3rdQuartileMaximum0.014880.506260.0000061.8790.0000.0994150.5599890.3135885.9291535.25801710.000000.000000.000000.000004.000000.183950.626570.00000Anderson-DarlingNormalityTest95%ConfidenceIntervalforMu95%ConfidenceIntervalforSigma95%ConfidenceIntervalforMedianDescriptiveStatistics0123495%ConfidenceIntervalforMu0.000.050.1095%ConfidenceIntervalforMedianVariable:Y3A-Squared:P-Value:MeanStDevVarianceSkewnessKurtosisNMinimum1stQuartileMedian3rdQuartileMaximum0.000110.349560.0000061.5660.0000.0584800.3866540.1495017.9805870.92631710.000000.000000.000000.000004.000000.116850.432630.00000Anderson-DarlingNormalityTest95%ConfidenceIntervalforMu95%ConfidenceIntervalforSigma95%ConfidenceIntervalforMedianDescriptiveStatistics0481216202495%ConfidenceIntervalforMu891095%ConfidenceIntervalforMedianVariable:Y4A-Squared:P-Value:MeanStDevVarianceSkewnessKurtosisNMinimum1stQuartileMedian3rdQuartileMaximum8.00224.57469.00002.8880.0008.766085.0600225.60386.97E-020.3755301710.00005.000010.000012.000026.00009.52995.661610.0000Anderson-DarlingNormalityTest95%ConfidenceIntervalforMu95%ConfidenceIntervalforSigma95%ConfidenceIntervalforMedianDescriptiveStatistics010203040506095%ConfidenceIntervalforMu0.51.52.53.54.55.56.57.595%ConfidenceIntervalforMedianVariable:Y5A-Squared:P-Value:MeanStDevVarianceSkewnessKurtosisNMinimum1stQuartileMedian3rdQuartileMaximum4.37527.66451.000013.6820.0005.654978.4778871.87443.1194415.22241710.00000.00002.00009.000063.00006.93489.48594.0000Anderson-DarlingNormalityTest95%ConfidenceIntervalforMu95%ConfidenceIntervalforSigma95%ConfidenceIntervalforMedianDescriptiveStatisti...
