Application of Six-Sigma management in prevention of catheter-related bloodstream infection in intensive care unit / 中国感染控制杂志

ABSTRACT

Objective To explore the effect of Six-Sigma management on prevention and control of catheter-related bloodstream infection(CRBSI) in intensive care unit(ICU).Methods Patients with indwelling central venous catheter in the ICU of a hospital in March-December 2015 were selected,five phases of Six Sigma(define,measure,analyze,improve,and control) were used to find out the key factors that affected CRBSI,targeted improvement measures were taken,incidence of CRBSI before and after adopting Six-Sigma was compared.Results After SixSigma management was adopted,incidence of CRBSI declined from 15.95‰(13/815) to 6.19‰(4/646),difference was significant(P＜0.05).Conclusion Six-Sigma management can reveal the defect in workflow,guide researchers to propose corresponding measures,and effectively reduce the incidence of CRBSI in ICU.