胸痛中心的時(shí)間流程管理-全文預(yù)覽
【正文】 ? Cath lab time 手術(shù)開始時(shí)間 ………………………….25 min ? Go back to your flowchart 回到流程圖進(jìn)行分析 ? Look at each process and measure each step 衡量流程的每一步如何超過計(jì)劃的時(shí)間？ ? Drill down on the data 數(shù)據(jù)的深度發(fā)掘 STEMI ACTIVATION 患者進(jìn)入急診 接診臺(tái)記錄該患者信息 5分鐘 護(hù)士對(duì)患者進(jìn)行分診 7分鐘 第一份ECG 10分鐘 根據(jù)流程分診患者 根據(jù)NSTEMI amp。 創(chuàng)建有意義的流程圖 Step 6 Move the boxes representing nonvalueadded processes to the right of the valueadded steps. 將流程中沒有意義的步驟的方框移動(dòng)到整個(gè)流程圖的右邊 Valueadded Non Valueadded Step 7 Add the time from each of the nonvalueadded processes to yield the nonvalueadded cycle time. (106 minutes) 計(jì)算整個(gè)過程中無意義的步驟耗費(fèi)的總時(shí)間 有意義的（ 26分鐘） 無意義的 (106 分鐘） This is the waste that could be eliminated if only valueadded steps were performed. 如果僅履行有意義的步驟，則可以減少不少時(shí)間 Step 8 Add the time from each of the valueadded processes to yield the valueadded cycle time. (26 minutes) 將有意義的步驟所需時(shí)間整合為整個(gè)流程所需的必要時(shí)間 有意義的 (26 分鐘 ) 無意義的 (106 分鐘 ) 有意義的流程圖 Total Cycle Time = 132 Valueadded Time 26 minutes =% Total Non Valueadded Time 106 minutes = % 13 Step 9 Calculate the percentage of valueadded and nonvalueadded activities (in relation to total cycle time). 計(jì)算有意義的步驟和無意義的步驟所需時(shí)間的比例 有意義的流程圖 Total Cycle Time = 132
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