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Journal of the Korean Society of Traumatology 2010;23(2):119-127.
The Effect of Six Sigma Activity in Major Trauma Patients on the Time Spent in the Emergency Department
Hyun Soo Kim, Ok Jun Kim, Sung Wook Choi, Eui Chung Kim, Young Tae Park, Tae I Ko, Yun Kyung Cho
1Department of Emergency Medicine, CHA Bundang Medical Center, CHA University, Korea.
2Department of Emergency Medicine, CHA Gumi Medical Center, CHA University, Korea. er5846@hanmail.net
3Division of Cardiology, Department of Internal Medicine, CHA Gangnam Medical Center, CHA University, Korea.
Six Sigma 활동을 통한 중증외상환자의 응급실 체류시간 개선 활동
김현수∙김옥준∙최성욱∙김의중∙박영태∙고대이1∙조윤경2
차의과학대학교 응급의학교실
Abstract
PURPOSE
This study was conducted to shorten the time spent at each stage of treatment and to reduce the total amount of time patients spend in the emergency department (ED) by applying Six Sigma in the treatment of major trauma patients.
METHODS
This is a comparative study encompassing 60 patients presenting to the ED of Bundang CHA Hospital from January 2008 to December 2008 and from July 2009 to March 2010. The stages of treatment for major trauma patients were divided into six categories (T1: total emergency department staying time, T2: duration of visit-radiologic evaluation time, T3: duration of visit-consult to department of admission, T4: duration of consultation-issue of hospital admissions time, T5: duration of visit-issue of hospital admissions time, T6: duration of issue of hospital admission-emergency department discharge time) and the total time patients spent in the ED was compared and analyzed for periods; before and after the application of Six Sigma.
RESULTS
After the application of Six Sigma, the numerical values in four of the six categories were significantly reduced; T2, T3, T4, and T5. However, the average of the total time patients spent in the ED did not show any remarkable change because the T6 increased highly. The level of Six Sigma increased 0.17sigma.
CONCLUSION
The application of Six Sigma for major trauma patients in the ED resulted in a significant improvement in the error rate for the total time patients spent in the ED. The Six Sigma activity has shown great potential. Therefore, the project is expected to bring better results in every stage of treatment if the levels of the hospital facilities are improved.
Key Words: Six Sigma; Emergency department; major trauma patients


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