Department of Pediatrics, Aga Khan University Hospital, Karachi, Pakistan.
Department of Quality, Aga Khan University Hospital, Karachi, Pakistan.
J Pak Med Assoc. 2020 Apr;70(4):660-666. doi: 10.5455/JPMA.20647.
The aim of this project was to broaden the secondary care hospital's scope of services and provide safe, effective and quality care for the patient presenting with measles.
Six Sigma DMAIC [define measure, analyze, improve, and control (DMAIC)] methodology was used in this quality improvement project. The quality project was started in October 2015 using a Gantt chart quality tool.
The paediatric team with the support of administration of the hospital has established isolation rooms and devised a policy for the care and management of patient with airborne infection to avoid cross transmission. During six months period after establishment of isolation room there were sixty two suspected or confirmed measles cases who were admitted in our hospital, out of them only 4(6.4%) of patients were referred because of their sick condition and need of ventilator support. Further, the percentage of patient's satisfaction level also improved from 60 to 80%.
After this clinical service innovation, there was significant reduction in referrals of measles patients to another hospital and consequently there was an increase in the patient's satisfaction.
本项目旨在拓宽二级医院的服务范围，为麻疹患者提供安全、有效和优质的护理。
本质量改进项目采用了六西格玛 DMAIC（定义、测量、分析、改进和控制）方法。该质量项目于 2015 年 10 月使用甘特图质量工具启动。
在医院管理层的支持下，儿科团队设立了隔离病房，并制定了针对空气传播感染患者的护理和管理政策，以避免交叉感染。在设立隔离病房后的六个月期间，我院共收治了 62 例疑似或确诊麻疹病例，其中仅 4 例（6.4%）因病情严重需要呼吸机支持而转院。此外，患者满意度也从 60%提高到了 80%。
实施这项临床服务创新后，麻疹患者转院的比例显著下降，患者满意度也有所提高。
