Miao-Miao Zhang1, Xiao-Chun Yu1, Feng-Li Lu1, Ke-Ke Lu1. 1. Department of Emergency, The Fifth People's Hospital of Yuhang District, Hangzhou, Zhejiang, 311100, People's Republic of China.
Abstract
OBJECTIVE: This study aimed to explore the application effect of lean management in rabies vaccination. METHODS: Lean management in rabies vaccination was implemented from July 2020. A total of 2306 patients vaccinated from January to June 2020 were enrolled as routine management group, and 2718 patients vaccinated from July to November 2020 were enrolled as lean management group. The relationship between potential factors and rabies vaccination with 1:1 propensity score matching (PSM) was analysed. The compliance, waiting time for vaccination, and satisfaction of patients of routine and lean management group were statistically analyzed. The changes in the three indicators before and after the implementation and their application effects were compared. RESULTS: Compliance rate in lean management group (98.72%) was significantly higher than that in routine management group (93.87%) (χ 2=32.902, P<0.001). The waiting time for vaccination was also significantly shortened (t = 9.209, P < 0.001), and the satisfaction of patients significantly improved (X 2 = 39.611, P < 0.001). CONCLUSION: Implementing lean management in all aspects of rabies vaccination can significantly improve patient compliance and work efficiency of nursing staff and improve the patient medical experience.
OBJECTIVE: This study aimed to explore the application effect of lean management in rabies vaccination. METHODS: Lean management in rabies vaccination was implemented from July 2020. A total of 2306 patients vaccinated from January to June 2020 were enrolled as routine management group, and 2718 patients vaccinated from July to November 2020 were enrolled as lean management group. The relationship between potential factors and rabies vaccination with 1:1 propensity score matching (PSM) was analysed. The compliance, waiting time for vaccination, and satisfaction of patients of routine and lean management group were statistically analyzed. The changes in the three indicators before and after the implementation and their application effects were compared. RESULTS: Compliance rate in lean management group (98.72%) was significantly higher than that in routine management group (93.87%) (χ 2=32.902, P<0.001). The waiting time for vaccination was also significantly shortened (t = 9.209, P < 0.001), and the satisfaction of patients significantly improved (X 2 = 39.611, P < 0.001). CONCLUSION: Implementing lean management in all aspects of rabies vaccination can significantly improve patient compliance and work efficiency of nursing staff and improve the patient medical experience.
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