Improving the Utilization Rate of Insulin Pump in Patients with Diabetes Mellitus with Toyota TBP

摘要

Objective: To examine the efficacy of Toyota Business Practice (TBP) method in improving the utilization rate of insulin pump in non-endocrine diabetic patients. Methods: Toyota method is a process requires continuous learning and improvement. The characteristic feature of Toyota's working method is the problem-solving guided by basic consciousness. It is the essential basic knowledge for every person who studies Toyota problem solving methods. TBP is an ideal and scientific tool for achieving goals, careful planning, effective implementation, timely review and effective measures are the ways to make TBP a more efficient and economical tool. It is divided into eight steps including clarify problems, decompose problems, set goals, identify the real causes, formulate countermeasures, implement, evaluate results and processes, as well as consolidate achievements were used in the process of prescribing insulin pump to patients with diabetic treated in non-endocrine department. The efficacy of Toyota TBP will be measured and compared in a cohort before and after the implantation. Results: After utilizing Toyota TBP method, the use of insulin pump in non-endocrinology department increased by 10%. Conclusion: Our data suggested that the Toyota TBP method optimized the process of using insulin pump in non-endocrinology department, improved the work flow and the overall utilization rate as well as the prognosis of patients.