FOCUS-PDCA程序在非计划再次手术管理中的应用  

Research on the application of PDCA model in reducing the incidence of unplanned reoperation

作　　者：左煌[1] 李红霞[1] 刘欣 王彬翀[1] 梁鹏[1] 陈欣[1] 

机构地区：[1]西安交通大学医学院第一附属医院,陕西西安710061 [2]西安市卫生监督所,陕西西安710061

出　　处：《中国医药科学》2014年第10期150-152,175,共4页China Medicine And Pharmacy

摘　　要：目的探讨某三级甲等医院非计划再次手术的发生原因及预防对策,降低非计划再次手术的发生率。方法运用FOCUS-PDCA程序分析医院非计划再次手术病例发生的主要原因,成立持续质量改进管理小组,在保证医疗质量安全的前提下,通过加强术前准备和术后护理工作等一系列干预措施,合理有效地减少非计划再次手术。为提高医院手术病例的医疗质量、降低非计划再手术的发生率提供依据。结果应用FOCUS-PDCA程序管理,非计划再次手术病例发生率由2.74‰下降到1.27‰,干预措施合理有效的减少了非计划再次手术(x2=6.1,P<0.01)。结论 FOCUS-PDCA程序的应用可有效的减少非计划再次手术。Objective To Sum up the experience and lessons of unplanned reoperation so as to improve the hospital＇s management of unplanned reoperation. Methods We applied the FOCUS-PDCA（Plan, Do, Check, and Action） model to reduce unplanned reoperations. The FOCUS-PDCA model was applied to investigate and analyze the causes associated with unplanned reoperation, and the critical factors are improved. The method enhanced the quality of operation, reduced the occurrence of adverse events, and ensured the safety of patients. Results The incidence of unplanned reoperation dropped from 2.74%0 to 1.27%v （χ^2=6.1, P 〈 0.01）. Conclusion The FOCUS-PDCA process reduce the incidence of unplanned reoperation.

关 键 词：非计划再次手术 FOCUS—PDCA程序 质量改进 

分 类 号：R197.3[医药卫生—卫生事业管理]