PDCA循环法规范消毒供应中心管理的效果研究  

Effect of PDCA cycle on management of central sterile supply department

作　　者：朱明秋 汤建荣 彭兰云 陈继贵 

机构地区：[1]武汉市第八医院消毒供应中心,湖北武汉430010 [2]武汉市第八医院肛肠外科,湖北武汉430010

出　　处：《中华医院感染学杂志》2014年第16期4140-4142,共3页Chinese Journal of Nosocomiology

基　　金：武汉市科技局创新基金资助项目(2006003108-04)

摘　　要：目的探讨PDCA法在消毒供应中心(CSSD)管理中的应用,旨在提高CSSD集中管理质量,以早期预防控制医院感染。方法 2009-2012年CSSD应用PDCA循环理论(计划-实施-检查-处理),处置CSSD集中管理过程中的医院感染控制薄弱环节,以持续改进CSSD管理机制。结果实施PDCA管理模式后,手术器械及再生医疗器械的消毒合格率达98.55%,较应用前的消毒合格率74.92%,明显提高;2010-2012年手术切口感染率分别为0.54%、0.54%、0.48%,较2009年手术切口感染率1.60%显著降低,差异均有统计学意义(P<0.05)。结论运用PDCA循环品管圈,可以促进CSSD的规范化管理与优化CSSD集中管理过程中的医院感染控制,保证医院感染控制效率和效果。OBJECTIVE To explore the application of PDCA cycle in management of central sterile supply department（CSSD）so as to improve the quality of centralized management of CSSD and control nosocomial infections in early stage.METHODS From 2009 through 2012,the PDCA cycle,known as plan-do-check-action,was applied in CSSD,the weaknesses in control of nosocomial infections were handled during the centralized management of CSSD so as to continuously improve the management mechanism of CSSD.RESULTS After the implementation of PDCA cycle,the qualified rate of disinfection of surgical instruments and regenerated medical devices was 98.6%,significantly higher than 74.9% before the implementation of PDCA cycle.The incidence of surgical incision infections was 0.54% in 2010,0.54% in 2011,0.48% in 2012,significantly lower than 1.60% in 2009,and there were statistically differences（P0.05）.CONCLUSION The implementation of PDCA cycle can promote the standardized management of CSSD,optimize the control of nosocomial infections during the centralized management of CSSD,and ensure the effect of control of nosocomial infections.

关 键 词：PDCA循环理论 消毒供应中心 医院感染 管理 

分 类 号：R197.323[医药卫生—卫生事业管理]