品管圈在非计划再次手术管理中的应用  

The Application of Quality Control Circle to Unplanned Reoperation Management

作　　者：左煌[1] 李红霞[1] 刘欣 吕毅[1] 颜虹[1] 边永娜[1] 

机构地区：[1]西安交通大学医学院第一附属医院 [2]西安市卫生监督所

出　　处：《医院管理论坛》2014年第8期39-41,共3页Hospital Management Forum

摘　　要：目的通过品管圈活动,探讨某三级甲等医院外科非计划再次手术发生的原因,降低医源性非计划再次手术的发生率。方法通过品管圈活动分析医院非计划再次手术发生的原因,在保证医疗质量和医疗安全的前提下,通过加强手术术前准备和术后护理工作等一系列措施,减少医源性非计划再次手术。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。结果品管圈活动后,非计划再次手术病例发生率由2.74‰下降到1.27‰,干预措施有效减少了非计划再次手术(χ2=6.1,P<0.01)。结论品管圈的应用有效减少了非计划再次手术,干预措施可推广借鉴。Objective Through quality control circle activities, discuss the causes of surgery unplanned reoperation in a certain grade A tertiary hospital and reduce the incidence of iatrogenic unplanned reoperation. Methods After analysis on the causes of unplanned reoperation with the help of quality control circle activities, strengthened the preoperative preparation and postoperative care on the condition of ensuring medical quality and safety to reduce iatrogenic unplanned reoperation, which could be a reference for the improvement of medical quality of surgical cases and the reduction of the incidence of iatrogenic unplanned reoperation Results The incidence of unplanned reoperation dropped from 2.74‰to 1.27‰after carrying out quality control circle activities （x2=6.1, P＆lt;0.01）. Conclusion Quality control circle effectively reduced the incidence of unplanned reoperation. Relevant intervening measures could be promoted.

关 键 词：非计划再次手术 品管圈 持续质量改进 

分 类 号：R657.4[医药卫生—外科学]