品管圈在消毒供应中心无菌物品管理中的应用  

Application of the quality control circle in management of sterilized equipment in central sterile supply department

作　　者：陈洁[1] 谈夏阳 刘云娥[1] 檀丽冰 卢敬钗[1] 宋卜 董海铰 郭甲[1] 

机构地区：[1]第二炮兵总医院护理部,北京100088

出　　处：《中华医院感染学杂志》2014年第20期5171-5173,共3页Chinese Journal of Nosocomiology

基　　金：全军"十二五"基金资助项目(GWS11J203)

摘　　要：目的通过品管圈活动增加消毒供应中心医务人员发现问题解决问题的能力,对再生无菌器械包质量进行分析,探讨品管圈在消毒供应中心无菌物品管理质量持续改进中的应用效果。方法医院自2013年10月-2014年4月在消毒供应中心无菌物品质量管理工作中成立"品管圈"小组,实施"品管圈",活动中采用PDCA循环的过程方法与新的统计技术工具,使活动的全过程在PDCA循环中得到优化。结果再生无菌器械包缺陷发生率由改进前的1.26%降低至0.08%,差异有统计学意义(P<0.01);临床科室满意度由84.78%提高至97.83%。结论开展"品管圈"活动推动了消毒供应中心无菌物品质量持续改进,有效降低了无菌物品不合格率,临床满意度明显提升,同时提高了员工的质量意识、工作现场管理水平以及团队的凝聚力。OBJECTIVE To improve the ability of recognizing and solving problems among all the staff in central sterile supply department （CSSD） ,and enable the management activity much deeper and more comprehensive by implementing the quality control circle （QCC） activity .Besides ,to discuss the effect of QCC application in the management of reusable sterilized equipment by analyzing the quality of equipments .METHODS A QCC group was established in CSSD and the activity was implemented from Jul .2013 to Apr .2014 .The process and methods of PDCA cycle as well as a new statistic tool were used to optimize the whole process of QCC activity in PDCA cycle . RESULTS The defect rate of reusable sterilized equipment was significantly decreased from 1 .26% to 0 .08% after the QCC activity ,（P〈0 .01） .While the satisfaction rate of the clinical department was improved from 86 .98% to 97 .83% .CONCLUSION The QCC activity continuously improved the quality of the sterilized equipment in CSSD , effectively decreased the low-quality rate of the sterilized equipment , significantly improved the clinical satisfaction ,and improved the staffs′quality awareness ,level of management ,and team cohesion .

关 键 词：品管圈 无菌物品 质量管理 持续改进 团队 

分 类 号：R197.323[医药卫生—卫生事业管理]