PDCA循环在手术部位感染控制中的应用  

Application of PDCA Cycle in the Control of Surgical Site Infection

作　　者：郝敏[1] 吴礼国[2] 

机构地区：[1]自贡市第一人民医院医院感染管理科,四川自贡643000 [2]成都市温江区人民医院

出　　处：《华西医学》2015年第2期211-214,共4页West China Medical Journal

摘　　要：目的探讨PDCA循环在手术部位感染（SSI）控制中的应用效果。方法选取2012年1月-2013年12月进行目标性监测的外科手术患者1 761例,应用PDCA循环法,对影响SSI的术前、术中、术后各环节和过程进行全面质量管理。结果经过2~4个循环的管理后,Ⅰ类手术切口预防性用药率逐步下降,该趋势有统计学意义（χ2=309.513,P〈0.001）,术前、术中、术后各项预防控制措施落实良好,在大幅降低手术切口预防性用药率的情况下术后切口感染率无明显变化（χ2=1.474,P=0.669）。结论采用PDCA循环管理SSI,能实现过程、环节、结果的全面质量管理,促进SSI控制的持续改进,使SSI管理质量呈螺旋式上升。Objective To study the effects of PDCA cycle in the control of surgical site infection （SSI）. Methods A total of 1 761 surgeries between January 2012 and December 2013 were chosen to be monitored. PDCA cycle was used as a tool of total quality management evaluation to enhance the control of SSI. Results After 2 to 4 cycles of PDCA, the preventive medication rate of Class I operation incision was decreased significantly （X2=309.513, P 〈 0.001） and the postoperative incision infection rate did not change significantly （X2=1.474, P=0.669）. Conclusion Using PDCA cycle can increase SSI management level and quality significantly and total quality management can be operated effectively.

关 键 词：手术部位感染 PDCA循环 全面质量管理 

分 类 号：R197.323[医药卫生—卫生事业管理]