PDCA循环在门诊手术室感染控制的应用与效果  

Application and Effect Analysis of PDCA Cycle in Controlling Infection of Outpatient Operating Room

作　　者：陈荷芬[1] 陈静[1] 

机构地区：[1]浙江省人民医院

出　　处：《医院管理论坛》2016年第5期58-60,30,共4页Hospital Management Forum

摘　　要：目的研究PDCA循环管理模式在门诊手术室感染控制中的应用效果。方法选择我院门诊手术室接诊的400例手术患者进行研究。按照随机数表法,随机均分为观察组和对照组。对照组采用门诊手术室常规管理措施对患者实施管理,观察组则采用PDCA循环管理模式对患者实施感染控制。观察两组患者的手术时间、住院时间,并记录两组的手术成功率、切口愈合及患者术后满意度。检测两组的感染发生状况。结果观察组患者的手术时间及住院时间明显短于对照组,手术成功率(91.0%)、切口愈合率(85.5%)及患者满意度(93.5%)均明显高于对照组(81.5%;66.5%;77.5%),两组比较有统计学意义(P<0.05)。空气菌落总数及医务人员手菌落数均明显低于对照组(P<0.05);观察组患者的感染率(2.0%)明显低于对照组(6.5%),两组有显著性差异(χ2=4.9762,P=0.0257)。观察组医护人员的洗手七步法、洗手指征、日常洗手自我评价及手是感染传播重要媒介的合格率明显高于对照组,两组比较有显著性差异(P<0.05)。结论 PDCA循环管理模式在门诊手术室感染控制中应用效果良好,值得广泛应用。Objective To study the effect of application of PDCA cycle in controlling infection of outpatient operating room. Methods In total of 400 patients received operation in outpatient operating room in our hospital were included in this study. According to the random number table, patients were divided into observation group and control group randomly. In control group, routine management measures in outpatient operating room were taken to manage patients, while in observation group, PDCA cycle management mode were applied to control patients＇ infection. The operation time and length of stay of patients in the two groups were observed. The success rate of operation, incision healing rate and postoperative satisfaction of patients in the two groups were recorded. The infection prevalence in the two groups was detected. Results The operation time and length of stay of patients in observation group were shorter than that in control group. The success rate of operation（91.0%）, incision healing rate（85.5%） and patient satisfaction（93.5%） in observation group were significantly higher than that in control group（81.5%, 66.5%, 77.5%）, and the differences were statistically significant（P〈0.05）. The total number of air bacteria and the number of hand bacteria of medical personnel in observation group were significantly lower than that in control group（P〈0.05）. Infection rate of patients in observation group（2.0%） was significantly lower than that in control group（6.5%）, and the difference was statistically significant（χ2=4.9762, P=0.0257）. Qualification rates of seven steps of hand washing, hand washing indication and self-evaluation of daily hand washing were significantly higher than that in control group and the differences were statistically significant（P〈0.05）. Conclusion The effect of application of PDCA cycle management mode in controlling infection in outpatient operating room is good and PDCA cycle management mode is worth to be popularized.

关 键 词：门诊手术室 PDCA循环 感染 

分 类 号：R197.323[医药卫生—卫生事业管理]