“1＋3”模式在手术室仪器设备持续质量管理中的应用  

Applications of “1＋3” mode in continuous quality management of operating room equipment

作　　者：林卫红[1] 郑凤燕[1] 蔡冬冬[1] 杨琼[1] 谢联昇[2] 徐敏[1] 

机构地区：[1]温州医科大学附属第一医院手术室,325000 [2]温州医科大学附属第一医院医学工程处,325000

出　　处：《中华现代护理杂志》2016年第28期4116-4119,共4页Chinese Journal of Modern Nursing

摘　　要：目的：探讨多部门合作持续质量改进在手术室仪器设备管理中的应用效果。方法将手术室仪器设备管理按时间段分为对照组（2011年6-12月,128件）和观察组（2012年1-6月,137件）。对照组采用常规仪器设备管理流程进行管理,观察组采用PDCA循环法,运用“1＋3”培训模式进行仪器设备管理。比较两组每月仪器设备使用率、维修率、故障报损率,比较质量管理前后手术室护士设备操作考核情况和医生满意度。结果观察组每月仪器设备使用率较对照组高,但每月的维修率较对照组降低,差异有统计学意义（P〈0.01）；观察组设备故障报损率较对照组降低,但两组差异无统计学意义（ P〉0.05）。手术室护士设备操作考核优秀率、手术室医生满意度均较对照组提高,差异有统计学意义（ P〈0.01）。结论运用PDCA循环法进行仪器设备管理能有效地调动多部门协调管理的效率,提高护理人员设备管理的综合能力,提升手术室护理质量。Objective To investigate the application effect of continuous quality improvement of multi-sectoral cooperation in the operating room equipment management.Methods The operating room equipments were divided into the control group （ from June to December 2011, n=128） and the observation group （ from January to June 2012, n=137） according to time period. Equipments in the control group were managed by conventional equipment management process, while equipments in the observation group were managed by the PDCA cycle method and“3＋1” training mode. The usage rate, maintenance rate, failure reported loss rate of equipment in two groups were compared. Nurses′equipment operation examination in the Operating Room and physician satisfaction rate before and after the quality management were compared between two groups. Results The equipment usage rate in the observation group was significantly higher and the maintenance rate was significantly lower than that in the control group （ P〈0.01）;for the reported failure rate of equipment, the observation group was relatively lower compared to the control group, but there was no significant difference （P〉0.05）. The data in the observation group significantly increased compared to the control group in nurses′equipment operation examination rate and physician satisfaction rate in Operating Room （P〈0.01）.Conclusions The use of PDCA cycle method in equipment management can effectively mobilize multi-sectoral coordination and management efficiency, improve the comprehensive capacity of nursing equipment management and improve the quality of nursing in the Operating Room.

关 键 词：手术室 管理 仪器设备 持续质量改进 多部门合作 

分 类 号：R472.1[医药卫生—护理学]