质量环循环法对全院可复用器械集中消毒供应的质量管理效果分析  

Effect of PDCA circulation method on quality management of centralized disinfection and supply of reusable instruments

作　　者：孙敬[1] 陈彦丽[1] 柴海荣[1] 雷雪[1] 宋亚茹[1] 

机构地区：[1]河北医科大学第二医院东院消毒供应中心,河北石家庄050000

出　　处：《中华医院感染学杂志》2017年第9期2144-2147,共4页Chinese Journal of Nosocomiology

基　　金：河北省卫生厅科研基金资助项目(20130494)

摘　　要：目的评价采取质量环循环法(PDCA循环法)对医院可复用器械集中消毒供应进行质量管理后的效果。方法统计医院2015年4-7月集中消毒供应中心质量管理工作情况和临床反馈情况,并以此时间段的平均评分情况作为对照组,2015年9月-2016年9月,对医院集中消毒供应室采用PDCA进行质量管理(PDCA组),比较采取PDCA 1、4、8、12个月后,相关人员的知识掌握、设备管理、包装质量、环境管理、器械消毒质量、临床满意度、临床手术器械感染率等项目改进情况。结果采取PDCA后,第1个月,包装质量、环境管理、器械消毒质量评分显著高于对照组,差异有统计学意义(P<0.05);第4个月,设备管理、包装质量、环境管理、器械消毒质量、临床满意度、临床手术器械感染率评分显著高于对照组,差异有统计学意义(P<0.05);第8、12个月,各项指标评分均显著高于对照组,差异有统计学意义(P<0.05)。结论采取PDCA后,医院可复用器械集中消毒供应质量管理效果明显提升,不仅有利于医院的管理工作,更保障了患者的健康,降低了出错率,值得全面推广与应用。OBJECTIVE To evaluate the effect of PDCA circulation method on quality management of centralized disinfection and supply of reusable instruments.METHODS From Apr 2015 to Jul 2015,the status of quality management of centralized sterilization and supply department and clinical feedbacks were statistically analyzed,which was assigned as the control group based on the average score in this time period.From Sep 2015 to Sep 2016,the centralized sterilization and supply department was treated with PDCA circulation method for quality management and set as the PDCA group.The degree of acquisition of knowledge,equipment management,packaging quality,environmental management,quality of disinfection of instruments,clinical satisfaction,and incidence of clinical surgical instrument-related infection were observed and compared after the PDCA circulation method was carried out for 1,4,8,and 12 months.RESULTS The scores of packaging quality,environmental management,and quality of disinfection of instruments were significantly higher in the PDCA group than in the control group after the PDCA circulation method was implemented for 1month（P〈0.05）.The scores of equipment management,packaging management,environmental management,quality of disinfection of management,clinical satisfaction,and incidence of clinical surgical instrument-related infection were significantly higher in the PDCA group than in the control group after the PDCA circulation method was carried out for 4months（P〈0.05）.The scores of the indexes of the PDCA group were significantly higher than those of the control group after the PDCA circulation method was carried out for 8and 12months（P〈0.05）.CONCLUSIONThe effect of quality management of centralized disinfection and supply of reusable instruments have been significantly improved after the PDCA circulation method is implemented;it may not only facilitate the management of the hospital but also ensure the health of patients and reduce the error rate,which is worthy to be comprehensively promoted and

关 键 词：PDCA 复用器械 集中消毒 质量管理 

分 类 号：R187[医药卫生—流行病学]