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作 者:朱玉华[1] 沈碧玉[1] 钱云娟[1] ZHU Yuhua;SHEN Biyu;QIAN Yunjuan(Central Sterile Supply Department,The First People's Hospital of Nantong City,Nantong Jiangsu 226001,China)
机构地区:[1]南通市第一人民医院消毒供应中心,江苏南通226001
出 处:《中国继续医学教育》2018年第29期67-69,共3页China Continuing Medical Education
摘 要:目的通过目视化管理在眼科显微贵重器械处理中的应用,提高消毒供应中心科学化管理水平,保证处理质量,提高服务满意度。方法科室成立目视管理组,采用头脑风暴法分析讨论眼科显微器械损坏的环节与原因,并通过二八定律的原则确定主要环节与原因,将目视管理工具图表、管理看板、作业流程图、标签标示、定置图等应用于眼科显微贵重器械的培训、分类清洗、包装、灭菌装载、运送等环节管理,达到质量的持续改进。结果目视化管理运用于眼科显微器械的处理后,器械损坏率明显下降,由运用前的0.50%下降至运用后的0.12%,差异有统计学意义(χ~2=14.588,P <0.01);临床对消毒供应中心各环节操作质量与反馈问题处理的满意度也明显提高。结论目视管理在消毒供应中心眼科显微器械管理中的应用是一种直观、高效的管理模式,可以提高眼科显微器械的处理质量,降低损坏率,提高服务满意度;同时,使科室的管理工作更加科学化、精细化、标准化,提升管理内涵。Objective To improve the scientific management of Central Sterile Supply Department(CSSD), to ensure the quality of operations of precious ophthalmic microscopic instruments, and to improve service satisfaction by adopting visual management. Methods A visual management group was set up to analyze and discuss the damaged links and causes of ophthalmic microscopic instruments by brainstorming method, and determine the main links and causes through the 2/8 law principle. Applying visual management tool chart, management Kanban, operation flow chart, label labeling and setting diagram to the training, classified cleaning, packaging, sterilization loading and transportation of ophthalmic microscopic precious instruments,etc, to achieve continuous improvement in quality. Results After the application of visual management, the rate of damage of the instruments decreased significantly, from 0.50% before application to 0.12% after application. The difference was statistically significant (χ2=14.588, P 〈 0.01). In addition, the satisfaction overthe quality and problem feedback from CSSD increased significantly. Conclusion Visual management is a visible, straightforward and efcient management mode in the ophthalmic/microscopic management of CSSD, which can improve the quality of the operations of ophthalmic microscopic instruments, reduce the rate of damage, and improve the service satisfaction; meanwhile, it improves the scientifc, fne and standard management of the department.
关 键 词:目视化管理 眼科 显微器械 损坏率 满意度 消毒供应中心
分 类 号:R197[医药卫生—卫生事业管理]
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