PDCA循环管理在除颤仪应急调配中的应用  

Application of PDCA cycle in emergency deployment of defibrillator

作　　者：亢德洪[1,2] 周振天 石维结[1,2] KANG De-hong;ZHOU Zhen-tian;SHI Wei-jie(The First Clinical Medical College, China Three Gorges University. Department of Equipment, Yichang Central People’s Hospital, Yichang 443003, China)

机构地区：[1]三峡大学第一临床医学院,湖北宜昌443003 [2]宜昌市中心人民医院设备科,湖北宜昌443003

出　　处：《中国医学装备》2018年第3期113-116,共4页China Medical Equipment

摘　　要：目的:通过运用戴明循环(PDCA)管理方法缩短医院除颤仪应急调配时间。方法:采用PDCA管理方法指导除颤仪应急调配的质量控制工作,根据除颤仪的应急调配实际演练现状,运用"头脑风暴法"分析问题原因,确定影响除颤仪应急调配时间的主要影响因素,按照"5W1H"方法制定具体的解决措施;实施改进措施并对检查结果进行总结分析。结果:在2016年2-9月期间的28次应急演练中,除颤仪应急平均调配时间为4.14 min,相对于PDCA管理措施实施前的调配时间缩短了40.9%,节约应急调配时间2.86 min。结论:运用PDCA管理方法可缩短除颤仪应急调配时间,且效果明显,并可将该方法运用到其他急救、生命支持类设备管理中,保证医院急救设备和生命支持设备的应急调配效率。Objective:To shorten emergency deployment time of defibrillator by using the management method of Deming cycle(plan do check action,PDCA).Methods:The PDCA management method was used to guide the quality control of the emergency deployment of defibrillator.And according to the actual situation of the emergency deployment rehearsal for the defibrillator,the"brainstorming method"was applied to analyze the reasons of the problem,and the main influence factors that affect the emergency deployment time of defibrillator were confirmed.And the specific solutions were formulated according to the"5W1H"method.And then these measurements were implemented and the inspection results were further summarized and analyzed.Results:From February2016to September,the average deployment time of defibrillator was4.14minutes in the28emergency drills.Compared with the pre-implementation of the PDCA management measures,the deployment time was shortened by40.9%,and it saved2.86minutes.Conclusion:The application of PDCA management method can shorten the emergency deployment time of defibrillator,and its effect is obvious.This method can be used in other emergency management and devices management of life support so as to ensure the emergency deployment efficiency of first-aid and life support devices in hospital.

关 键 词：除颤仪 PDCA循环 应急调配 头脑风暴法 

分 类 号：R197.39[医药卫生—卫生事业管理]