品管圈活动在降低老年病房医疗仪器维修率的应用  

Application of Quality Control Circle Activities in Decreasing the Rate ofMedical Instrument Maintenance in Geriatric Ward

作　　者：王英[1] 张泽梅 钟灵[3] 刘祚燕[4] WANG Ying;ZHANG Zemei;ZHONG Ling;LIU Zuoyan(Geriatrics Center,West China Hospital,Sichuan University,Chengdu Sichuan 610041,China;Rehabilitation Medical Center,West China Hospital,Sichuan University,Chengdu Sichuan 610041,China;Department of Neonatology,West China Second Hospital,Sichuan University,Chengdu Sichuan 610041,China;Department of Outpatient,Dujiangyan People’s Hospital,Dujiangyan Sichuan 611830,China)

机构地区：[1]四川大学华西医院老年医学中心,四川成都610041 [2]四川大学华西第二医院新生儿科,四川成都610041 [3]都江堰市人民医院门诊部,四川都江堰611830 [4]四川大学华西医院康复医学中心,四川成都610041

出　　处：《中国医疗设备》2019年第3期122-125,142,共5页China Medical Devices

摘　　要：目的通过品管圈(Quality Control Circle,QCC)活动降低病房医疗仪器维修率。方法成立QCC,按照QCC活动十大步骤进行计划、实施、效果确认与处置,通过运用柏拉图、鱼骨图等QCC手法找出老年病房医疗仪器维修率高的根本原因,制定和实施相应的整改措施,从而降低医疗仪器维修率。结果 QCC活动干预后,老年病房医疗仪器维修率由活动前的23.5%,降低到活动后的11.2%,差异有统计学意义(P<0.01);住院患者满意度由活动前的94.5%提高到活动后98.7%,差异具有统计学意义(P<0.01);护理人员相关理论知识考核成绩由活动前的(72.4±6.42)分提高到活动后的(89.3±5.87)分,操作技能考核由活动前的(78.2±8.04)分提高到活动后的(88.6±9.43)分,前后比较有统计学差异(P<0.01);护士满意度由活动前的90.5%提高到活动后的95.6%,差异具有统计学意义(P<0.01)。此外,各圈员的自主学习能力,发现、分析和解决问题能力,协调沟通能力,QCC手法运用,护士满意度及团队合作精神均有所提高。结论运用QCC活动对病房医疗仪器的规范管理有显著成效,降低了病房医疗仪器维修率,提高了工作效率和工作质量,患者满意度增高。同时圈员质量管理的积极性、创造性和主动性增强,提高了护士满意度。Objective To reduce the maintenance rate of medical instruments in ward by the quality control circle (QCC) activities. Methods The QCC was set up and then planned, implemented, confirmed and disposed according to the ten steps of the QCC activity. The root cause of high maintenance rate of medical instruments in geriatric wards was found out by using quality control techniques such as Plato and fishbone diagram, and corresponding rectification measures were formulated and implemented to reduce the maintenance rate of medical instruments. Results After the intervention of QCC, the maintenance rate of medical instruments in geriatric wards decreased from 23.5% before the activity to 11.2% after the activity, and the difference was statistically significant (P<0.01). The satisfaction of inpatients increased from 94.5% to 98.7%, and the difference was statistically significant (P<0.01). The score of nursing staff related theoretical knowledge was improved from the score of (72.4±6.42) to (89.3±5.87), and the score of operation skills was improved from the score before the activity (78.2±8.04) to the score after the activity (88.6±9.43), showing statistical difference (P<0.01). The satisfaction of nurses increased from 90.5% to 95.6%, and the difference was statistically significant (P<0.01). In addition, the self-learning abilities, problems finding, analysis and solving abilities, coordination and communication abilities, QCC technique application, nurses’ satisfaction and team cooperation have been improved. Conclusion The application of QCC activities to the standard management of hospital equipment in the ward has a significant effect, including reduces the maintenance rate of hospital equipment in the ward, improves work efficiency and quality and increases patients’ satisfaction. Meanwhile, the enthusiasm, creativity and initiative of the staff in quality management are enhanced, which improves the satisfaction of nurses.

关 键 词：QCC 老年病房 医疗仪器 维修率 

分 类 号：R47[医药卫生—护理学] TH789[医药卫生—临床医学]