PDCA循环结合SOP在洁净手术间物表周期性清洁中的应用效果  

The effect of PDCA cycle combined with SOP applied in periodic cleaning of object surfaces in the clean operating room

作　　者：陈佛[1] 张静[1] 陈锐[1] 邓朝良 程志能 Chen Fo;Zhang Jing;Chen Rui;Deng Chaoliang;Cheng Zhineng(Operating Room,the Central Hospital of Wuhan,Tongji Medical school,Huazhong University of Science and Technology,Wuhan City of Hubei Province 430014,China)

机构地区：[1]华中科技大学同济医学院附属武汉中心医院手术室,武汉430014

出　　处：《国际护理学杂志》2019年第23期3841-3845,共5页international journal of nursing

摘　　要：目的探讨PDCA循环结合标准化操作流程在洁净手术间物表周期性清洁中应用效果,为手术间感染管理控制提供参考.方法应用PDCA循环对华中科技大学同济医学院附属武汉中心医院手术室2016年7~12月份完成的336次手术间物表周期性清洁情况进行分析,制定改进措施:制定《洁净手术间周期性物表清洁表》明确周期性清洁内容,并据此制定标准化操作流程手册及视频进行全科人员培训,责任到人.比较2017年1~6月实施干预措施后手术间周期性物表清洁完成情况.结果干预前物表荧光标记监测清除率为75.30%,周期清洁每手术间平均耗时(3.54±0.47)h,周期清洁人员房间比为57.14%,物表清洁平均缺陷率为37.80%,质控率27.38%.干预后,手术间物表荧光标记监测清除率提升到93.75%,周期清洁平均耗时下降为(2.21±0.95)h,周期清洁人员房间比28.57%,物表清洁缺陷率为3.2%,质控率7.8%,差异均有统计学意义(均P<0.05).结论PDCA循环结合标准化操作流程能够显著提高手术间物表周期性清洁合格率,降低物表清洁缺陷率,减少清洁耗时,降低人力成本,提高工作效率,增强了手术室感染控制质量.To explore the application effect of PDCA cycle combined with standardized operation procedure in periodic cleaning of objects surfaces of clean operating room,so as to provide reference for management and control of surgical infection.Methods PDCA cycle was applied to analyze the periodic cleaning conditions of 336 surgical rooms in the operating room from July to December 2016.The results showed that the clearance rate of surface fluorescence labeling was 75.30%,the average time of periodic cleaning was 3.5 hours per operation room,the ratio of periodic cleaning personnel to room was 57.14%,the average defect rate of surface cleaning was 37.80%,the quality control rate was 27.38%,etc.Improvement measures were formulated:the cleaning table of periodic objects between clean operations was formulated to clarify the contents of periodic cleaning,and standardized operation procedure manual and video were developed accordingly for the training of general practitioners,and the responsibility was transferred to people.Comparison was made between January and June 2017 after the intervention.Results Compared with before intervention,the clearance rate of fluorescent label monitoring on the interoperative table was increased to 93.75%,the average time of periodic cleaning was reduced to 2.2 hours,the room ratio of periodic cleaning personnel was 28.57%,the defect rate of surface cleaning was 3.2%,and the quality control rate was 7.8%.All the differences were statisti-cally significant(P<0.05).Conclusion PDCA cycle combined with standardized operation procedure can significant-ly improve the qualified rate of periodic cleaning of the surface of the clean operating room.It can reduce the defect rate of surface cleaning,shorten the cleaning time,reduce labor cost,improve work efficiency,enhance the quality of infec-tion control in operating room,and it is worth popularizing and applying in clinic.

关 键 词：PDCA 标准化操作流程 手术室 物表 感染控制 

分 类 号：R47[医药卫生—护理学]