品管圈在后勤部门预防老年患者滑跌倒中的应用与思考  

Application and Thinking of Quality Control Circle in Logistic Department to Prevent Elderly Patients from Slipping and Falling

作　　者：王兵[1] 赵毅峰[2] 李洋 殷巍巍 Wang Bing;Li Yang;Zhao Yifeng;Ying Weiwei(Health Management Center,Huashan Hospital Affiliated to Fudan University,Shanghai,200040,China;Department of Logistics Support,Huashan Hospital Affiliated to Fudan University,Shanghai,200040,China)

机构地区：[1]复旦大学附属华山医院健康管理中心,上海200040 [2]复旦大学附属华山医院后勤保障部,上海200040

出　　处：《老年医学与保健》2020年第2期307-310,共4页Geriatrics & Health Care

摘　　要：目的通过建立品管圈(quality control circle, QCC)小组,分析医院公共区域老年患者滑跌倒风险中涉及后勤范畴的因素,及时制定相关措施,进行有效干预,从而降低老年患者发生滑跌倒的概率,并为QCC质量持续改进应用提供依据。方法回顾性分析2017年1月-12月复旦大学附属华山医院公共区域老年患者滑跌倒事件,对发生滑跌倒的高危区域从后勤管理、硬件设施、环境设置以及患者自身情况进行分析。并在2018年1月至12月进行防滑跌倒干预,比较实施QCC活动前后的公共区域老年患者滑跌倒发生率。结果品管圈活动实施后,医院公共区域老年患者滑跌倒发生率由2017年的0.0063‰下降至2018年的0.0018‰,差异具有统计学意义(2=8.488,P<0.01)。结论品管圈活动降低了老年患者滑跌倒事件的发生,可促进后勤保障及管理工作的标准化和精细化。Objective To analyze the logistics-related factors in the risk of slipping and falling events in elderly outpatients in public areas of the hospital, formulate relevant measures in a timely manner, and implement effective interventions to reduce the probability of slipping and falling events in elderly outpatients by establishing quality control circles(QCC) group, and provide a basis for QCC quality continuous improvement application research. Methods A retrospective analysis of elderly outpatients’ slipping and falling events in the public area of our Hospital from January to December 2017 was performed. The highrisk areas where the slipping and falling events occurred were analyzed from logistics management, hardware facilities, environmental settings, and the patient’s own situation. From January to December 2018, the anti-slipping and falling interventions were implemented. The incidences of the slipping and falling in elderly outpatients in public areas were compared before and after the implementation of QCC activities. Results After the implementation of the QCC, the incidence of the slipping and falling in elderly outpatients in the public areas of the hospital decreased significantly from 0.0063‰ in 2017 to 0.0018‰ in 2018( 2=8.488,P<0.01). Conclusions QCC activities could reduce the occurrence of the slipping and falling events in elderly outpatients in the public areas of the hospital, and promote the standardization and refinement of logistics support and management.

关 键 词：老年 滑跌倒 风险 品管圈 后勤 管理 

分 类 号：R197.32[医药卫生—卫生事业管理]