PDCA管理模式在提高骨科外来手术器械预处理合格率的影响观察  

Effect of PDCA management mode on improving pretreatment qualification rate of foreign surgical instruments in orthopedics

作　　者：任成会 张秀翠 茅卫兵 戈正红[2] REN Cheng-hui;ZHANG Xiu-cui;MAO Wei-bing;GE Zheng-hong(Disinfection Supply Center,Xishan People's Hospital of Wuxi City,Wuxi 214000,Jiangsu,China;Disinfection Supply Center,Changzhou Hospital of Traditional Chinese Medicine,Changzhou 213000,Jiangsu,China)

机构地区：[1]无锡市锡山人民医院消毒供应中心,江苏无锡214000 [2]常州市中医医院消毒供应中心,江苏常州213000

出　　处：《生物医学工程与临床》2021年第5期629-633,共5页Biomedical Engineering and Clinical Medicine

基　　金：无锡市科技发展基金资助项目(N20192009)。

摘　　要：目的探究计划-执行-检查-处理(PDCA)管理模式对提高骨科外来手术器械预处理合格率的影响。方法选择2018年5月至2019年5月无锡市锡山人民医院消毒供应中心接收的2 849件骨科外来手术器械,采用常规消毒质量管理。选择2019年6月至2020年6月无锡市锡山人民医院消毒供应中心接收的2 947件骨科外来手术器械,采用PDCA管理模式。比较实施前后工作人员知晓情况(用分数表示)、骨科外来手术器械清洗质量及医护人员满意度。结果实施后,工作人员对骨科外来手术器械的器械名称、清洗流程、拆卸与安装的知晓评分均高于实施前[(96.82±2.48)分vs (90.35±3.26)分、(97.28±2.62)分vs (91.39±3.64)分、(96.37±2.94)分vs (89.76±3.27)分](P <0.05)。实施后,骨科外来手术器械的清洗合格率(98.95%)、灭菌合格率(98.13%)、包装合格率(98.57%)均高于实施前(P <0.05),器械损耗率(0.03%)低于实施前(P <0.05)。实施后,医护人员满意度(100.00%)高于实施前(85.42%)(P <0.05)。结论 PDCA管理模式应用于骨科外来手术器械预处理可有效提高工作人员知晓情况,提高骨科外来手术器械的清洗合格率及医护人员满意度。Objective To explore the impact of plan-do-check-act(PDCA) management mode on improving the pretreatment qualification rate of orthopedic foreign surgical instruments. Methods From May 2018 to May 2019, 2 849 orthopedic foreign instruments were selected, and routine disinfection quality management was adopted. From June 2019 to June 2020, 2 947 orthopedic foreign instruments were selected and PDCA management mode was adopted. The staff awareness(indicated by scores),cleaning quality of foreign orthopedic instruments and medical staff satisfaction before and after PDCA were compared. Results The staff awareness scores on name, cleaning process, removal and installation of instruments after PDCA were all higher than those before PDCA[(96.82 ± 2.48) scores vs(90.35 ± 3.26) scores,(97.28 ± 2.62) scores vs(91.39 ± 3.64) scores,(96.37 ±2.94) scores vs(89.76 ± 3.27) scores](P < 0.05). After PCDA, the qualified rate of cleaning equipment(98.95 %), sterilization(98.13 %) and packaging(98.57 %) were all higher than those before PDCA(P < 0.05), while instruments loss rate(0.03 %) was lower than that before PDCA(P < 0.05). The satisfaction of medical staff after PDCA(100.00 %) was higher than that before PDCA(85.42 %)(P < 0.05). Conclusion The PDCA management model applied to pretreatment of foreign surgical instruments in orthopedics can effectively improve awareness of staff, qualification rate of instrument cleaning and satisfaction rate of medical staff.

关 键 词：计划-执行-检查-处理(PDCA)管理模式 骨科器械 外来手术器械 预处理 满意度 

分 类 号：R197.32[医药卫生—卫生事业管理]