PDCA循环管理在胃镜室活检钳处理过程中的运用效果  

Application effect of PDCA circulation management in the treatment of biopsy forceps in gastroscope room

作　　者：张巍[1] 庄若[1] 蒋纪琴 陈萍[1] ZHANG Wei;ZHUANG Ruo;JIANG Jiqin;CHEN Ping(Affiliated Hospital of Jiangsu University,Zhenjiang,212000,China)

机构地区：[1]江苏大学附属医院消毒供应中心,江苏省镇江市212000

出　　处：《护理实践与研究》2022年第20期3127-3131,共5页Nursing Practice and Research

摘　　要：目的探讨在胃镜室活检钳处理过程中应用PDCA循环对损坏率及活检钳使用寿命的影响。方法将2020年8月—2021年1月PDCA循环管理实施前处理的胃镜室活检钳150件纳入对照组,将2021年2—7月PDCA循环管理实施后处理的胃镜室活检钳150件纳入观察组。对照组工作人员实施常规清洗管理法处理胃镜室活检钳;观察组工作人员实施PDCA循环管理法处理胃镜室活检钳。对比两组清洗消毒效果(清洗合格率、清洗时间)、活检钳月平均更换率及工作人员质量管理评分(器械功能检查、器械清洗消毒、包装合格及灭菌合格)。结果实施后,观察组清洗合格率高于对照组,差异有统计学意义(P<0.05);观察组清洗时间短于对照组,差异有统计学意义(P<0.05)。实施后,观察组活检钳月平均更换率低于对照组,差异有统计学意义(P<0.05)。实施后工作人员质量管理评分高于实施前,差异有统计学意义(P<0.05)。结论实施PDCA循环管理能够最大程度降低活检钳的损坏率,提高其使用寿命,改善消毒供应中心人员的管理水平。Objective To investigate the effect of PDCA cycle on the damage rate and the service life of biopsy forceps in the process of biopsy forceps in gastroscope room.Methods A total of 150 biopsy forceps in the gastroscope room treated before the implementation of PDCA cycle management from August 2020 to January 2021 were included in a control group,and 150 biopsy forceps in the gastroscope room treated after the implementation of PDCA cycle management from February to July 2021 were included in the observation group.The staffin the control group were treated with routine cleaning management method to handle the biopsy forceps in the gastroscope room;the staffin the observation group were treated with the PDCA cycle management method to handle the biopsy forceps in the gastroscope room.The cleaning and disinfection effects(cleaning pass rate,cleaning time),the average monthly replacement rate of biopsy forceps and the staffquality management scores(instrument function inspection,instrument cleaning and disinfection,packaging qualification and sterilization qualification)were compared between the two groups.Results After the implementation,the cleaning pass rate in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).The cleaning time in the observation group was shorter than that in the control group,and the difference was statistically significant(P<0.05).After the implementation,the average monthly replacement rate of biopsy forceps in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).The staffquality management score after the implementation was higher than that before the implementation,and the difference was statistically significant(P<0.05).Conclusion Implementing PDCA cycle management can minimize the damage rate of biopsy forceps,increase its service life,and improve the management level of personnel in the disinfection supply center.

关 键 词：胃镜室 活检钳处理 PDCA循环 清洗合格率 质量管理 

分 类 号：R47[医药卫生—护理学]