运用PDCA循环提升医院病原微生物实验室生物安全管理的策略  

Strategies for using PDCA cycle to improve the biosafety management of pathogenic microorganism laboratories in hospitals

作　　者：谭俊青[1] 李晓君 何宇巍 李蔼文[1] Tan Junqing;Li Xiaojun;He Yuwei;Li Aiwen(Department of Laboratory Medicine,Second Hospital of Guangdong Province,Guangzhou Guangdong 510095,China;Department of Hospital-Acquired Infection Control,Second Hospital of Guangdong Province,Guangzhou Guangdong 510095,China)

机构地区：[1]广东省第二中医院检验科,广东广州510095 [2]广东省第二中医院院感科,广东广州510095

出　　处：《中华临床实验室管理电子杂志》2022年第4期193-198,共6页Chinese Journal of Clinical Laboratory Management(Electronic Edition）

基　　金：广东省中医药局中医药科研项目(20231045)。

摘　　要：目的分析PDCA循环在提升医院病原微生物实验室生物安全管理的效果。方法以2018年4月-2019年3月为实施前对照组。2019年4月-2021年3月为实施PDCA循环后的研究组。对比实施前后实验室安全事故发生的正确处理率、实验室消毒正确处理率,医疗废物正确处理率、传染病阳性标本正确处理率情况。结果通过PDCA循环管理,对比对照组,研究组安全事故发生的正确处理率提高14.30%、实验室消毒正确处理率提高17.40%,医疗废物正确处理率提高10.56%、传染病阳性标本正确处理率提高12.48%,差异有统计学意义(P<0.05)。结论针对实验室内容易反复发生的问题,根据自身实际情况合理运用PDCA循环管理,能减少实验室消毒不规范等实验室安全问题,提高实验室安全质量,具有较高的应用价值。Objective To analyze the effect of PDCA cycle in improving the biosafety management of pathogenic microorganisms in hospitals.Methods The pre-implementation control group from April 2018 to March 2019 and the research group after the implementation of the PDCA cycle from April 2019 to March 2021 were compared the correct treatment rate of safety accidents,laboratory disinfection,medical waste,and the infectious disease-positive specimens before and after implementation.Results Through PDCA cycle management,compared with the control group,the correct treatment rate of safety accidents in the research group increased by 14.30%,the correct treatment rate of laboratory disinfection increased by 17.40%,the correct treatment rate of medical waste increased by 10.56%,and the correct treatment rate of infectious disease positive specimens increased by 12.48%,and the difference was statistically significant(P<0.05).Conclusions In view of the problems that are easy to occur in the laboratory,the rational use of PDCA cycle management according to the actual situation of the laboratory can reduce laboratory safety problems such as irregular laboratory disinfection,improve laboratory safety quality,and have high application value.

关 键 词：PDCA循环 病原微生物实验室 生物安全 实验室管理 

分 类 号：R197.6[医药卫生—卫生事业管理]