基于管理流程改进的DMAIC模型对手术室胸腹腔镜设备管理的效果分析  

Construction and effect analysis of management mode of thoracic laparoscopic equipment in operating room based on management process improvement DMAIC model

作　　者：郭嘉雯 姚岚[1] 马磊[1] 李杨[1] 杨晶[1] Guo Jiawen;Yao Lan;Ma Lei;Li Yang;Yang Jing(Department of Anesthesiology,The First Affiliated Hospital of Xi'an Jiaotong University,Xi'an 710061,China)

机构地区：[1]西安交通大学第一附属医院麻醉手术部,西安710061

出　　处：《中国医学装备》2024年第6期131-136,共6页China Medical Equipment

摘　　要：目的:探讨基于六西格玛(6σ)的管理流程改进定义、测量、分析、改进和控制阶段(DMAIC)模型在手术室胸腹腔镜设备管理中的应用效果。方法:基于DMAIC模型的数据分析,制定手术室胸腹腔镜设备管理优化和改进策略。选取2021-2022年西安交通大学第一附属医院临床在用的50件胸腹腔镜设备,分别采用传统管理模式(2021年1-12月期间)和DMAIC模型管理模式(2022年1-12月期间)管理。采用自制调查问卷调查胸腹腔镜设备维修和使用人员对两种管理模式的设备使用满意度和设备相关知识掌握程度,比较两种管理模式设备不良情况发生率。结果:采用DMAIC模型管理模式的手术室50件胸腹腔镜设备不良情况发生率为2.00%(1/50),低于传统管理模式的20.00%(10/50),差异有统计学意义(χ^(2)=8.155;P<0.05);胸腹腔镜设备维修人员对采用DMAIC模型管理模式的50件胸腹腔镜设备使用满意度为100.00%(50/50),高于传统管理模式的84.00%(42/50),差异有统计学意义(χ^(2)=8.696,P<0.05);采用DMAIC模型管理模式的胸腹腔镜设备使用医护人员设备基础使用知识、设备清洗消毒知识和设备常规维护知识平均评分分别为(96.28±4.82)分、(94.69±4.73)分和(96.26±4.16)分,均高于传统管理模式,差异有统计学意义(t=6.023、9.746、12.619,P<0.05)。结论:基于DMAIC模型构建的手术室胸腹腔镜设备管理模式应用于医院手术室胸腹腔镜设备管理,能够降低胸腹腔镜设备使用期间不良情况发生率,提高设备使用人员满意度,提升医护人员对设备相关知识的了解和掌握程度。Objective:Based on the Six Sigma(6σ)management process improvement DMAIC model,to construct the management model of thoracic laparoscopy equipment in operating room,and to analyze its application effect in the management of thoracic laparoscopy in operating room.Methods:Based on the data analysis of the definition,measurement,analysis,improvement and control stages of DMAIC model,the optimization and improvement strategies of thoracic laparoscopic equipment management in operating room were developed.50 sets of thoracic laparoscopic equipment in clinical use in The First Affiliated Hospital of Xi'an Jiaotong University from 2021 to 2022 were selected,and traditional management mode and DMAIC management model were adopted respectively.A self-made questionnaire was used to investigate the satisfaction with the use of the equipment and the mastery of equipment-related knowledge of the two management modes among the maintenance and use personnel of thoracic and laparoscopic equipment,and the incidence of equipment failure in the two management modes was compared.Results:The incidence of adverse events of thoracic laparoscopic equipment in operating room using the DMAIC model management mode was 2.00%(1/50),which was lower than that of traditional management mode,the difference was statistically significant(χ^(2)=8.155,P<0.05).The satisfaction of the of maintenance personnel with the use thoracic laparoscopic equipment adopting DMAIC model management mode was 100.00%(50/50),which was higher than that of traditional management mode,the difference was statistically significant(χ^(2)=8.696,P<0.05).The average scores of medical staff's basic equipment use knowledge,equipment cleaning and disinfection knowledge and equipment routine maintenance knowledge of thoracic laparoscopic equipment using DMAIC model management mode were(96.28±4.82)points,(94.69±4.73)points and(96.26±4.16)points,respectively,which were higher than those of the traditional management mode,the difference was statistically significant(t=6.023,9.74

关 键 词：胸腹腔镜设备 DMAIC模型 设备故障 管理模式 

分 类 号：R197.39[医药卫生—卫生事业管理]