品管圈活动在降低重症监护室加热湿化器非故障性报警发生率中的应用探讨  

Application of quality control circle activities in reducing incidence of non-faulty alarms of heated humidifiers in intensive care unit

作　　者：马丽标 杨梅[1] 林博晓[1] 潘璐 王佳莹[1] MA Li-biao;YANG Mei;LIN Bo-xiao;PAN Lu;WANG Jia-ying(Department of Intensive Care Unit,Shenzhen Second People's Hospital,Shenzhen 518000,Guangdong Province,China)

机构地区：[1]深圳市第二人民医院重症医学科,广东深圳518000

出　　处：《医疗卫生装备》2024年第6期87-92,共6页Chinese Medical Equipment Journal

基　　金：广东省医学科学技术研究基金项目(A2022088);深圳市第二人民医院临床研究项目(20223357002)。

摘　　要：目的:探讨品管圈活动对降低重症监护室加热湿化器非故障性报警发生率的效果。方法:首先,成立品管圈小组,选定降低重症监护室加热湿化器非故障性报警发生率为活动主题,调查2021年12月1—15日期间重症监护室中加热湿化器的使用现状并设定改善目标。其次,绘制柏拉图、鱼骨图分析发生非故障性报警的原因。最后,根据PDCA原则制订相应对策并实施。比较品管圈活动实施前后加热湿化器非故障性报警的发生率及圈员的综合能力。结果:品管圈活动实施后,加热湿化器非故障性报警发生率由48.57%下降至8.23%,目标达成率为119.7%,进步率为83.06%,圈员的综合能力均有一定程度提升。结论:品管圈活动能有效降低重症监护室加热湿化器非故障性报警的发生率,在医学装备规范化管理上具有可推广应用的价值。Objective To investigate the effect of quality control circle(QCC)activities on reducing the incidence of non-failure alarms of heated humidifiers in the intensive care unit(ICU).Methods Firstly,a QC circle team was formed,and the activity theme of reducing the incidence of non-faulty alarms of heated humidifiers in the ICU was selected to inves-tigate the current status of the use of heated humidifiers in the ICU during the period of December 1-15,2021,and to set improvement goals.Secondly,pareto charts and fishbone diagrams were drawn to analyze the causes for the occurrence of non-faulty alarms.Finally,the countermeasures were formulated and implemented according to the PDCA principle.The inciden-ces of non-faulty alarms of heated humidifiers and the comprehensive capabilities of the circle members were compared before and after the implementation of the QC circle activities.Results After the implementation of the QCC activities,the incidence of non-failure alarms of heated humidifiers decreased from 48.57% to 8.23%,the target achievement rate was 119.7%,the progress rate was 83.06%,and the comprehensive capabilities of circle members were improved obviously.Conclusion The QCC activities effectively reduces the incidence of non-failure alarms of heated humidifiers in the ICU,and thus is worthy promoting for standardizing medical equipment management.

关 键 词：品管圈 加热湿化器 非故障性报警 ICU 

分 类 号：R318[医药卫生—生物医学工程] R197.39[医药卫生—基础医学]