PDCA循环管理用于提高结核科支气管镜诊疗术前准备规范率的效果  

Effect of PDCA cycle management on enhancing the standardization rate of preoperative preparation for bronchoscopy in the tuberculosis department

作　　者：李敏[1] 曾旋 彭媛媛 曾积兰 何俊梅 叶涛生[1] 侯君莲 Li Min;Zeng Xuan;Peng Yuanyuan;Zeng Jilan;He Junmei;Ye Taosheng;Hou Junlian(Respiratory Endoscopy Room,Shenzhen Clinical Research Center for Tuberculosis,Shenzhen Third People’s Hospital(The Second Affiliated Hospital of Southern University of Science and Technology),Shenzhen 518112,China;Nursing Department,Shenzhen Clinical Research Center for Tuberculosis,Shenzhen Third People’s Hospital(The Second Affiliated Hospital of Southern University of Science and Technology),Shenzhen 518112,China;Review and Evaluation Office,Shenzhen Clinical Research Center for Tuberculosis,Shenzhen Third People’s Hospital(The Second Affiliated Hospital of Southern University of Science and Technology),Shenzhen 518112,China)

机构地区：[1]深圳市结核病临床医学研究中心/深圳市第三人民医院(南方科技大学第二附属医院)呼吸内镜室,深圳518112 [2]深圳市结核病临床医学研究中心/深圳市第三人民医院(南方科技大学第二附属医院)护理部,深圳518112 [3]深圳市结核病临床医学研究中心/深圳市第三人民医院(南方科技大学第二附属医院)评审评价办公室,深圳518112

出　　处：《结核与肺部疾病杂志》2024年第6期546-551,共6页Journal of Tuberculosis and Lung Disease

基　　金：深圳市结核病临床研究中心(20210617141509001);深圳市科技计划项目(JCYJ20180228162336873)。

摘　　要：目的:探讨计划-执行-检查-行动(Plan-Do-Check-Act,PDCA)循环管理用于提高结核科支气管镜诊疗术前准备规范率的效果。方法:选取深圳市第三人民医院2023年5月15日至6月9日行支气管镜诊疗的382例住院患者作为对照组,沿用常规术前准备管理方法;选取同年9月25日至10月27日行支气管镜诊疗的346例住院患者作为观察组,实施PDCA循环管理策略;比较PDCA循环管理提高术前准备规范率的效果。结果:应用PDCA循环管理方法后,观察组术前准备规范率(90.75%,314/346)明显高于对照组术前准备规范率(82.72%,316/382),差异有统计学意义(χ^(2)=10.047,P=0.002)。结论:运用PDCA循环管理方法,有效提高了结核科住院患者支气管镜诊疗术前准备规范率,在保障患者安全和提高诊疗质量中起到了关键作用,是临床工作中的一种科学的管理方法,值得推广。Objective:To evaluate the effectiveness of Plan-Do-Check-Act(PDCA)cycle management in enhancing the standardization rate of preoperative preparation for bronchoscopy diagnosis and treatment in the tuberculosis department.Methods:A total of 382 hospitalized patients who underwent bronchoscopy for diagnosis and treatment at the Third People’s Hospital of Shenzhen from May 15 to June 9,2023,were included as the control group,where conventional preoperative preparation methods were employed.An additional 346 hospitalized patients who underwent bronchoscopy from September 25 to October 27 of the same year constituted the observation group,in which the PDCA cycle management strategy was applied.The effectiveness of PDCA cycle management in enhancing the standardization rate of preoperative preparation was compared between the two groups.Results:Following the implementation of the PDCA cycle management method,the standardization rate of preoperative preparation in the observation group(90.75%,314/346)was significantly higher than that in the control group(82.72%,316/382),with the difference being statistically significant(χ^(2)=10.047,P=0.002).Conclusion:The application of the PDCA cycle management method significantly improved the standardization rate of preoperative preparation for bronchoscopy diagnosis and treatment in hospitalized tuberculosis patients.This approach played a crucial role in enhancing patient safety and improving the quality of diagnostic and therapeutic procedures.The PDCA cycle is a scientifically grounded management method in clinical practice and is recommended for broader adoption.

关 键 词：支气管镜检查 诊疗工作管理 医学 手术前护理 质量控制 

分 类 号：R768.1[医药卫生—耳鼻咽喉科] R47[医药卫生—临床医学]