基于精益管理的流程再造管理模式在手术室医院感染防控中的应用  

Application of Process Reengineering Management Model Based on Lean Management in Prevention and Control of Hospital Infection in Operating Room

作　　者：刘春红 薛卫强 薛灵敏 李宏伟 LIU Chunhong;XUE Weiqiang;XUE Lingmin;LI Hongwei(Department of Hospital Infection Management,Traditional Chinese Medicine Hospital of Qingdao West Coast New Area,Qingdao Shandong 266500,China;Department of Pharmacy,Traditional Chinese Medicine Hospital of Qingdao West Coast New Area,Qingdao Shandong 266500,China;Department of Cardiovascular,Traditional Chinese Medicine Hospital of Qingdao West Coast New Area,Qingdao Shandong 266500,China;Hospital Office,Traditional Chinese Medicine Hospital of Qingdao West Coast New Area,Qingdao Shandong 266500,China)

机构地区：[1]青岛西海岸新区中医医院医院感染管理科,山东青岛266500 [2]青岛西海岸新区中医医院药学部,山东青岛266500 [3]青岛西海岸新区中医医院心血管科,山东青岛266500 [4]青岛西海岸新区中医医院医院办公室,山东青岛266500

出　　处：《中国卫生标准管理》2024年第22期137-140,共4页China Health Standard Management

基　　金：2023年山东省中医药调研课题(ZYY2023014)。

摘　　要：目的探讨基于精益管理的流程再造管理模式在手术室院感防控中的应用效果。方法选取2022年7—12月青岛西海岸新区中医医院550例手术患者作为对照组,采用常规管理模式;另选取2023年1—6月青岛西海岸新区中医医院550例手术患者作为观察组,采用基于精益管理的流程再造管理模式。比较2组手术患者切口感染发生率、手术室卫生学监测结果及手术室院感防控工作护理质量。结果观察组切口感染总发生率为0.18%,低于对照组的1.45%,差异有统计学意义(P<0.05)。观察组手术室空气样本采集合格率为99.72%,高于对照组的97.81%,差异有统计学意义(P<0.05)。观察组手术室护士物品管理质量评分为为(9.29±0.75)分,环境管理质量评分为(9.25±0.74)分,消毒隔离工作质量评分为(9.21±0.88)分,均高于对照组的(8.79±0.72)分、(8.75±0.68)分、(8.71±0.81)分,差异有统计学意义(P<0.05)。结论基于精益管理的流程再造管理模式能够提高手术室院感防控管理质量,减少感染事件发生。Objective To explore the application effect of process reengineering management model based on lean management in infection control in operating room hospitals.Methods A total of 550 cases of surgical patients in Traditional Chinese Medicine Hospital of Qingdao West Coast New Area from July to December 2022 were selected as the control group,and the conventional management mode was adopted.In addition,a total of 550 cases of surgical patients in Traditional Chinese Medicine Hospital of Qingdao West Coast New Area from January to June 2023 were selected as the observation group,and the process reengineering management model based on lean management was adopted.The incidence of incision infection,monitoring results of operating room hygiene,and nursing quality of hospital infection prevention and control in operating room were compared between the two groups.Results The total incidence of incision infection in the observation group was 0.18%,which was lower than 1.45%in the control group,the difference was statistically significant(P<0.05).The qualified rate of air sample collection in the operating room was 99.72%in the observation group,which was higher than 97.81%in the control group,the difference was statistically significant(P<0.05).The quality scores of nurses'material management,environmental management and disinfection and isolation work in the observation group were(9.29±0.75)points,(9.25±0.74)points and(9.21±0.88)points,respectively,which were higher than(8.79±0.72)points,(8.75±0.68)points and(8.71±0.81)points in the control group,the differences were statistically significant(P<0.05).Conclusion The process reengineering management model based on lean management can improve the quality of hospital infection prevention and control management in operating rooms and reduce the occurrence of infection events.

关 键 词：手术室 医院感染 流程再造管理 精益管理 卫生学监测 护理质量 

分 类 号：R183[医药卫生—流行病学]