品管圈在提升经皮肾镜取石术接台准时率中的应用研究  

The application of quality control circles to enhance the on-time rate of percutaneous nephrolithotomy surgery turnover

作　　者：梁乾艳 黄柳芳[1] 龚凤球[1] 李文姬[1] Liang Qianyan;Huang Liufang;Gong Fengqiu;Li Wenji(Surgical Anesthesia Center,the First Affiliated Hospital,Sun Yat-sen University,Guangzhou 510080,Guangdong Province,China)

机构地区：[1]中山大学附属第一医院手术麻醉中心,广州510080

出　　处：《中国医疗管理科学》2025年第2期69-76,共8页Chinese Journal Of Medical Management Sciences

摘　　要：目的探讨品管圈活动在提升经皮肾镜取石术接台准时率中的应用效果。方法选取2023年3月—10月在某院泌尿外科行经皮肾镜取石术的130例患者为研究对象,按入院时间随机分为品管圈对策实施前(65例)和实施后(65例),前者采用常规的护理方式,后者采用品管圈的方式,实施多方位解析和多维度管理策略,建立标准化手术接台流程。比较品管圈对策实施前后经皮肾镜取石术接台各环节耗时、接台准时率和医护满意度。结果品管圈对策实施后,手术接台时间由(61.81±3.74)min降至(53.73±3.21)min,接台准时率由69.23%显著提升至92.31%,医护人员满意度明显提升,P均<0.05,差异具有统计学意义。结论品管圈活动可显著优化经皮肾镜取石术流程,提升接台准时率,提高圈员综合能力和医护满意度。Objective To explore the application effect of quality control circle(QCC)activities on improving the on-time rate of percutaneous nephrolithotomy(PCNL)surgery turnover.Methods A total of 130 patients undergoing PCNL in the Urology Department from March to October 2023 were selected as the research subjects.They were divided into pre-implementation(65 cases)and post-implementation(65 cases)groups based on the admission time.Conventional nursing care was given to patients of the pre-implementation group.Those in the post-implementation group were managed using QCC methods,with a standardized surgery turnover procedure based on multi-dimensional analysis and management strategies.The time consumption of each link in the surgery turnover of PCNL,on-time rate of turnover,and satisfaction of medical staff were compared between the two groups.Results After the implementation of QCC activities,the surgery turnover time was reduced from 61.81±3.74 minutes to 53.73±3.21 minutes;the on-time rate of turnover significantly increased from 69.23%to 92.31%;and the satisfaction of medical staff was significantly improved(P<0.05).Conclusion QCC activities can significantly increase the efficiency of the PCNL surgery process,enhance the on-time rate of turnover,and improve the satisfaction of medical staff.

关 键 词：品管圈 经皮肾镜取石术 接台准时率 手术流程优化 医疗质量管理 

分 类 号：R473.6[医药卫生—护理学]