戴明循环结合6S管理法对骨科医疗设备管理效果的影响研究  

Influence of management mode of PDCA cycle combined with 6S management method on management effect of orthopedic medical devices

作　　者：刘晗 杨慧 李亚利 赵茜 Liu Han;Yang Hui;Li Yali;Zhao Qian(Department of Orthopedics,Tangdu Hospital of Air Force Medical University,Xi'an 710038,China)

机构地区：[1]空军军医大学唐都医院骨科,西安710038

出　　处：《中国医学装备》2025年第3期138-142,共5页China Medical Equipment

摘　　要：目的:探讨戴明循环(PDCA)结合6S管理法对骨科医疗设备管理效果的影响。方法:按照PDCA管理的计划、实施、检查和处理4个阶段结合6S管理法的整理、整顿、清扫、清洁、素养和安全6个环节,逐阶段逐环节对骨科医疗设备进行管理。选取2022年至2023年空军军医大学第二附属医院骨科临床在用的12台医疗设备,对比2022年采用传统管理与2023年PDCA结合6S管理法管理模式管理后的设备管理水平、设备管理前12台设备总使用时间内的87361h和设备管理后87054h的设备故障和使用不良事件,采用自制调查表调查15名涉及设备使用的医护人员对设备使用的满意度评分。结果:采用PDCA结合6S管理法管理后的培训考核、定期保养、日常巡检、定期质量控制、规范使用评分及总评分分别为(18.87±0.66)、(18.25±0.73)、(18.74±0.69)、(18.36±0.64)、(18.89±0.54)和(92.11±4.20)分,均高于传统管理模式,差异均有统计学意义(t=5.047、3.301、3.396、3.191、3.107、6.170,P<0.05);设备使用时间87054h内的设备故障待机时间为262h,故障率为0.30%,低于管理前,差异有统计学意义(x^(2)=52.876,P<0.05);管理后12台设备使用不良事件发生率为0,低于传统管理,差异有统计学意义(x^(2)=4.800,P<0.05);15名医护人员对管理后的设备性能、设备清洁度、设备维修、设备领用、技术支持评分及总评分分别为(18.41±1.11)、(18.35±1.05)、(18.58±0.87)、(18.26±1.00)、(18.77±0.89)和(92.21±4.12)分,均高于管理前,差异有统计学意义(t=5.257、4.939、5.429、3.191、4.705、9.858,P<0.05)。结论:PDCA结合6S管理法管理模式应用于骨科医疗设备管理,可提升设备管理水平,降低设备故障及设备使用不良事件发生率,提高医护人员的设备使用满意度。Objective:To explore the influence of management mode of Deming cycle(plan,do,check,action,PDCA)combined with 6S management method on management effect of medical equipment in orthopedic department,and to improve the management quality for medical equipment in orthopedic department.Methods:In accordance with the combination of four stages of PDCA management and the six links(organization,tidying,cleaning,cleanliness,literacy and safety)of 6S management method,the medical equipment of orthopedic department was managed as stage by stage and link by link.Twelve using medical equipment in the orthopedic department of the Second Affiliated Hospital of Air Force Military Medical University were selected between 2022 and 2023.The management level between conventional management and management mode after the management mode of PDCA combined with 6S management mothed was implemented was compared,and the equipment fault and adverse event between within 87361 h before the management mode was used and within 87054 h after the management mode was used also were compared.The scores of satisfaction ratings of 15 medical staffs who involved in using equipment were investigated by using self-made questionnaire.Results:The scores of training assessment,regular maintenance,daily inspection,regular quality control and standardized use,and the total scores after used management mode of PDCA combined with 6S management method were respectively(18.87±0.66),(18.25±0.73),(18.74±0.69),(18.36±0.64),(18.89±0.54)and(92.11±4.20),all of which were higher than those before the management mode was implemented,and the differences of them were statistically significant(t=5.047,3.301,3.396,3.191,3.107,6.170,P<0.05).The standby time due to equipment fault and fault rate within 87054 h of using equipment after the management mode was implemented were respectively 262h and 0.30%,all of which were lower than those before the management mode was implemented,and the differences of them were statistically significant(x^(2)=52.876,P<0.05).The inciden

关 键 词：戴明循环 6S管理法 骨科医疗设备 不良事件 满意度 

分 类 号：R197.39[医药卫生—卫生事业管理]