摘要
目的:探讨PDCA循环在黄冈市中心医院放疗科辐射防护管理持续质量改进中的实施与效果分析。方法:应用PDCA循环,建立科室放射辐射安全管理小组,分析和对比2016年6月份(整改前)及2017年9月份(整改后)采用PDCA法进行放射防护专项整改前后,工作人员佩戴个人剂量计率、治疗技师佩戴个人剂量报警仪率、新员工辐射防护岗前培训率、放射工作人员参加放射防护培训率、辐射防护警示标记覆盖情况、辐射防护用品购进情况,汇总结果进行统计分析。结果:实施PDCA循环后,黄冈市中心医院放疗科工作人员(7人)个人剂量计佩戴率由85.71%(6/7)提高至100%(7/7),治疗技师(4人)佩戴个人剂量报警仪率由50%(2/4)提高至100%(4/4),新员工辐射防护岗前培训率由30%(3/10)提高至100%(10/10),放射工作人员参加辐射防护培训率由90%提高至95. 7%,机房环境警示提醒标志和红色警示线整改后增加2处,辐射防护演练次数由之前的3次(9个月,4次/a)提高至整改后的7次(12个月,7次/a),辐射防护用品总数量增加了6个。结论:在医院放疗科辐射防护管理体系实践中应用PDCA循环工具,可以促进放射工作人员加强自身防护,提高辐射防护管理水平和医疗质量。
Objective: To explore the implementation and effect analysis in the continuous improvement of radiological protection management by PDCA cycle in my department. Methods: According to using the PDCA cycle,we establish the Radioactive safety management team,analyzing the workers wear personal dosimeter rate,treatment technicians equipped with the dose alarming device,the new employee with the radiation training,radiology staff training rate,the situation marked with radiological protection warning and the purchase of the protective equipment before and after the special rectification of radiation protection of June 2016( before rectification) and September 2017( after rectification) was compared. Results: After using the PDCA cycle,the rate which the workers wear personal dosimeter increases from 85.71% to 100% and treatment technicians equipped with the dose alarming device range from 50% to 100.0%. The new employee rate with the radiation training goes from 90% to 95. 7%,and the situation marked with radiological protection warning increase 2. Not only the number of Training increase from 3 to7,but also the number of protective equipment configuration increases 6. Conclusion: The experience from PDCA cycle mode involving in my radiological protection management system can promote my radiological staff to strengthen their own protection,improving the level of radiological protection and the quality of medical treatment.
作者
王继平
杨志勇
袁红
陈传喜
Wang Jiping;Yang Zhiyong;Yuan Hong;Chen Chuanxi(Huanggang Central Hospital,Huanggang Hubei,438000)
出处
《辐射防护通讯》
2018年第3期24-28,共5页
Radiation Protection Bulletin
关键词
放射治疗
辐射防护
安全管理
PDCA循环
Radiation therapy
Radiation protection
The radioactive safety management
PDCA cycle
