摘要
目的通过基于戴明循环的高频电刀质量控制体系的建立,实现对高频电刀进行全过程的质量控制,从各个环节控制高频电刀的风险。并且通过戴明循环4个步骤的往复循环,持续改进高频电刀的应用质量,提高其安全性和有效性。方法将戴明循环的计划、执行、检查和行动4个步骤应用到高频电刀的质量控制中去,在计划阶段,采用基于风险分析的医疗设备评分系统制定高频电刀的检测周期(包括日常巡检和定期检测),并确定检测内容和方法;执行阶段,按照制定好的计划对高频电刀进行质量检测,记录检测结果;检查阶段,对记录的检测结果进行分析,包括单台电刀的检测结果分析、单台电刀的测量不确定度分析和总体阳性率分析;在行动阶段,根据分析结果决定对电刀采取维修、维护、报残的行动。结果有效地提高了高频电刀的应用质量,提高了临床应用的安全性和有效性,减少了不良事件的发生率。结论基于戴明循环的高频电刀质量控制体系的建立,使得高频电刀质量控制更加全面、科学、有效、更具持续性。使得电刀的应用更加安全,为临床医生和患者的安全提供了强有力的技术保障。
Objective To realize the quality control of high frequency electric knife,and control the risk of high frequency electric knife from every link through establishment of high frequency electric knife quality control system based on Deming cycle.In addition,the application quality of high frequency electric knife was continuously improved through the reciprocating cycle of the four steps of deming cycle to improve its safety and effectiveness.Methods Four steps of plan,do,check and action of Deming cycle were applied to the quality control of high frequency electric knife.In the plan stage,the testing cycle of high frequency electric knife(including routine inspection and periodic detection)was adopted by the medical equipment scoring system based on risk analysis,and the testing content and method were determined.During the do phase,the quality test of the high frequency electric knife was performed according to the planned plan,and the test results were recorded.During the check phase,the test results of the records including the analysis of the test results of the single electric knife,the measurement uncertainty of the single electric knife,and the analysis of the overall positive rate were analyzed.During the action stage,the electric knife was repaired,maintained and reported to the disabled according to the results of the analysis.Results The application quality of high frequency electric knife had been improved effectively.The safety and effectiveness of the clinical application was improved,and the incidence of adverse events was reduced.Conclusion The establishment of high frequency electric knife quality control system based on deming cycle makes the quality control system of high frequency electrotome more comprehensive,scientific,effective and more sustainable.And it makes the application of electric knife more secure and provides a strong technical guarantee for the safety of clinicians and patients.
作者
芦铭
LU Ming(Department of Medical Equipment,Beijing Jishuitan Hospital,Beijing 100035,China)
出处
《中国医疗设备》
2018年第3期60-65,共6页
China Medical Devices
关键词
戴明循环
质量控制
高频电刀
Deming cycle
quality control
high frequency electrotome