摘要
目的探讨PDCA循环法在医院手术器械清洗中的应用效果。方法选取2018年1~12月我院消毒供应中心处理的100件各类手术器械,并与30名工作人员组成观察组,实施PDCA循环法;选取2017年1~12月我院消毒供应中心处理的100件各类手术器械,并与30名工作人员组成对照组,实施常规管理法。观察并比较两组的手术器械清洗合格率、科室工作人员理论知识及操作技能评分、手术室器械管理情况,统计科室工作人员的满意度情况。结果观察组的手术器械清洗合格率高于对照组,差异有统计学意义(P<0.05)。观察组科室工作人员的理论知识和操作技能评分均高于对照组,差异有统计学意义(P<0.05)。观察组科室工作人员的总满意度高于对照组,差异有统计学意义(P<0.05)。观察组的手术室器械数量缺失、术后器械遗失、器械灭菌后湿包率均低于对照组,差异有统计学意义(P<0.05)。结论在医院手术器械清洗中应用PDCA循环法,能够提高医院手术器械清洗合格率,同时提高工作人员的专业水平,提升科室满意度,可在临床中大力推广并使用。
Objective To explore the application effect of PDCA circulation management method in hospital surgical instruments cleaning.Methods From January to December 2018,100 surgical instruments of various types were selected from the disinfection supply center of our hospital,and an observation group was formed with 30 staff members to implement PDCA circulation management method.From January to December 2017,100 pieces of various surgical instruments were selected from the disinfection supply center of our hospital,and a control group was formed with 30 staff members to implement the routine management method.The qualified rate of surgical instrument cleaning,the score of theoretical knowledge and operation skills of department staff,the management of operating room equipment,and the satisfaction of department staff were observed and compared.Results After management,the qualified rate of surgical instrument cleaning in the observation group was higher than that in the control group,with statistically significant difference(P<0.05).The scores of theoretical knowledge and operational skills of the staff in the observation group were higher than those in the control group,with statistically significant differences(P<0.05).The total satisfaction of the staff in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).In the observation group,the loss of the number of operating room instruments,the loss of postoperative instruments and the wet bag rate after sterilization were all lower than those in the control group,with statistically significant differences(P<0.05).Conclusion The application of PDCA circular management method in the cleaning of surgical instruments in hospitals can improve the rate of clearance of surgical instruments in hospitals,improve the professional level of staff,improve the satisfaction of departments,and can be vigorously promoted and used in clinical practice.
作者
朱文强
吴雪婷
ZHU Wen-qiang;WU Xue-ting(Disinfection Supply Center,Qilu Hospital of Shandong University,Shandong Province,Ji′nan 250012,China;Operating Room,Qilu Hospital of Shandong University,Shandong Province,Ji′nan 250012,China)
出处
《中国当代医药》
2020年第2期189-192,共4页
China Modern Medicine
关键词
PDCA循环法
手术器械清洗
应用效果
满意度
管理
PDCA circulation method
Surgical instrument cleaning
Application effect
Satisfaction
Management
