PDCA环节质控管理在外来手术器械管理中的应用

Application of plandocheckact cycle in quality management for loaner surgical instruments

摘要:

目的了解外来手术器械管理现状，评价PDCA环节质控管理对外来手术器械的管理效果。方法2011年7月—2012年6月某院实行PDCA环节质控管理前的8 965件外来手术器械作为对照组；2012年7月—2013年6月实行PDCA环节质控管理后的8 564件外来手术器械作为观察组，对外来手术器械使用过程中存在的缺陷，以及PDCA环节质控管理对外来手术器械的管理效果进行分析。结果外来手术器械在检测追踪、清洗质量和公司人员等方面存在问题。观察组的合格率为99.36%，高于对照组的96.27%，两组比较差异有统计学意义（χ2=194.74，P＜0.01）。观察组不合格的原因主要为清洗不合格（21件，38.18%）和器械功能不全（8件，14.55%）；而对照组不合格的原因为数量缺失（81件，24.25%）、监测及记录缺失（71件，21.26%）、清洗不合格（55件，16.47%）和湿包（54件，16.17%）等。结论PDCA环节质控是外来手术器械质量管理的有效手段，有助于建立持久有效的外来手术器械质控机制，并使该院外来手术器械管理工作科学化、制度化、流程化、规范化。

Abstract:

ObjectiveTo investigate the management status of loaner surgical instruments, and evaluate the effect of plandocheckact cycle (PDCA) quality control on loaner surgical instrument management. MethodsFrom July 2011 to June 2012, 8 965 pieces of  loaner surgical instruments before adopting PDCA quality control management was as control group; from July 2012 to June 2013, 8 564 pieces of loaner surgical instruments adopting PDCA quality control was as observation group. The defects of loaner surgical instruments during application process and effect of PDCA quality control on loaner surgical instrument management were analyzed. ResultsThere were many problems in checkingtracking，cleaning quality and company personnel of loaner surgical instruments. The qualified rate of observation group was higher than that of control group(99.36% vs 96.27%)（χ2=194.74，P＜0.01）.The main causes for unqualification of observation group were unqualified cleaning （n=21 ，38.18%） and incomplete function of  instruments（n=8，14.55%）；while the main causes for unqualification of control group were the loss of instruments（n=81，24.25%），lack of monitor and record （n=71，21.26%），unqualified cleaning（n=55，16.47%）and the soaking of package（n=54，16.17%）. ConclusionPDCA quality control is an effective method for loaner surgical instruments management，it is helpful for  building longterm effective quality control system for loaner surgical instruments, and make  loaner surgical instrument management more scientific， systematic, and standard.