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

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.

Key words:

plandocheckact cycle; central sterile supply department; quality control; surgical instrument; management