品管圈活动对降低手术室器械运转中不良事件发生的影响
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摘要
目的:探讨品管圈活动在降低手术室器械运转中不良事件发生率的作用效果。方法:本院消毒供应中心于2015年1月引进品管圈管理方法,成立品管圈小组,进行品管圈知识培训,针对手术室器械运转不良事件时有发生的情况,确定活动主题,分析手术室器械运转不良事件发生的原因,制定对策进行改进和优化。比较品管圈活动前后手术室器械运转不良事件发生情况。结果:开展品管圈活动后,手术室器械不良事件发生率显著低于品管圈活动前,比较差异有统计学意义(x~2=8.992,P<0.05)。结论:通过品管圈活动,可积极发挥护士工作积极性、主动性,提高手术室器械运转效率,降低手术室器械运转风险,减少不良事件的发生,提升科室之间的团结协作能力和工作质量,保证手术顺利、安全进行。
Objective:To explore the effect of quality control circle activity in reducing the incidence of adverse events in operating room operation.Method:Disinfection supply center in our hospital from January 2015 the introduction of the method of quality control management circle,QCC group was set up,through QCC knowledge training for equipment operation in operation room adverse events have occurred,determined the theme,analysis of the causes of adverse events in operation room equipment operation,formulated measures for improvement and optimization.The occurrence of adverse events during the operation of the operating room before and after the quality control circle activity were compared.Result:After the quality control circle activity,the incidence of adverse events rate in operating room was significantly lower than that of before the quality control circle activity,the difference was statistically significant( x~2=8.992,P<0.05).Conclusion:Through the quality control circle activity,the nurses can actively play the enthusiasm and initiative,improve the operating efficiency of the operating room equipment,reduce the risk of operation of the operating room equipment,reduce the occurrence of adverse events,enhance the unity and cooperation ability and quality of work,ensure smooth and safe conduct.
Objective:To explore the effect of quality control circle activity in reducing the incidence of adverse events in operating room operation.Method:Disinfection supply center in our hospital from January 2015 the introduction of the method of quality control management circle,QCC group was set up,through QCC knowledge training for equipment operation in operation room adverse events have occurred,determined the theme,analysis of the causes of adverse events in operation room equipment operation,formulated measures for improvement and optimization.The occurrence of adverse events during the operation of the operating room before and after the quality control circle activity were compared.Result:After the quality control circle activity,the incidence of adverse events rate in operating room was significantly lower than that of before the quality control circle activity,the difference was statistically significant( x~2=8.992,P<0.05).Conclusion:Through the quality control circle activity,the nurses can actively play the enthusiasm and initiative,improve the operating efficiency of the operating room equipment,reduce the risk of operation of the operating room equipment,reduce the occurrence of adverse events,enhance the unity and cooperation ability and quality of work,ensure smooth and safe conduct.
引文
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[2]李漫天,马育璇,黄俊卿,等.手术室参与消毒供应中心器械清洗包装质量管理的效果[J].现代临床护理,2014,13(3):63-65.
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[7]黄梅,夏丽莉,刘滢.降低老年慢性心力衰竭患者24 h出入量记录缺陷率的品管圈实践[J].护理学报,2017,24(2):14-17.
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[12]李培,王宝霞,韩新荣.弹性排班在消毒供应中心的实践与效果[C]//中华护理学会全国消毒供应中心发展论坛,2012.
[13]郭淑吟,张静黎.品管圈活动在手术室无菌器械台建立中的应用[J].吉林医学,2014,35(27):6119-6120.
[14]罗颖,戴旭姣,宋琳娜,等.品管圈活动提高基层医院手术器械准备完好率[J].护理学杂志,2014,29(24):40-42.
[15]陈云超,梁溪樾,骆如香,等.品管圈在降低腔镜手术器械损坏率的应用研究[J].护士进修杂志,2015,30(1):22-24.
[16]苑景,刘新明.品管圈理念在手术室医疗耗材管理中的应用[J].中华医院感染学杂志,2014,24(22):5704-5706.
[17]姚兰,唐颐,韩林.消毒供应中心持续质量改进对降低医院感染的作用[J].检验医学与临床,2014,11(8):1137-1138.
[18]陶华.消毒供应中心的规范质量管理在预防医院感染中的作用[C]//中华护理学会全国消毒供应中心发展论坛,2012.
[19]潘炜滨.品管圈活动在降低2型糖尿病住院患者低血糖发生率中的作用研究[J].现代诊断与治疗,2016,27(20):3997-3998.
[20]郑喜璇,朱琼.品管圈活动用于口腔科护理中的效果及对护理质量的价值[J].现代诊断与治疗,2015,26(22):5266-5267.
[2]李漫天,马育璇,黄俊卿,等.手术室参与消毒供应中心器械清洗包装质量管理的效果[J].现代临床护理,2014,13(3):63-65.
[3]邹祝平.品管圈活动在手术器械及耗材管理中的应用[J].护理实践与研究,2014,11(6):107-108.
[4]明细爱.消毒供应中心发放不良事件发生原因及干预措施[J].国际护理学杂志,2017,36(1):106-108.
[5]戴小丫,章敏青,郑小春,等.品管圈在手术室与供应室一体化模式中的应用[J].中华医院感染学杂志,2012,22(12):2631-2633.
[6]常淑莹,姚卓娅,李漫春,等.品管圈活动在降低手术动力器械缺陷率中的效果观察[J].护士进修杂志,2015,30(14):1271-1273.
[7]黄梅,夏丽莉,刘滢.降低老年慢性心力衰竭患者24 h出入量记录缺陷率的品管圈实践[J].护理学报,2017,24(2):14-17.
[8]邵立新,俞珍,钱萍.品管圈活动在改进医疗质量管理中的实践与探索[J].中国医学创新,2012,9(35):100-101.
[9]黄荔葵.品管圈在提高手术室护士急诊手术配合能力中的应用[J].辽宁医学院学报,2014,35(1):82-84.
[10]刘启华,杨茂,吴秀媛.“实景图片”分析法在消毒供应中心质量管理中的应用[J].中国护理管理,2013,13(9):97-99.
[11]路琴,阮蒙蒙,宋妍春,等.腹腔镜手术器械与设备的使用、保养和管理体会[J].解放军护理杂志,2009,26(10):61-62.
[12]李培,王宝霞,韩新荣.弹性排班在消毒供应中心的实践与效果[C]//中华护理学会全国消毒供应中心发展论坛,2012.
[13]郭淑吟,张静黎.品管圈活动在手术室无菌器械台建立中的应用[J].吉林医学,2014,35(27):6119-6120.
[14]罗颖,戴旭姣,宋琳娜,等.品管圈活动提高基层医院手术器械准备完好率[J].护理学杂志,2014,29(24):40-42.
[15]陈云超,梁溪樾,骆如香,等.品管圈在降低腔镜手术器械损坏率的应用研究[J].护士进修杂志,2015,30(1):22-24.
[16]苑景,刘新明.品管圈理念在手术室医疗耗材管理中的应用[J].中华医院感染学杂志,2014,24(22):5704-5706.
[17]姚兰,唐颐,韩林.消毒供应中心持续质量改进对降低医院感染的作用[J].检验医学与临床,2014,11(8):1137-1138.
[18]陶华.消毒供应中心的规范质量管理在预防医院感染中的作用[C]//中华护理学会全国消毒供应中心发展论坛,2012.
[19]潘炜滨.品管圈活动在降低2型糖尿病住院患者低血糖发生率中的作用研究[J].现代诊断与治疗,2016,27(20):3997-3998.
[20]郑喜璇,朱琼.品管圈活动用于口腔科护理中的效果及对护理质量的价值[J].现代诊断与治疗,2015,26(22):5266-5267.