基于FOCUS-PDCA管理法的腔镜器械质量管理实践
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摘要
目的探讨FOCUS-PDCA管理法在腔镜器械使用周期中的应用,以期实现减少腔镜器械故障率及器械维修更新的成本支出。方法应用FOCUS-PDCA管理法对医院腔镜器械使用周期中的使用、消毒等各环节进行梳理,对故障类型进行分类并找出每个环节中导致腔镜器械故障的原因,从而制定并实施相应的改进措施。为更好地落实FOCUS-PDCA管理法,成立院内持续质量改进小组,全力推进改进措施的实施并对其效果进行评价。结果将FOCUS-PDCA管理法实施前后的数据进行对比,在腔镜手术量增长4.13%的情况下,腔镜器械故障率从6.18%下降到了3.22%,经χ~2检验得到P<0.01,改进效果具有统计学意义(χ2=8.403,P=0.0037<0.01),支出成本降低15.7万。结论应用FOCUS-PDCA程序可以对腔镜器械使用、消毒等环节进行有效的管理,可以有效降低腔镜器械故障率及支出成本,为同类研究提供了一定的参考价值。
Objective To explore the application of FOCUS-PDCA procedure in reducing the failure rate and costs of endoscopic instruments in the use period. Methods The FOCUS-PDCA procedure was employed for sorting out steps such as the use and sterilization of laparoscopic instruments in our hospital. The causes of damage to the laparoscopic instruments in each step were found out, and corresponding improvement measures were formulated. In addition, the continuous quality improvement team was established to promote the implementation of the improvement measures and evaluate the associated effects. Results Comparison of data before and after the implementation of the FOCUS-PDCA procedure suggested that the number of endoscopic surgery had increased by 4.13%, the failure rate of endoscopic instruments had decreased from 6.18% to 3.22%, the differences were statistically significant(χ~2=8403, P=0.0037<0.01). Conclusion The application of the FOCUS-PDCA procedure allows for effective management of steps such as the use and sterilization of endoscopic instruments, thus lowering the failure rate and costs of endoscopic instruments, which can supply certain reference value for similar studies.
Objective To explore the application of FOCUS-PDCA procedure in reducing the failure rate and costs of endoscopic instruments in the use period. Methods The FOCUS-PDCA procedure was employed for sorting out steps such as the use and sterilization of laparoscopic instruments in our hospital. The causes of damage to the laparoscopic instruments in each step were found out, and corresponding improvement measures were formulated. In addition, the continuous quality improvement team was established to promote the implementation of the improvement measures and evaluate the associated effects. Results Comparison of data before and after the implementation of the FOCUS-PDCA procedure suggested that the number of endoscopic surgery had increased by 4.13%, the failure rate of endoscopic instruments had decreased from 6.18% to 3.22%, the differences were statistically significant(χ~2=8403, P=0.0037<0.01). Conclusion The application of the FOCUS-PDCA procedure allows for effective management of steps such as the use and sterilization of endoscopic instruments, thus lowering the failure rate and costs of endoscopic instruments, which can supply certain reference value for similar studies.
引文
[1]孙育红,钱蒨健,周力,等.手术腔镜器械分类及维护保养指南[M].北京:科技出版社,2018.
[2]吴惠平,罗伟香.临床护理相关仪器设备使用与维护[M].北京:人民卫生出版社,2010.
[3]肖丽.药品零差价政策下的医院成本管理[J].中国管理信息化,2017,20(14):7-8.
[4]刘慧敏,李鹏,朱雪松,等.FOCUS-PDCA循环法干预对Ⅰ类切口预防使用抗菌药物影响的回顾性分析[J].药物流行病学杂志,2017,(5):356-359.
[5]刘安,刘远飞,张少丽,等.基于FOCUS-PDCA持续质量改进模式提高门诊预检分诊质量[J].护理学报,2016,23(23):24-26.
[6]宋凯飞,王小飞,徐宇红.FOCUS-PDCA模式在人工气道病人声门下吸引护理中的应用[J].护理研究,2017,31(19):2430-2432.
[7]王春娥,高焕新,何丽.手术器械管理与应用[M].北京:人民军医出版社,2014.
[8]王旭,张青.腹腔镜器械构造与标准操作程序[M].上海:上海交通大学出版社,2016.
[9]隋本健,王久儒.手术器械生锈原因和处理方法[J].中国医疗器械信息,2012,18(1):13-15.
[10]夏淑娇,陈彩央,张晔,等.碱性清洗剂保湿处理对手术器械防锈效果观察[J].中国消毒学杂志,2015,(8):751-752.
[11]黄梅花,郑志英,杨清清,等.术后器械放置不同时间后清洗效果的研究[J].中华医院感染学杂志,2010,20(17):2624-2626.
[12]吴可萍,崔志丹,白雪玲,等.标准操作程序在腹腔镜器械清洗质量持续改进中的应用[J].中国消毒学杂志,2 0 1 431(11):1259-1260.
[13]姜皓,王伟,张艳秋,等.腹腔镜手术器械的清洗灭菌及保养体会[J].中华医院感染学杂志,2011,(18):3896-3897.
[14]杨淑华.手术器械的维护和保养[J].医疗装备,2016,29(15):42-43.
[15]陈秀丽,周向群,李君红,等.不可拆卸腔隙类器械干燥方法的研究[J].中国消毒学杂志,2015,32(1):93-94.
[16]孙育红,钱蒨健,周力,等.手术器械分类及维护保养指南[M]北京:科学出版社,2017.
[17]董树华,施雪萍.持续质量改进在妇科腔镜器械中的应用[J]中医药管理杂志,2015,(23):56-57.
[2]吴惠平,罗伟香.临床护理相关仪器设备使用与维护[M].北京:人民卫生出版社,2010.
[3]肖丽.药品零差价政策下的医院成本管理[J].中国管理信息化,2017,20(14):7-8.
[4]刘慧敏,李鹏,朱雪松,等.FOCUS-PDCA循环法干预对Ⅰ类切口预防使用抗菌药物影响的回顾性分析[J].药物流行病学杂志,2017,(5):356-359.
[5]刘安,刘远飞,张少丽,等.基于FOCUS-PDCA持续质量改进模式提高门诊预检分诊质量[J].护理学报,2016,23(23):24-26.
[6]宋凯飞,王小飞,徐宇红.FOCUS-PDCA模式在人工气道病人声门下吸引护理中的应用[J].护理研究,2017,31(19):2430-2432.
[7]王春娥,高焕新,何丽.手术器械管理与应用[M].北京:人民军医出版社,2014.
[8]王旭,张青.腹腔镜器械构造与标准操作程序[M].上海:上海交通大学出版社,2016.
[9]隋本健,王久儒.手术器械生锈原因和处理方法[J].中国医疗器械信息,2012,18(1):13-15.
[10]夏淑娇,陈彩央,张晔,等.碱性清洗剂保湿处理对手术器械防锈效果观察[J].中国消毒学杂志,2015,(8):751-752.
[11]黄梅花,郑志英,杨清清,等.术后器械放置不同时间后清洗效果的研究[J].中华医院感染学杂志,2010,20(17):2624-2626.
[12]吴可萍,崔志丹,白雪玲,等.标准操作程序在腹腔镜器械清洗质量持续改进中的应用[J].中国消毒学杂志,2 0 1 431(11):1259-1260.
[13]姜皓,王伟,张艳秋,等.腹腔镜手术器械的清洗灭菌及保养体会[J].中华医院感染学杂志,2011,(18):3896-3897.
[14]杨淑华.手术器械的维护和保养[J].医疗装备,2016,29(15):42-43.
[15]陈秀丽,周向群,李君红,等.不可拆卸腔隙类器械干燥方法的研究[J].中国消毒学杂志,2015,32(1):93-94.
[16]孙育红,钱蒨健,周力,等.手术器械分类及维护保养指南[M]北京:科学出版社,2017.
[17]董树华,施雪萍.持续质量改进在妇科腔镜器械中的应用[J]中医药管理杂志,2015,(23):56-57.