| 李霞,张小燕,陈丽娜.追踪法结合PDCA对提高供应室工作质量的影响[J].上海护理,2017,17(7): |
| 追踪法结合PDCA对提高供应室工作质量的影响 |
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| DOI： |
| 中文关键词: 追踪法 消毒供应中心 工作质量 |
| 英文关键词:Tracking method Central sterile supply department Quality of work |
| 基金项目: |
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| 中文摘要: |
| 目的 探讨实施追踪法,结合常规PDCA质量自查程序对供应室工作质量的影响。方法 选取2015年1月—3月临床科室灭菌器械包84例,为对照组；选取2015年4月—6月临床科室灭菌器械包84例,为观察组,对照组按常规PDCA质量自查程序改进；观察组按常规程序进行,并每周3次在器械包清洗后、包装后、发放后分别随机抽取10个包追踪反馈；手术室护士长每周1次实施追踪督查；督查结果即时反馈并分析改进,于每月下旬开展灭菌器械包质量与追溯登记情况评价。结果 追踪干预后质量评价结果,观察组器械清洗质量(96.4%),物品包装质量(98.8%)和无菌包灭菌发放质量(98.8%)明显高于对照组合格率(79.8%),(85.7%),(88.1%),差异有统计学意义(P<0.05)；无菌包、低温等离子灭菌器械和纸塑包装器械登记完整率分别为(100%),(100%),(98.8%),明显高于对照组(92.9%),(91.7%),(89.3%),差异有统计学意义(P<0.05)。结论 追踪法干预能有效提升供应室工作质量,有利于供应室服务质量与流程持续改进。 |
| 英文摘要: |
| Objective To implement tracking method, combined with conventional PDCA quality inspection procedures on the quality of the supply room work. Methods select 2015 January – March, 84 cases clinical department each sterilization equipment package, as the control group; Selection in April 2015 - June 84 cases of clinical departments sterilization equipment package, as the observation group, control group according to the conventional PDCA quality inspection process improvement; Observation group according to the conventional PDCA quality inspection procedures, and three times a week after the equipment package after cleaning, packaging, distribution random respectively after 10 package tracking feedback; Operating room head nurse 1 times a week to implement tracking supervision; Inspection result on the day of instant feedback and analysis of improvement, than the end of each month to carry out the sterilization equipment package quality and traces the registration situation assessment. Results follow up quality evaluation results after the intervention, the observation group equipment cleaning (96.4%), quality goods packaging quality sterile package sterilization (98.8%), and issue quality is significantly higher than the control group (98.8%) percent of pass (79.8%), (85.7%), (88.1%), the difference was statistically significant (P < 0.05); Aseptic package, low temperature plasma sterilization equipment and paper-plastic packaging equipment registration complete rate (100%), respectively (100%), (98.8%), significantly higher than the control group (92.9%), satisfaction (91.7%), (89.3%), the difference was statistically significant (P < 0.05). Conclusion Tracking method intervention can effectively enhance working quality of supply room, supply room service quality and continuous improvement process. |
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