PDCA模式在医院消毒供应室的应用

Application of plan-do-check-act model in hospital disinfection supply room

目的研究对于消毒供应科室实施PDCA循环护理质量管理模式的应用效果。方法该院消毒供应室于2014年5月‐2015年6月实施一般护理管理模式,于2015年8月‐2016年9月实施PDCA护理质量控制模式,同时选取上述时间段内科室在职护理人员共37例,总结两年内科室医护人员对护理质量评价,总结满意度表现,对比两组医护人员自身业务能力评分及院内感染率。结果第一年度间,医护工作者对于科室护理管理模式满意度为67.57%,第二年度医护人员满意度为91.89%,比较差异有统计学意义(P<0.05);第一年度职业防护、风险管理、细节控制及质量检验等指标评分均低于第二年度,比较差异有统计学意义(P<0.05);第二年度护理质量评分较高。科室工作者对于器械分类与回收、消毒灭菌知识、质量检查及无菌意识等指标评分第二年度均高于第一年度,比较差异有统计学意义(P<0.05)。第一年度,该院出现的院内感染例数共69例,其中因医疗器械灭菌质量较差而导致的院内感染发生24例(34.78%);第二年度经消毒供应科室实施PDCA护理质量管理后,该院感染例数共71例,其中因医疗器械质量导致的院内感染率仅为6例(8.45%),比较差异有统计学意义(P<0.05)。结论在医院消毒供应室实施PDCA循环管理模式,可有效提高科室护理管理质量评价,医护人员表示对管理模式感到满意,且自身专业技能得到提升,院内感染发生率降低。

[Objective] To study the application effect of plan-do-check-act （PDCA） cycle in nursing quality management of disinfection and supply department. [Methods] General nursing management mode was implemented in disinfection and supply department in our hospital from May 2014 to June 2015, PDCA nursing quality control mode was implemented from August 2015 to September 2016, and a total of 37 cases of the nursing staff in the department were selected, the nursing quality evaluation of medical staff in medical department in two years was summed up, the performance of satisfaction was summed up, medical staffs own business ability score of the two groups and nosocomial infection rate of the two period were compared. [Results] In the first year, the satisfaction degree of nursing staff was 67.57%, the satisfaction rate of medical staff in the second year was 91.89%, and the difference was statistically significant （P 〈0.05）; occupational protection, risk management, detail control and quality inspection and other indicators of the first year were lower than those of the second year, and the differences were statistically significant （P 〈0.05）; second year had higher nursing quality score. In the first year, the scores of classification and recycling, disinfection and sterilization knowledge, quality inspection and aseptic consciousness of the workers were lower, the scores of second year were higher, and the differences were statistically significant （P 〈0.05）. In the first year, there were 69 cases of nosocomial infection in our hospital, including a total of 24 patients （34.78%） with nosocomial infections due to poor quality of medical devices; in the second year, hospital infection occurred in 71 cases after implementing PDCA cycle in nursing quality management of disinfection supply department, among them only 6 cases （8.45%） were caused by medical equipment quality, and the difference between the two years was statistically significant （P〈0.05）. [Conclusion] The implementation of PDCA cycle management in disinfection and supply room can effectively improve the evaluation of nursing quality management, most medical staff are satisfied with the management mode, their professional skills are improved, and the incidence ofnosocomial infection is decreased.