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追踪方法学结合六西格玛管理在手术室仪器管理中的应用 被引量:1

The Application of Tracking Methodology Combined with Six Sigma Management in the Instrument Management in Operating Room
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摘要 目的探讨追踪方法学联合六西格玛管理用于手术室仪器管理的价值。方法回顾性分析2020年1月至2021年12月医院手术室仪器管理资料,按照管理方法不同分组,2020年1—12月手术室开展常规六西格玛管理设为传统组,2021年1—12月手术室开展追踪方法学联合六西格玛管理设为联合组。比较两组手术室仪器清洁质量、仪器设备完好及缺陷情况、空气质量合格情况、护理人员无菌知识掌握程度、手术室仪器管理质量、手术室首台手术开台时间、手术室护士仪器设备使用综合能力及医师满意度。结果联合组仪器消毒合格率、仪器设备完好率、污染物处置合格率均高于传统组,仪器每月使用次数多于传统组,每月维修次数与故障报损次数、仪器清洁不合格率、配套错误率均低于传统组,差异有统计学意义(P<0.05);联合组手术室护士无菌知识理论、实操部分评分均高于传统组,差异有统计学意义(P<0.05);联合组手术室仪器管理质量评分高于传统组,首台手术开台时间短于传统组,差异有统计学意义(P<0.05);联合组手术室护士仪器设备使用综合能力评分高于传统组,差异有统计学意义(P<0.05);联合组手术医师对仪器操作熟练程度、仪器运行效能、医护配合的满意率均高于传统组,差异有统计学意义(P<0.05)。结论开展追踪方法学结合六西格玛管理可提高手术室仪器设备管理质量,提升手术室护士综合能力,降低设备缺陷率、维修率,提高设备使用率,提升医师对手术室仪器操作的满意度。 Objective The value of tracking methodology combined with six Sigma management for operating room instrument management was explored.Methods With retrospective analysis of management data for hospital operating room instrument from January 2020 to December 2021,the operating rooms conducted routine six Sigma management from January to December 2020 were designated as the traditional group,and operating rooms conducted tracking methodology combined with six Sigma management from January to December 2021 were designated as the combined group,according to different management methods.The cleaning quality of operating room instruments,equipment integrity and defects,air quality compliance,nursing staff's level of aseptic knowledge,operating room instrument management quality,opening time of the first operating room surgery,comprehensive ability of operating room nurses to use equipment,and doctor satisfaction were compared between the two groups.Results The qualified rate of instrument disinfection,equipment integrity,and pollutant disposal in the combined group were higher than those in the traditional group.The instruments were used more frequently per month than in the traditional group,and the number of repairs and failure reports per month was lower than in the traditional group.The unqualified rate of instrument cleaning and matching error rate were lower than in the traditional group,and the differences were statistically significant(P<0.05);The theoretical and practical scores of sterile knowledge among operating room nurses in the combined group were higher than those in the traditional group,with statistically significant differences(P<0.05);The instrument management quality score of the combined group was higher than that of the traditional group,and the opening time of the first surgery was shorter than that of the traditional group,with statistically significant differences(P<0.05);The comprehensive ability score of operating room nurses in the combined group was higher than that in the traditional group,with a statistically significant difference(P<0.05);The surgical doctors in the combined group showed higher proficiency in instrument operation,instrument operation efficiency,and satisfaction rate with medical and nursing cooperation compared to the traditional group,with a statistically significant difference(P<0.05).Conclusion The launch of tracking methodology combined with six Sigma management can improve the quality of instrument and equipment management in the operating room,improve the comprehensive ability of nurses in the operating room,reduce the rate of equipment defects and maintenance,improve the utilization rate of equipment,and improve doctors'satisfaction with the operation of instruments in the operating room.
作者 徐云青 陈巧红 王飞 Xu Yunqing;Chen Qiaohong;Wang Fei(Taizhou Hospital of Zhejiang Province,Taizhou Zhejiang 317000,China)
机构地区 浙江省台州医院
出处 《医疗装备》 2023年第18期37-42,共6页 Medical Equipment
基金 浙江省医药卫生科技计划项目(2019KY244)。
关键词 追踪方法学 六西格玛管理 手术室仪器 管理质量 Tracking methodology Six Sigma management Operating room instruments Management quality
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