品管圈降低肝胆外科非计划再手术发生率的应用研究

Research on the Application of Quality Control Circle in Reducing the Incidence of Unplanned Reoperation in Hepatology Department

目的降低肝胆外二科非计划再次手术发生率。方法综合运用品管圈的管理方法,分析影响非计划再次手术的主要原因,制定针对性措施实施过程改进。结果实施改进措施后,非计划再次手术发生率由1.12%降低至0.21%,达到目标值<0.5%(P=0.045),月平均住院日由14.32天缩短至10.52天(P<0.001)。结论品管圈管理方法的应用显著降低非计划再次手术发生率,缩短患者平均住院日,有利于提升手术质量,减少不良事件发生,保障患者生命安全。

Objective To reduce the incidence of unplanned reoperation in Hepatology Department. Methods Quality Control Circle was applied to investigate and analyze the causes associated with unplanned reoperation, and the critical factors are improved. Results The incidence of unplanned reoperation dropped from 1.12% to 0.21%, achieved the target value〈0.5% （P=0.045） . The average length of stay shortened from 14.32 to 10.52 days （P〈0.001） . Conclusion Quality Control Circle significantly reduced the incidence of unplanned reoperation, shortened the average length of stay, en-hanced the quality of operation, reduced the occurrence of adverse events, and ensured the safety of patients.