5S管理法在腔镜手术器械管理中的应用

Application of 5S management method in the endoscopic surgical instruments

目的探讨5S管理法在腔镜手术器械管理中的应用效果。方法为推进护理管理的科学化和规范化,2013年起,医院在腔镜手术器械管理中实施5S管理,对专科人、物、环境进行规范化管理,比较管理前后腔镜器械的管理质量、护士的工作能力以及医护人员满意度的变化。结果 5S管理后,腔镜器械的准备完好率、放置的规范率、器械准备的及时性、有效使用率、清洗合格率、包装合格率、无菌物品抽样合格率均高于实施前,器械损耗率低于实施前,有统计学意义(P<0.05)。管理后,护士的器械清洗流程、器械用途、拆卸与安装方法知晓以及服务态度得分、医生满意度、护士满意度均高于实施前,有统计学意义(P<0.05)。结论 5S管理法能够有效改善腔镜器械的管理质量和有效利用率,提高医护人员的满意度。

Objective Discuss the application effect of 5S management method in endoscopic surgical instruments. Method 5S management has been carried out since 2013 to promote scientization and standardization of nursing management. Standardized management was taken on people, objects, environment and compared the management quality of endoscopic surgical instruments, the nurse＇s working ability and medical staffs＂ satisfaction with those before the implementation of 5S management. Results After implementing 5S management, qualification rate of preparation for surgical endoscopic instruments, specification rate of placement, the timeliness of instrument preparation, effective utilization rate, qualification rate of cleaning, packaging and aseptic materials sampling were higher than those before while instrument loss rate was lower with statistical significance （P〈0.05）. The awareness of nurse instrument cleaning process, instrument use, the awareness of disassembly and installation method and medical staffs＂ satisfaction were higher than those before with statistical significance （P〈0.05）. Conclusion 5S management method could effectively improve the management quality and effective utilization of endoscopic instruments and improve the medical staffs＂ satisfaction.