品管圈活动延长血滤器平均使用时间的效果观察

Effect observation of QCC on prolonging average use time of blood filter

目的：应用品管圈活动,延长血滤器平均使用时间,以保证连续性血液净化治疗的顺利进行,为患者提供持续、有效的脏器功能支持。方法成立品管圈,依照品管圈活动步骤运用各种品管圈工具和手法,根据选定的主题,设计各类查检表进行血滤器平均使用时间的现状调查及血滤器使用时间影响因素解析,通过建章立制、规范培训、技术更新、医护一体化协作等相应对策,对延长血液净化治疗中血滤器使用时间的方法进行综合管理,并将活动前、后的血滤器平均使用时间进行效果评价。结果通过小组成员拟定的相应对策的实施,血滤器平均使用时间由改善前的11.83 h延长至22.78 h,目标达成率为140％,进步率达到92％。结论在血液净化治疗过程中,通过品管圈活动的开展,能够有效延长血滤器平均使用时间,保证连续性血液净化治疗的顺利进行。

Objective Applying quality control circle（ QCC） activities to prolong the average use time of blood filter, and to ensure the smooth progress of continuous blood purification treatment, which could provide patients with sustained and effective viscera function support. Methods QCC group was established. In accordance with QCC steps, various quality control tools and techniques were used. Based on the selected theme, several kinds of check lists were designed to survey the average use time of blood filter and its influence factors. Technologies prolonging the average use time of blood filter, such as building rules and regulations, standardized training technical updates and medical integration were comprehensively managed. Average use time of blood filter before and after QCC were evaluated. Results Through the implementation of corresponding countermeasures which were formulated by team members, average use time of blood filter improved from 11.83 h before QCC to 22.78 h after QCC, with the target yield rate 140%, improvement rate 92%.Conclusions In the course of blood purification therapy, QCC can effectively prolong the average use time of blood filters, and ensure the smooth progress of continuous blood purification.