PDCA循环法在消毒供应室质量管理中的应用

Application of PDCA cycle for quality management in central sterile supply department

目的探讨PDCA循环法在消毒供应室质量管理中的应用效果。方法 2015年7月开始实行PDCA循环,分别抽取PDCA循环实施前(2015年1月—6月)和PDCA循环实施后(2015年7月—12月)消毒供应室工作流程中400例器械样本进行测试,对比工作人员消毒液使用、手术器械包装、手术器械消毒和消毒用品合格情况。采用自制问卷调查医院相关科室对供应室消毒供应工作的满意度。结果实施PDCA循环之后,消毒供应室的各项工作的合格率较PDCA循环实施前提高,差异有统计学意义(P<0.01);实施PDCA循环后相关科室对供应室消毒供应工作的满意度为92.73%,高于实施前的69.09%,差异有统计学意义(P<0.05)。结论实施PDCA循环管理能优化消毒供应室工作流程,改善消毒工作质量。

Objective To investigate the effect of PDCA cycle on quality management in cen-tral sterile supply department. Methods The operation process in central sterile supply department was improved by PDCA cycle between July 2015 and December 2015. Four hundred pieces of steri-lized surgical instruments were selected before implementation of PDCA （between January 2015 and June 2015） and after implementation （between July 2015 and December 2015） respectively, for quali-ty assessment of disinfectant usage, package, sterilization and quality of sterilized products. The self-made questionnaire was used to investigate the satisfaction degree of medical staffs from other depart-ment. Results The qualification rate in each process mention above was increased after implementa-tion compared with that before implementation （ P 〈0. 01） . The satisfaction rate of medical staffs from other departments was 92.73% after implementation and was 69. 09% before implementation, with a significant difference （ P 〈 0. 05 ） . Conclusion The implementation of PDCA cycle in central sterile supply department can effectively improve the working efficacy and sterilization quality.