品管圈活动在降低手术室无菌物品返消毒率中的应用研究

Application of quality control circle in reducing the instrument packaging resterilization rate in operating room

目的:评价品管圈(quality control circles,QCC)在降低手术室无菌物品返消毒中的应用价值。方法:由手术室10名护理人员建立主题为"降低手术室无菌物品返消毒率"的QCC小组。通过QCC小组活动分析手术室无菌物品返消毒的原因,制定对策并实施。比较实施QCC活动前和QCC活动后手术无菌物品返消毒率变化,评价QCC的作用。结果:实施QCC活动前,手术室无菌物品返消毒率4.72%(315/11 701);实施QCC活动后,手术室无菌物品返消毒率为2.15%(265/12 320),二者差异有统计学意义(χ2=121.23,P=0.00)。结论:实施QCC活动,可有效降低手术无菌物品的返消毒率,提高手术室的管理质量。

Objective：To evaluate the application of quality control circle（QCC）in reducing the instrument packaging resterilization rate in operating room.Method：A QCC group whose theme was reducing the instrument packaging resterilization rate was founded by ten nurses in operating room.The reasons of resterilization were analyzed by the QCC group.The measures of making corrections were done.The rate of resterilization of surgical aseptic instruments before the application of QCC was compared with that of after the application of QCC.We evaluated the effects of QCC.Result：Before the intervention of QCC,the rate of resterilization of aseptic instruments was 4.72%（315/11 701）,while after the intervention of QCC,the rate of resterilization decreased to 2.15%（265/12 320）.The difference was statistically significant（χ2=121.23,P=0.00）.Conclusion：The application of QCC can reduce the instrument packaging resterilization rate,improve the quality of the management of the operating room effectively.