应用PDCA循环法提高医院抢救物品管理质量

Application of PDCA cycle to improve the quality of materials management in emergency medical rescue

目的探讨PDCA循环管理法在提高医院抢救物品管理质量中的应用效果。方法成立专项质量考核小组,应用PDCA循环方法对医院抢救物品进行管理。比较PDCA管理实施前后医院抢救物品完备情况、护理人员使用抢救物品的满意度以及护理人员交接班检查抢救物品的时间。结果 PDCA管理后抢救物品检查得分高于PDCA管理前(P<0.01),PDCA管理后正确提取目标物品的时间短于PDCA管理前(P<0.01)。PDCA管理后抢救物品完备率100.00%,高于PDCA管理前的92.00%,差异有统计学意义(P<0.05)。PDCA管理后护理人员使用抢救物品满意度高于PDCA管理前,差异有统计学意义(P<0.01)。PDCA管理前护理人员交接班检查抢救物品时间(23.21±3.72)min/次,PDCA管理后为(15.40±3.91)min/次,差异有统计学意义(P<0.01)。结论 PDCA循环管理有效提高了医院抢救物品管理质量。

Objective To investigate the effect of PDCA cycle to improve the quality of materials management in emergency medical rescue. Methods The quality assessment group w as set up,and the materials for emergency medical rescue w as managed using PDCA cycle. The completion rate of materials,satisfaction degree of nursing staff and duration of materials verification w ere compared before and after implementation of PDCA cycle. Results There w as an increased score of assessment in materials inspection and a decreased time of selecting targeted materials after implementation of PDCA cycle（ P 〈0. 01）. The completion rate of materials w as increased from 92. 00% before implementation of PDCA cycle to 100. 00% after implementation of PDCA cycle（ P 〈0. 05）. The nursing staffs w ere more satisfied w ith the materials management by using PDCA cycle（ P 〈0. 01）. It cost（ 15. 40 ± 3. 91） minutes in materials verification after implementation of PDCA cycle,w hich w as shorter than（ 23. 21 ± 3. 72） minutes before implementation of PDCA cycle（ P 〈0. 01）. Conclusion PDCA cycle is an effective tool to improve the quality of materials management in emergency medical rescue.