基于精细化管理的“6S管理”对NICU仪器设备使用过程质量控制的影响

Impact of "6S Management" Based on the Delicacy Management on the Quality Control of Equipment in NICU

目的将基于精细化管理的"6S管理"应用于神经外科重症监护室(Neurosurgical Intensive Care Unit,NICU)仪器设备中,优化NICU仪器设备管理流程,促进NICU仪器设备质量持续改进,同时提高全体人员的操作技能水平,进而更好地服务患者。方法 2017年1月至2017年12月之间,在医院"三甲复审"仪器管理规定之上进一步建立仪器三级质控管理小组,并与"6S管理"以及"精细管理"有效结合。我们通过建立完善的管理制度及运用科学的管理方法,使NICU所有仪器设备在使用、维修、培训等各个环节形成标准化管理模式,并准确记录仪器故障、维修时限及医护人员使用仪器满意情况。结果实施后,医护人员使用仪器满意度由65.2%升至84.8%,仪器送修维修时间由8.3 d降至4.4 d,仪器设备故障率由31.5%降至18.2%,全科医务人员使用仪器技能及熟练程度明显提高,报废仪器数量也明显减少。结论基于精细化管理的"6S管理"管理模式,可最大限度保证仪器设备临床使用的安全性,同时可进行现场回顾,对存在问题及时整改,能够有效降低仪器故障发生率,缩短仪器维修时间,提高护士使用仪器的满意度,医护人员临床技能也明显提高。

Objective To optimize the management of neurosurgery ICU instrument and equipment, improve the quality control of ICU instrument and equipment, and improve the operational skills of all the staff so as to better serve the patients. Methods From January 2017 to December 2017, an instrument level III QC team based on the instrument management requirements and effectively integrating with "6 S Management" and trail management was established. Through the establishment of a sound management system and the use of scientific management methods, we have standardized management of all aspects of the use,maintenance and training of all instruments and equipment in the neurosurgery ICU and accurately recorded the instrument failure, the time limit for maintenance and the equipment satisfaction of medical staff. Results After the implementation of standardized management, the degree of satisfaction of medical staff increased from 65.2% to 84.8%, the time for repairing and repairing instruments decreased from 8.3 d to 4.4 d, and the failure rate of equipment and instruments dropped from 31.5% to 18.2%.The general medical staff significantly improved the use of equipment skills, and the scrapped equipment was also significantly reduced.Conclusion Standardized management of ICU instrumentation modes ensures that all instrumentation and equipment are safe for clinical use, while on-site reviews and timely corrections of problems can reduce the incidence of instrumental failures, shorten instrumentation maintenance time, and increase the instrument use satisfaction of nurses, the clinical skills of medical staff to use the device also increased significantly.