评价“4S”管理在重症医学科设备及导管管理中的应用价值

Evaluation of the Application Value of"4S"Management in the Management of Equipment and Catheters in the Intensive Care Department

目的评估重症医学科设备、导管行“4S”管理的作用。方法以重症医学科20名工作人员为样本,均负责设备及导管使用工作,在不同时期内予以不同的管理措施,即在2020年8月-2021年1月期间予以常规管理作为常规组,而在2021年2-8月予以"4S"管理作为管理组,评估管理质量,统计该时间段内的设备、导管使用不良事件,并调查管理满意度。结果管理组的设备及导管的管理质量比参考组高,差异有统计学意义(P<0.05)。管理组设备故障率为1.00%,操作不当率为3.00%,连接不当率为1.00%,低于参考组(7.00%、12.00%、8.00%),差异有统计学意义(P<0.05)。管理组导管堵塞率为1.00%,未出现非计划性拔管,导管扭曲率为2.00%,导管滑脱率3.00%,低于参考组(7.00%、4.00%、9.00%、11.00%),差异有统计学意义(P<0.05)。管理组导管的管理满意度为96.00%,高于参考组(87.00%),差异有统计学意义(P<0.05)。结论“4S”管理下能增强管理技能,减少导管、设备使用不合理事件,可维持较高的管理满意度。

Objective To evaluate the role of"4S"management of critical care equipment and catheters.Methods A sample of 20 staff in the Department of Critical Care Medicine,all responsible for the use of equipment and catheters,were given different management measures in different periods,that is,they were routinely managed from August 2020 to January 2021 as the routine group,while in the From February to August 2021,"4S"management will be used as the management group to evaluate the management quality,count the adverse events of equipment and catheter use during this time period,and investigate the management satisfaction.Results The management quality of equipment and catheters in the management group was higher than that in the reference group,and the difference was statistically significant(P<0.05).The equipment failure rate of the management group was 1.00%,the improper operation rate was 3.00%,and the improper connection rate was 1.00%,which was lower than that of the reference group(7.00%,12.00%,8.00%),and the difference was statistically significant(P<0.05).The catheter blockage rate in the management group was 1.00%,no unplanned extubation occurred,the catheter twist rate was 2.00%,and the catheter slippage rate was 3.00%,which was lower than the reference group(7.00%,4.00%,9.00%,11.00%),the difference was statistically significant(P<0.05).The management satisfaction of the catheter in the management group was 96.00%,which was higher than that in the reference group(87.00%),and the difference was statistically significant(P<0.05).Conclusion"4S"management can enhance management skills,reduce unreasonable use of catheters and equipment,and maintain high management satisfaction.