PDCA循环管理法在干预无痛胃肠镜检查中丙泊酚渗漏性损伤中的应用效果

Application effect of PDCA model in reducing the propofol extravasation injury in painless gastrointestinal endoscopy

目的 通过PDCA循环管理法降低无痛胃肠镜检查中丙泊酚渗漏性损伤的发生概率,以更好地将丙泊酚运用于无痛诊疗。方法综合分析无痛胃肠镜检查中丙泊酚渗漏性损伤发生的原因,采用PDCA的循环理论进行干预。记录并比较干预前(2019年3-5月)和干预后(2019年6-8月)医院内镜中心无痛胃肠镜检查中丙泊酚渗漏性损伤的发生情况,包括例数、严重程度和持续时间。结果实施PDCA期间每月抽查评估计划整改执行落实情况良好。应用PDCA管理模式后,丙泊酚渗漏性损伤发生率由管理前的0.9%降低至0.1%,严重程度较管理前下降(P <0.05),持续时间也较管理前缩短(P <0.05)。结论在降低无痛胃肠镜检查中丙泊酚渗漏性损伤的管理中,PDCA模式可有效降低其发生率。

AIM To reduce the probability of propofol leakage injury in painless gastrointestinal endoscopy by using PDCA cycle management method so as to better use propofol in painless diagnosis and treatment.METHODS The causes of propofol extravasation injury were comprehensively analyzed,the PDCA management tools were used in this study.The occurrence of propofol extravasation injury in the endoscopy center of our hospital before intervention(from March to May 2019) and after intervention(from June to August 2019) was recorded and compared,including the number of cases,severity and duration.RESULTS During the implementation of PDCA,the using status,implementation and achievement of PDCA cycle were in good condition monthly.After the implementation of PDCA,the incidence of propofol extravasation injury was decreased from 0.9% to 0.1%(P < 0.05),and the severity and length time was decreased(P < 0.05).CONCLUSION In the management of propofol leakage injury during painless gastrointestinal endoscopy,the PDCA model can effectively reduce its incidence.