品管圈在提高前列腺癌穿刺检出率中的应用

Application of quality control circle in improving prostate cancer detection rate by puncture biopsy

目的探讨品管圈活动在提高前列腺癌穿刺检出率中的应用效果。方法宁波市鄞州第二医院超声科于2022年4月至9月开展以“多学科联合提高前列腺癌穿刺检出率”为主题的品管圈活动。收集2022年4月11日至2022年4月22日内60例前列腺穿刺操作患者的资料,分析影响前列腺癌穿刺检出率的主要原因,讨论并制订相应对策,实施拟定对策;收集2022年8月1日至2022年8月14日内60例前列腺穿刺操作患者的资料进行效果确认,计算目标达成率和进步率,标准化持续实施。收集品管圈实施前(2022年3月1日至3月31日)和品管圈实施后(2022年10月1至10月30日)1个月内前列腺穿刺患者资料,计算前列腺癌穿刺检出率(穿刺病理确诊前列腺癌例数与穿刺总例数之比),采用χ^(2)检验比较品管圈活动前后前列腺癌穿刺检出率的差异。结果对策实施后,目标达成率为107.3%,进步率达65.3%。品管圈实施后1个月内穿刺总例数为141例,其中穿刺病理确诊前列腺癌例数为76例,前列腺癌穿刺检出率为53.9%,品管圈实施前1个月内穿刺总例数为154例,其中穿刺病理确诊前列腺癌42例,前列腺癌穿刺检出率为27.3%,品管圈实施后前列腺癌穿刺检出率高于实施前,差异具有统计学意义(χ^(2)=21.746,P<0.001)。结论通过开展品管圈活动规范前列腺穿刺操作流程,有效提高了前列腺癌穿刺检出率。

Objective To explore the effect of quality control circle activities in improving the detection rate of prostate cancer by puncture biopsy.Methods The Department of Ultrasound,Yinzhou Second Hospital carried out quality control circle activities from April to September 2022,with the theme of"multidisciplinary joint improvement of prostate cancer detection rate by puncture biopsy".The data of 60 patients who underwent prostate puncture from April 11,2022 to April 22,2022 were collected to analyze the main reasons affecting the prostate cancer detection rate by puncture biopsy,discuss and formulate corresponding countermeasures,and implement the formulated countermeasures.The data of 60 patients who underwent prostate puncture from August 1,2022 to August 14,2022 were collected to confirm the effect,calculate the goal achievement rate and progress rate,and standardize and continue to implement the countermeasures.The data of patients who underwent prostate puncture before(March 1 to March 31,2022)and within one month after the implementation of the quality control circle activities(October 1 to October 30,2022)were collected to calculate the detection rate of prostate cancer,and theχ^(2) test was used to compare the changes in the prostate cancer detection rate by puncture biopsy between before and after implementing the quality control circle activities.Results After the implementation of the countermeasures,the goal achievement rate was 107.3%,and the progress rate was 65.3%.The total number of punctures in one month after the implementation of the quality control circle activities was 141,including 76 cases of prostate cancer diagnosed by puncture pathology,and the puncture detection rate of prostate cancer was 53.9%.The total number of punctures in the month before the implementation of the quality control circle activities was 154,including 42 cases of prostate cancer diagnosed by puncture pathology,and the detection rate of prostate cancer was 27.3%.The difference in the detection rate of prostate cancer was statistically significant between before and after implementing the quality control circle activities(χ^(2)=21.746,P<0.001).Conclusion Quality control circle activities have been carried out to standardize the operation process of prostate puncture,and the detection rate of prostate cancer by puncture biopsy has been effectively improved.