目视管理在胸外科精密器械管理中的运用

Application of Visual Management in the Management of Precision Instruments in Thoracic Surgery

目的:研究分析将目视管理应用在胸外科精密器械管理中的使用效果。方法:选择本院在2021年1月~12月未实施目视管理的80件胸外科精密器械作为对照组,按照医院常规精密器械管理流程实施管理;将本院2022年1月~12月接受目视管理的100件胸外科精密器械作为实验组,结合医院管理流程加上目视管理方法进行专科分类、规范使用等方式管理胸外科精密器械,对比分析两组精密器械的缺损情况、包装合格情况、使用拿取出错情况、器械分类、回收情况、使用满意情况等。结果:对照组器械取用差错率和器械损耗率均远高于实验组,包装合格率明显较实验组更低,差异有统计学意义(P<0.05)。对照组的器械不良情况发生率高于实验组,差异有统计学意义(P<0.05)。精密器械的分类以及回收消耗时间对比,对照组较实验组长(P<0.05)。医护人员对精密器械的使用满意度(器械准备、使用效果以及护士配合使用)比较,实验组均高于对照组(P<0.05)。结论:将目视管理的管理方法运用在胸外科精密器械管理过程中,可以有效提高医院对胸外科精密器械的管理水平,同时还能促进医护人员对器械的使用满意度。

Objective:To study and analyze the effect of visual management in the management of precision instruments in thoracic surgery.Methods:Select 80 thoracic surgical precision instruments that were not visually managed in our hospital from January to December 2021 as the control group,and implement management according to the hospital's conventional precision instrument management process;100 precision thoracic surgical instruments that were visually managed in our hospital from January to December 2022 were selected as the experimental group.The precision thoracic surgical instruments were classified and standardized for use in combination with hospital management processes and visual management methods.A comparative analysis was conducted on the defect situation,qualified packaging,errors in use and retrieval,instrument classification,recycling,and satisfaction with use of the two groups of precision instruments.Results:Compared with those of the experimental group,the error rate of equipment access and equipment loss rate of the control group were much higher,and the qualified rate of packaging was significantly lower,and the differences between the two were statistically significant(P<0.05).The incidence of adverse device conditions in the control group was higher than that in the experimental group,and the difference was statistically significant(P<0.05).The time consumption of precision instruments classification and recovery for the control group were longer than that of the experiment group(P<0.05).Medical staff’s satisfaction rate of precision instruments application(instrument preparation,effect of use and nurses’cooperation)in the experimental group was higher than that in the control group(P<0.05).Conclusion:The application of visual management in the management of precision instruments in thoracic surgery can effectively improve the management level of precision instruments in thoracic surgery,and also promote medical staff’s satisfaction with the use of precision instruments.