品管圈活动对腔镜手术器械报损率的影响研究

Study on the Influence of Quality Control Circle Activity on the Reported Loss Rate of Endoscopic Surgery Instruments

目的 探索应用品管圈手法对腔镜手术器械报损率的影响效果。方法 组建多部门联合的品管圈小组,选定“降低腔镜手术器械的报损率”为主题,选取改善前2022年8—10月复用腔镜手术器械3520件,其报损率2.33%,以其损坏类型作为研究对象,分析器械部件缺失和内芯、外鞘、手柄混淆的现状,进行解析并制定对策,应用愚巧法改进培训方案、创建“四点式”腔镜手术器械保养流程方法、修订细化查检表等措施。选取改善后2022年11月至2023年2月腔镜手术器械5213件为研究对象,研究其报损率来分析此次改善措施的效果。结果 改善后5213件腔镜手术器械的报损率降低至0.27%,差异有统计学意义(P<0.001),目标达成率为137.33%。对处理流程中的8种问题类型的两组数据进行比较,改善后均低于改善前,差异有统计学意义(P<0.001)。品管圈实施后,圈成员的品管圈手法、团队合作能力、沟通能力、责任心、专业能力、解决问题能力都有一定程度提升。结论 通过品管圈活动在降低腔镜手术器械报损率的同时,科学应用管理工具多部门联动规范工作流程、制定器械报损的评分标准可以落实手供同行评议督查模式,保障医疗器械使用安全,值得应用推广。

Objective To explore the effect of different ways of quality control circle on the reported loss rate of endoscopic surgery instruments.Methods A multi-department jointed quality control activity group was set up,with the objective of“reducing the reported loss rate of endoscopic surgery instruments”.A total of 3520 endoscopic surgery instruments was selected from August to October 2022,the reported loss rate of which was 2.33%.Taking the type of damage as the research object,the status quo of missing instrument parts and confusing inner core,outer sheath and handle was analyzed,and countermeasures were formulated.The Fool-Smart method was applied to improve training program.“Four-Point”maintenance process method of endoscopic surgical instruments was created and detailed inspection list was revised as well as other measures.A total of 5213 endoscopic surgery instruments from November 2022 to February 2023 after improvement were selected as the research objects,and its reported loss rate was studied to analyze the effect of the improvement measures.Results The reported loss rate of 5213 endoscopic surgery instruments after improvement decreased to 0.27%,and the difference was statistically significant(P<0.001).The target achievement rate was 137.33%.The two groups of data of 8 types of problems in the processing process were compared,and the difference was statistically significant(P<0.001).After the implementation of the quality control activity,the quality control activity techniques,teamwork ability,communication ability,responsibility,professional ability and problem-solving ability of the circle members have been improved to a certain extent.Conclusion While reducing the reported loss rate of endoscopic surgery instruments through quality control activity,scientific application of management tools and multi-department cooperation to standardize the workflow and develop the scoring standard of device loss report can help to implement the self-review and supervision mode,which will ensure the safe use of medical devices and worthy of application and promotion.