PDCA循环在Ⅰ类切口手术部位感染管理中的应用效果分析

Application Effect of PDCA Cycle in the Management of Surgical Site Infection in Type I Incision

目的:分析PDCA循环模式在Ⅰ类切口手术部位感染管理中的应用效果。方法:广西医科大学附属武鸣医院于2021年1月开始实施PDCA循环管理,选取2020年1—12月接受Ⅰ类切口手术的住院患者3960例作为对照组,选取2021年1—12月接受Ⅰ类切口手术的住院患者4298例作为观察组。对照组实施常规管理,观察组实施PDCA循环管理。比较两组管理效果。结果:观察组手术时间短于对照组,差异有统计学意义(P<0.001)。观察组手术风险分级低于对照组,差异有统计学意义(P<0.001)。两组Ⅰ类切口手术部位感染率比较,差异无统计学意义(P>0.05)。结论:PDCA循环模式在Ⅰ类切口手术部位感染管理中的应用效果显著,可缩短手术时间,减少手术风险,降低手术部位感染发生率。

Objective:To analyze the application effect of PDCA circulation mode in the management of surgical site infection in Type I incision.Methods:Wuming Hospital of Guangxi Medical University started to implement PDCA cycle management in January 2021,and 3960 inpatients who underwent TypeⅠincision surgery from January 2020 to December 2020 were selected as the control group,and 4298 inpatients who underwent TypeⅠincision surgery from January 2021 to December 2021 were selected as the observation group.Control group implemented routine management,observation group implemented PDCA cycle management.The management effect of the two groups was compared.Results:The operation time in the observation group was shorter than that in the control group,and the difference was statistically significant(P<0.001);the surgical risk grade of the observation group was lower than that of the control group,and the difference was statistically significant(P<0.001);there was no significant difference in the Type I incision surgical site infection rate between the two groups(P>0.05).Conclusion:The application of PDCA circulation mode in the management of the Type I incision surgical site infection,which can shorten the operation time,reduce the operation risk and reduce the incidence of surgical site infection.