P DCA持续改进方法在消毒供应中心管理中的应用.pdfVIP

·管理·教育· PDCA持续改进方法在消毒供应中心管理中的应用 祝美珍 周淑萍 陈惠蓉 周霞 315041 浙江省宁波市医疗中心李惠利医院消毒供应中心(祝美珍、陈惠蓉、周霞);315100 宁波市卫生职业技术学院护理学院外科教研组(周淑萍) 通信作者:祝美珍,Email:zhumeizhen040327@ 163.com DOI:10.3760 / cma.j.issn.1674-2907.2016.29.032 【摘要】 目的 探讨 PDCA持续改进方法在消毒供应中心管理中的应用效果。 方法 以宁波市某 三级甲等综合性医院的消毒供应中心作为研究对象,于 2014年 3 月开始实施 PDCA 持续改进方法。 分 别以 PDCA应用前后工作情况作为干预前和干预后,对干预前后消毒供应中心工作人员的职业防护知 识,供应质量以及其他科室对供应中心工作的满意度进行评估。 结果 干预后工作人员职业防护知识 总分显著高于干预前,差异有统计学意义( t= 11.906,P0.05);干预后病区诊疗包、敷料包和手术器械包 合格率显著高于干预前,差异有统计学意义(χ2 值分别为 9.411,23.762,8.543;P0.05);干预后剪刀、持 针器和止血钳清洗合格率显著高于干预前,差异有统计学意义(χ2 值分别为 8.294,21.183,16.061;P 0． 05);干预后护理人员对消毒供应中心满意度高于干预前,差异有统计学意义(χ2 = 6.854,P0.05)。 结论 PDCA持续改进方法可有效提高医院消毒供应中心的供应质量,改善医院其他科室对供应中心的 满意度,有利于医院医疗水平的提高。 【关键词】 消毒供应中心; 管理; PDCA Application of PDCA continuous improvement method in the management of CSSD Zhu Meizhen, Zhou Shuping, Chen Huirong, Zhou Xia Central Sterile Supply Department, Ningbo City Medical Treatment Center Lihuili Hospital, Ningbo 315041, China (Zhu MZ, Chen HR, Zhou X); Teaching Group of Surgery, School of Nursing, Ningbo College of Health Sciences, Ningbo 315100, China (Zhou SP) Corresponding author:Zhu Meizhen, Email:zhumeizhen040327@ 163.com 【Abstract】 Objective To explore the application effect of PDCA continuous improvement method in the management of central sterile supply department (CSSD). Methods CSSD of a tertiary hospital in Ningbo was selected as the research object, and the PDCA continuous improvement method was began to implemented from March 2014. The occupational protection knowledge, supply quality and the satisfaction degree of other departments were evaluated before and after the application of PDCA.Results The total score of occupational protection knowledge after implemention of PDCA were significantly higher than before ( t = 11.906,P0.05); the qualification rate of medical package, dressing package and surgical appliances bag was significantly higher than the data before intervention ( χ2 = 9. 411,23. 762,8. 543;P 0. 05); the qualificatio