PDCA循环法在消毒供应室质量管理中的应用

? 138 ?中西医结合护理（中英文）

Nursing of Integrated Traditional Chinese and Western Medicine2016年第2卷第11期P D C A循环法在消毒供应室质量管理中的应用

莫惠香，陈寒艳

(中山大学附属肿瘤医院供应室，广东广州，510060)

摘要：目的探讨PDCA循环法在消毒供应室质量管理中的应用效果。方法2015年7月开始实行PDCA循环，分别抽取PDCA循环实施前(2015年1月一6月）和PDCA循环实施后(2015年7月一 12月）消毒供应室工作流程中400例器械样本进行测试，对比工作人员消毒液使用、手术器械包装、手术器械消毒和消毒用品合格情况。采用自制问卷调查医院相关科室对供应室消毒供应工作的满意度。结果实施PDCA循环之后，消毒供应室的各项工作的合格率较PDCA循环实施前提高，差异有统计学意义(P<〇.〇l);实施PDCA循环后相关科室对供应室消毒供应工作的满意度为92.73%，高于实施前的69.09%，差异有统计学意义(P <〇.〇5)。结论实施PDCA循环管理能优化消毒供应室工作流程，改善消毒工作质量。

关键词：PDCA循环；消毒；灭菌；工作质量

中图分类号：R 197.3 文献标志码：A 文章编号：2096-0867(2016)11-0138-03 D0I: 10. 11997/nitcwm.201611052

Application of PDCA cycle for quality

management in central sterile supply department

MO Huixiang, CHEN Hanyan

(C en tra l Sterile Supply D epartm en t,S U N Y A T-S E N U niversity Cancer C enter,G ua ngzh ou,G u a n g d o n g, 510060)

ABSTRACT ：Objective To investigate the effect of PDCA cycle on quality management in cen-tral sterile supply department. Methods The operation process in central sterile supply department was improved by PDCA cycle between July 2015 and December 2015. Four hundred pieces of steri-lized surgical instruments were selected before implementation of PDCA (between January 2015 and June 2015) and after implementation (between July 2015 and December 2015) respectively, for quali-ty assessment of disinfectant usage, package, sterilization and quality of sterilized products. The self-made questionnaire was used to investigate the satisfaction degree of medical staffs from other depart-ment. Results The qualification rate in each process mention above was increased after implementa-tion compared with that before implementation ( P <0. 01) .The satisfaction rate of medical staffs from other departments was 92.73% after implementation and was 69. 09% before implementation, with a significant difference ( P < 0. 05 ) .Conclusion The implementation of PDCA cycle in central sterile supply department can effectively improve the working efficacy and sterilization quality.

KEY WORDS：PDCA cycle；disinfection；sterilization；work quality

消毒供应室主要负责各科室医疗器械和器 具的清洗、消毒、灭菌等工作，消毒供应管理是控 制医院感染的一项重要措施。随着人们对于医疗 器械、物品、器具的安全和卫生问题的关注度日趋 升高，如何提高消毒工作质量、保障灭菌物品合格 是消毒供应室工作人员的工作重点。P D C A循环 管理方法是一种持续改进的全面质量管理工作方 式，包含计划阶段(Plan)、实施阶段（Do)、检查阶 段（C h e c k)和处理阶段（A c t io n)。目前P D C A循环管理方法在护理人力资源管理、护士生实习教 育等方面得到了广泛应用[1_2]。本研究将PDCA 循环法应用于消毒供应室工作质量管理中，取得 较好效果，现报告如下。

1资料与方法

1.1 一般资料

中山大学附属肿瘤医院供应室工作人员55 名，其中男6名，女49名；年龄29 ~51岁，平均

收稿日期=2016-10-01