Yandan Wang, Xiulan Zhou, Yanqiu Zhu, Yuanmei Dan, Zeping Huang, Ling Xiang
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引用次数: 0
摘要
背景：手术器械的清洁质量直接影响患者的安全。预处理是清洗的关键步骤。本研究探讨品管圈（QCC）活动对降低手术器械预处理失效率的作用。方法：于2023年1月在我院中心无菌供应科建立了以降低手术器械预处理失败率为主题的质量中心。通过问题调查、目标设定、关键因素分析、根本原因验证、对策制定与实施，比较QCC活动前后手术器械预处理不良率。结果：实施QCC活动后，手术器械预处理不良率由2.9%（46/1568）降至1.1%(11/989)，差异有统计学意义（χ2 = 2157, P < 0.001）。结论：QCC活动为分析手术器械前处理失败的根本原因并制定对策提供了结构化的方法，从而提高器械清洁质量，保障患者安全。QCC活动还可以提高团队凝聚力，培养员工解决问题的能力。
Effect of Quality Control Circle Activities on Reducing the Failure Rate of Surgical Instrument Pre-Treatment.
Background: The quality of surgical instrument cleaning can affect patient safety. Pre-treatment is a key step in cleaning. This study investigated the effect of quality control circle (QCC) activities on reducing the failure rate of surgical instrument pre-treatment.
Methods: A QCC with a topic of reducing the failure rate of surgical instrument pre-treatment was established within the central sterile supply department of our hospital in January 2023. The failure rates of surgical instrument pre-treatment before and after the QCC activities were compared after problem investigation, target setting, critical factor analysis, root cause validation, and development and implementation of countermeasures.
Results: The failure rate of surgical instrument pre-treatment decreased significantly from 2.9% (46/1568) to 1.1% (11/989) after the implementation of QCC activities, with a statistically significant difference (χ2 = 2157, P < 0.001).
Conclusion: QCC activities provide a structured approach to analyzing the root causes of failures in surgical instrument pre-treatment and develop countermeasures, thereby improving the quality of instrument cleaning and ensuring patient safety. QCC activities could also improve team cohesion and develop staff's problem-solving skills.
期刊介绍：
Risk Management and Healthcare Policy is an international, peer-reviewed, open access journal focusing on all aspects of public health, policy and preventative measures to promote good health and improve morbidity and mortality in the population. Specific topics covered in the journal include:
Public and community health
Policy and law
Preventative and predictive healthcare
Risk and hazard management
Epidemiology, detection and screening
Lifestyle and diet modification
Vaccination and disease transmission/modification programs
Health and safety and occupational health
Healthcare services provision
Health literacy and education
Advertising and promotion of health issues
Health economic evaluations and resource management
Risk Management and Healthcare Policy focuses on human interventional and observational research. The journal welcomes submitted papers covering original research, clinical and epidemiological studies, reviews and evaluations, guidelines, expert opinion and commentary, and extended reports. Case reports will only be considered if they make a valuable and original contribution to the literature. The journal does not accept study protocols, animal-based or cell line-based studies.
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