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    醫學論文

    PDCA循環管理在消毒供應中心中的應用

    時間:2019年06月11日 所屬分類:醫學論文 點擊次數:

    摘要:目的:探討PDCA循環管理在消毒供應中心中的應用效果。方法:選取2015年3月~2017年2月收集樣本資料100份作為觀察組,同時選取2014年2月~2015年2月收集樣本資料100份作為對照組,對比兩組質檢情況。結果:實施后消毒供應室各環節質量檢查情況優于實施

      摘要:目的:探討PDCA循環管理在消毒供應中心中的應用效果。方法:選取2015年3月~2017年2月收集樣本資料100份作為觀察組,同時選取2014年2月~2015年2月收集樣本資料100份作為對照組,對比兩組質檢情況。結果:實施后消毒供應室各環節質量檢查情況優于實施前(P<0.05)。結論:將PDCA循環法應用于消毒供應中心管理中,可有效地提高供應室各環節質量,因此可于臨床實踐中推廣應用。

      關鍵詞:PDCA循環法;消毒供應中心;工作質量

    護理研究

      PDCA循環法最早被提出是在上個世紀50年,提出者為美國管理學家戴明,計劃、執行、檢查和處理是該方法的主要構成階段,環環緊扣的逐層上升是其具備的特有特征。現階段該方法已被廣泛的于醫院護理環節應用。消毒供應室在醫院眾多部門中,均占據重要地位,主要是因為大到醫療器械的消毒,小到醫療器械的回收都是其主要的負責對象,因此,其工作的質量和效果將會對臨床護理的質量產生重要的影響[1]。立足于此,本文特就PDCA循環管理在消毒供應中心中的應用價值做如下探究。

      1資料與方法

      1.1一般資料

      特選取2015年3月~2017年2月收集樣本資料100份作為觀察組,同時選取2014年2月~2015年2月收集的樣本資料100份作為對照組。消毒供應中心的工作人員11人,全部為女性,均具有護士資格證,平均年齡(28.5±1.3)歲,兩組的試驗均由同一批人員進行操作和實施。

      1.2方法

      對照組采用常規的消毒手段進行管理,而觀察組則使用PDCA循環法進行管理,具體如下。

      1.2.1計劃環節

      將該方法作為輔助,完成消毒供應室整體情況的調研,對于調研過程中發現的安全隱患和缺乏科學性與合理性的現象以及消毒供應中心的管理缺乏規范性的問題,設立專門的質量管理小組,對護理質量的監控體系進行完善,并且對各崗位職責人員的責任進行明確和落實,同時對于消毒供應中心中所存在的問題進行分析和討論,并有針對性地制定消毒規范方法,以保證護理管理制度的健全性。

      1.2.2實施或執行階段

      [2]由醫院布置專人對其進行監督,針對不同的消毒區域可以采用小組管理的方式,對于不同的區域,可推選出一名主要負責人員,其主要的工作職責就是完成區域的質檢工作。同時,也要在間隔固定時間范圍內,完成相關的學習和培訓工作。針對剛投入到工作中來的員工,必須嚴格完成學習與開合工作,并將其自身特點為依據,使其從事不同崗位的工作,并將工作具體的落實到每個人手中;對于需要進行消毒滅菌處理的物品進行全程監控;針對消毒后的物品進行不定期的隨機抽查。

      1.2.3檢查結段

      檢查階段應及時整改、及時指導和定期檢查。檢查的主要工作內容如下:護士長應該做到每周定期(星期五)進行日查、每天下班前進行檢查。對于區域范圍內的負責人員而言,其應該在間隔固定時間范圍北對其進行查閱,而質檢小組則應該與每月或是每個季度進行專項檢查和全方位的檢查。

      1.2.4處理階段

      將每月檢查過程中獲取的數據資料進行進行分析和歸納,通過對資料和數據的分析,共同商定出科學有效的方法和措施,以便于在余下周期開展活動的過程中,對現存的問題進行規避,以促進護理質量可以不斷的得到提升[3~4]。

      1.3觀察指標

      觀察實施PDCA前后,各環節質量檢查對比情況。

      1.4統計學處理

      在SPSS20.0統計學軟件的輔助下完成組間數據對比分析,計數資料以n(%)表示,檢驗方法為χ2。以P<0.05表示差異有顯著性的條件。

      2結果

      實施后消毒供應室各環節質量檢查情況優于實施前(P<0.05),組間對比差異顯著(P<0.05)。

      3討論

      在醫院手術操作的過程中,出現術后感染與醫院對其器械進行處理的過程有直接關系,因此手術器械的消毒工作一直都是醫院管理的核心和關鍵環節[5]。消毒供應室在醫院眾多部門中,均占據重要地位,主要是因為大到醫療器械的消毒,小到醫療器械的回收都是其主要的負責對象,信息反饋是其主要的應用原理,對質量的全面管理進行全方位地掌控,可以促進管理質量持續的得以改進,因此,將該循環方法應用于醫院的消毒工作中,可以確保消毒供應中心的質量管理。

      PDCA循環法的優勢主要體現在以下幾方面:(1)對新出現的或已經經歷過的問題,可以資料方式記載,這對于今后工作開展可提供有效的幫助;(2)有效地結合自身和其他科室在消毒工作中所出現的問題,以便于對工作中的問題盡早發現,并采取有針對性的措施[6~7]。PDCA循環法作為一種良性的循環,可以對總體目標中的某一個目標繼續實施此循環模式,它與以往的上傳下達的機械工作模式存在較大的區別[8]。

      此方法更注重良性互動,即管理人員與工作人員之間的互動,本科室與臨床科室之間的互動,因此,工作人員的積極性也會在互動中進行逐步的提升。綜上所述,將PDCA循環法應用于消毒供應中心管理中,可有效地提高護理工作質量,減少手術切口的感染率,因此,可于臨床實踐中推廣應用。

      參考文獻

      1程群,官龍建.PDCA循環管理在消毒供應中心優質護理中的應用.檢驗醫學與臨床,2017,14(2):305~307.

      2羅愛紅,黃瓊輝,段小蘭,等.PDCA循環管理模式在消毒供應中心低年資護士管理中的應用.醫學臨床研究,2014,31(7):1445~1447.

      3李麗珍.PCDA管理模式在消毒供應中心外來器械管理中的應用.護理研究,2017,31(10):1277~1278.

      4熊麗麗,姬勁峰.PDCA循環在醫院臨床藥學管理中的應用研究.數理醫藥學雜志,2017,30(2):305~306.

      5張桂芬,黃書麗.PDCA循環管理在消毒供應中心去污區的應用.西南軍醫,2016,18(6):588~589.

      6姬玉敏.淺析PDCA循環管理模式在消毒供應管理工作中的應用價值.當代醫藥論叢,2016,14(24):163~164.

      7XLei.PDCACycleintheDisinfectionSupplyCenter,theApplica-tionofContinuousQualityImprovement.ChinaHealthIndustry,2015,95(20):11834~11839.

      8TZou,JCao,BKong,etal.ApplicationofPDCACycleinManage-mentofBloodTransfusionintheDepartmentofHematology.Jour-nalofNursingScience,2014,29(12):4~6.

      護理方向刊物推薦:《護理研究》是中華護理學會及山西省衛生廳主管,中華護理學會山西分會、山西醫科大學第一醫院、山西醫科大學汾陽學院與山西科大學護理學院聯合主辦的護理類綜合性學術刊物。

      

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