QCC管理法在手术器械包管理中的应用

摘要

目的：探讨QCC管理法在手术器械包管理中的应用效果，提高医院护理管理质量，减少不良事件的发生。方法：成立QCC管理小组，制定QCC管理法相关知识学习计划，选定本次活动的主题内容，对现存的问题进行调查归纳，分析、总结出手术器械包管理中存在的问题的原因，制定一系列相应的对策并实施，对手术器械包管理进行持续质量改进。对比分析QCC管理法实施前后手术器械包管理存在的问题以及外科手术医生对消毒供应中心工作的满意度。结果：QCC管理法实施后，存在缺陷的手术器械包共23件，传统管理方法下缺陷手术器械包共51件，两组比较差异有统计学意义（P<0.05），其中两组的器械包内器械清单未及时更新、器械包签名潦草比较，差异均有统计学意义（P<0.05）。两组手术室护士中途补充器械物品次数比较，差异有统计学意义（P<0.05）。在传统管理方法下，外科手术医生对消毒供应中心工作的满意度为88.00%，明显低于QCC管理法实施后的99.00%，差异有统计学意义（P<0.01）。结论：QCC管理法能够有效提高手术器械包管理质量，显著降低手术器械的人为耗损，降低医疗资源的消耗，值得临床推广。%Objective:To explore the application effect of QCC management in the management of surgical instrument package,improve the quality of nursing management in hospital,and reduce the incidence of adverse events.Method:QCC management group was established,QCC management method related knowledge learning plan was formulated,the theme of this activity was selected,the existing problems were investigated,summarized and analyzed,and the causes of the problems existed in the management of surgical instrument package were summarized,made a series of corresponding countermeasures and implement,carried on the continuous quality improvement to the surgical instruments package management.The problems in the management of surgical instrument package before and after the implementation of the QCC management method and the satisfaction of the surgeon to the disinfection and supply center were analyzed and compared.The number of nurses in the operation room to supplement the instrument and equipment in two groups compared,the difference was statistically significant(P<0.05).Result:After the implementation of the QCC management method,there were 23 cases of defects of surgical instrument packages,51 cases of defects in the traditional management method,there were significant differences between the two groups(P<0.05),in equipment package equipment list has not been updated and kit signature illegible of the two groups were compared,the differences were statistically significant (P<0.05).In the traditional management method,the surgeon's satisfaction to the disinfection supply center was 88.00%,which was significantly lower than 99.00%of the QCC management method after the implementation,the difference was statistically significant(P<0.01).Conclusion:QCC management method can effectively improve the quality of surgical instrument package management,surgical instruments significantly reduce the man-made wear and tear and reduce the consumption of medical resources,it is worthy of clinical promotion.