根本原因分析法在手术器械准备管理中的应用

摘要

目的 探讨根本原因分析法在提高手术器械准备管理的应用效果.方法 应用根本原因分析法对本院手术室手术器械准备管理情况进行分析.找出器械准备错漏的近端原因,确认根本原因,拟定和实施对策.比较根本原因分析法实施前后手术器械准备完好率的差异.结果 手术器械准备的完好率从实施根本原因分析法前96.0％提高到98.6％,实施前后比较,差异有统计学意义(P＜ 0.001).结论 根本原因分析法可协助手术室管理者找出手术器械准备管理流程方面存在的问题,从而达到改进工作程序,提高手术器械准备完好率的目的.%Objective To investigate the application of fundamental cause in the preparation of surgical instruments.Methods The fundamental cause analysis method was used to analyze the situations of improper preparation of surgical instruments in the operation room to analyze the fundamental causes and work out countermeasures.The preparation of surgical instruments before and after the implementation was compared.Result The qualification rate of surgical instruments increased from 96.0％ before the implementation to 98.6％ after the implementation,with statistically significant difference (P＜0.001).Conclusion The fundamental cause analysis can help the operation room to find out the problems in the surgical equipment preparation process so as to improve the working procedures and the qualification rate of prepared surgical instruments.