北京生物医学工程

医疗设备质量管理中PDCA循环的应用_________

PDCA cycle in quality management for medical equipment

作者：曾开奇

单位：           深圳市宝安区观澜人民医院(广东深圳518100)    

关键词： PDCA循环；医疗设备质量；质量管理

分类号：

出版年·卷·期（页码）：2013·32·3（301-306）

摘要：

目的通过PDCA循环在医疗设备质量管理中的应用，探讨其在医疗领域应用的价值。方法将本院重症医学科和呼吸ICU科在2012年5～7月的数据作为PDCA循环实施前组，2012年8～10月的数据作为PDCA循环实施后组，将两组数据进行统计分析。结果应用PDCA循环后，医疗设备质量控制的执行率由48.2%提高为98.4%(P<0.05)。医疗设备质量监测时,有状态标志悬挂、二级保养牌悬挂、设备一级保养填写、设备定期质控的执行率也分别由95.4%、82.6%、82.6%和68.1%上升到100.0%、99.8%、99.8%和98.8%(P<0.05)。其中重症医学科、呼吸ICU医疗设备质量控制执行率分别由48%、30%均提高到96%(P<0.05)。结论 PDCA循环是一项重要的质量管理工具，可有效提高医疗设备质量控制的执行率。

Objective To discuss the application of PDCA cycle in quality management for medical equipment and the value in medical field. Methods The data came from the surgical ICU and respiratory ICU of our hospital，from May to July 2012，as the group without PDCA cycle implementation，and from August to October 2012，as the group with PDCA cycle implementation. The two groups of data were statistically analyzed. Results After the application of PDCA cycle，the execution rate of medical equipment quality control increased from 48.2% to 98.4% (P<0.05). In the medical equipment quality monitoring，the execution rates of hanging state identification card，hanging secondary maintenance card，filling in the equipment level maintenance table and staff execute equipment regular quality control increased to 100.0%，99.8%，99.8%，98.8% from 95.4%，82.6%，82.6%，68.1%， respectively (P<0.05). The execution rates of medical equipment quality control in surgical ICU and respiratory ICU both increased to 96% from 48% and 30% respectively (P<0.05). Conclusions PDCA cycle is an important quality management tool that can effectively improve the execution rate of medical equipment quality control.

参考文献：

［1］Lundberg GD. Critical (panic) value notification：an established laboratory practice policy (parameter)［J］. JAMA,1990,263(5):709.

［2］Cottier C. Quality management in palliative care［J］. Ther Umsch,2012,69(2):120-125.

［3］Vogel PA，Vassilev G，Kruse B，et al. PDCA cyclus and morbidity and mortality conference as a basic tool for reduction of wound infection in colorectal surgery［J］. Zentralbl Chir,2010,135(4):323-329.

［4］Howanitz PJ，Steindel SJ，Heard NV. Laboratory critical values policies and procedures：a college of American Pathologists Q-Probes Study in 623 institutions［J］. Arch Pathol Lab Med,2002,126(6):663-669.

［5］Schneider PD. FOCUS-PDCA ensures continuous quality improvement in the outpatient setting［J］. Oncol Nurs Forum,1997,24(6):966.

［6］李幸苗. 应用PDCA循环法规范Ⅰ类切口手术预防用抗菌药物的使用［J］. 中国临床药学杂志,2012，(2):105-109.

Li Xingmiao. Standardizing uses of antibacterial drugs at perioperative period of typeⅠincision operations by using PDCA cycle［J］. Chinese Journal of Clinical Pharmacy，2012，(2):105-109.

［7］王金枝. 应用PDCA循环理论指导胰岛素泵在外科的使用和管理［J］. 护理学报,2007，(9):42-43.

［8］斯欣宇. PDCA循环理论在质量管理工作中的运用［J］. 中国检验检疫,2004，(6)：35-37.

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