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目的:探讨PDCA循环管理方法在手术清点记录缺陷管理中的应用效果。方法:将医院2014年10~12月手术清点记录缺陷例数作为对照组,2015年1~3月实施PDCA循环管理方法后的手术清点缺陷例数作为观察组进行比较,分析手术清点记录缺陷改善情况。结果:实施PDCA循环管理方法后,手术清点记录缺陷中眉栏不完整由0.48%下降到0.16%、标本填写错误由0.30%下降到0.04%、数目前后不符由0.78%下降到0.19%、数字漏填由0.91%下降到0.28%、签字不规范由0.95%下降到0.28%,差异显著(P<0.05)。结论:有效实施PDCA循环管理方法,能够明显降低手术清点记录缺陷发生率。
Objective: To explore the application effect of PDCA method in defect management of surgical inventory records. Methods: The hospital from October 2014 to December count the number of surgical inventory records as a control group, from January to March 2015 implementation of the PDCA cycle management method after the number of surgical defects as the observation group were compared to analyze the surgical inventory of defects recorded to improve Happening. Results: After the implementation of PDCA method, the imperfection of eyebrows in the inventory of surgical procedures decreased from 0.48% to 0.16%, the error of specimen filling decreased from 0.30% to 0.04%, and the number of defects did not match from 0.78% to 0.19% The leakage filling decreased from 0.91% to 0.28%, and the non-standard signature decreased from 0.95% to 0.28% with significant difference (P <0.05). Conclusion: The effective implementation of PDCA cycle management method can significantly reduce the incidence of surgical defect records.