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目的:评价PDCA循环管理模式在消毒供应中心(CSSD)质量控制中的运用价值。方法:采用PDCA循环管理模式,制订持续质量改进方案,比较实施PDCA循环管理模式前(2016年1月)和实施后(2016年8月)器械清洗不合格率、护士综合能力和医生的满意度。结果:实施PDCA循环管理模式后,手术器械清洗不合格率为1.17%低于实施前为1.67%(P>0.05);团队综合能力评分值为(31.53±2.33)分高于实施前为(18.32±2.13)分(P<0.05),手术医生对手术器械清洗满意度为91.38%高于实施前为74.55%(P<0.05)。结论:通过PDCA循环管理模式在CSSD中的运用,促进了全面质量改进,降低了CSSD中心器械清洗不合格率,提高了CSSD人员的综合素质和手术医生对器械清洗的满意度。
Objective: To evaluate the value of PDCA cycle management in quality control of disinfection supply center (CSSD). Methods: The PDCA cycle management model was used to develop a continuous quality improvement program. Before implementing the PDCA cycle management mode (January 2016) and after implementation (August 2016), the rate of device cleaning failure, the comprehensive ability of nurses and the doctor’s satisfaction . Results: After the implementation of PDCA cycle management model, the failure rate of surgical instruments cleaning was 1.17% lower than that before the implementation of 1.67% (P> 0.05); The score of team comprehensive ability was (31.53 ± 2.33) points higher than that before implementation (18.32 ± 2.13) points (P <0.05). Surgical doctors’ satisfaction with surgical instruments cleaning was 91.38% higher than that before the implementation of 74.55% (P <0.05). Conclusion: Through the application of PDCA cycle management model in CSSD, the overall quality improvement is promoted, the CSSD center instrument cleaning failure rate is reduced, the overall quality of CSSD staff and surgeon satisfaction with instrument cleaning are improved.