目的探究故障模式与失效分析(Failure Mode and Effects Analysis,FMEA)理论结合持续质量改进循环管理(Find-Organize-Clarify-Understand-Select-Plan-Do-Check-Act,FOCUS-PDCA)模式对消毒供应中心复用医疗器械管理质量的影响。方法以...目的探究故障模式与失效分析(Failure Mode and Effects Analysis,FMEA)理论结合持续质量改进循环管理(Find-Organize-Clarify-Understand-Select-Plan-Do-Check-Act,FOCUS-PDCA)模式对消毒供应中心复用医疗器械管理质量的影响。方法以本院2023年1—4月采用常规清洗消毒管理模式进行管理的4562件手术器械为对照组,2023年5—8月行FMEA理论结合FOCUS-PDCA模式后管理的手术器械5628件为观察组,通过FMEA理论识别管理过程中的故障模式,并通过FOCUS-PDCA持续进行针对性的改进,对比2组器械管理不合格率、丢失损坏率、环境卫生学检测情况、团队合作情况、使用满意度、院内感染发生率的差异。结果观察组的器械管理不合格率和丢失损坏率显著低于对照组,环境卫生学检测情况、团队合作情况和手术器械使用满意度显著优于对照组,且院内感染发生率显著低于对照组,差异均有统计学意义(P<0.05)。结论FMEA理论结合FOCUS-PDCA模式能够显著提升消毒供应中心复用医疗器械的管理质量,明显改善消毒供应中心环境卫生情况,还能够提升消毒供应中心工作人员之间的团队合作能力和医生对医疗器械的满意度,降低院内感染的发生率。展开更多
目的讨论计划、实施、检查、处理(plan do check action,PDCA)循环模式用于小儿肺炎门诊护理管理的效果及对患儿家属不良情绪的影响。方法收集2021年3月~2023年10月来中国医科大学附属盛京医院门诊就诊的112例小儿肺炎患儿的临床资料,...目的讨论计划、实施、检查、处理(plan do check action,PDCA)循环模式用于小儿肺炎门诊护理管理的效果及对患儿家属不良情绪的影响。方法收集2021年3月~2023年10月来中国医科大学附属盛京医院门诊就诊的112例小儿肺炎患儿的临床资料,进行回顾性分析。根据护理管理方式的不同分为对照组(n=56,行常规护理干预)和观察组(n=56,行常规护理+PDCA循环模式管理)。比较两组干预效果和患儿治疗依从性,观察两组患儿家属干预前后不良情绪和心理负担状况。结果干预后观察组患儿发热消退时间、咳嗽缓解时间、肺啰音消失时间较对照组显著缩短(P<0.05)。观察组输液不良事件发生率显著低于对照组(P<0.05)。干预后观察组患儿治疗依从性明显优于对照组(P<0.05)。干预后观察组汉密尔顿抑郁量表、汉密尔顿焦虑量表及Zarit照顾者负担量表评分均明显低于对照组(P<0.05)。结论PDCA循环模式在小儿肺炎门诊护理中临床效果显著,能明显提升患儿的治疗依从性,改善患儿家属的不良情绪及心理负担,具有临床推广价值。展开更多
Objective: the experiment will apply failure mode and effect analysis combined with PDCA cycle management to hepatobiliary surgery patients to jointly improve the nursing results of patients. Methods: the experiment s...Objective: the experiment will apply failure mode and effect analysis combined with PDCA cycle management to hepatobiliary surgery patients to jointly improve the nursing results of patients. Methods: the experiment selected the patients of hepatobiliary surgery as the object of this investigation. In terms of time period, we retrieved 120 patients who received corresponding treatment in our hospital from June 2019 to December 2020. They were divided into two groups by random number method. Patients in the control group were given routine nursing measures, while patients in the observation group were given failure mode and effect analysis combined with PDCA cycle management to compare the nursing results. Results: from the point of view of nursing quality, the incidence of nursing errors in the observation group was 1.7% and that in the control group was 6.7%, which was statistically significant (P < 0.05). At the same time, the satisfaction degree of the patients in the observation group was 98.3%, which was better than that of the control group (90.0%), and the difference was statistically significant (P < 0.05). Finally, the incidence of complications was 8.3% (5/60) in the observation group and 18.3% (11/60) in the control group, the difference was statistically significant (P < 0.05). Conclusion: the application of failure mode and effect analysis combined with PDCA circulation management mode has good effect on rehabilitation nursing of patients with hepatobiliary surgery diseases, can improve the overall quality of nursing work, and has promotional value.展开更多
文摘目的探究故障模式与失效分析(Failure Mode and Effects Analysis,FMEA)理论结合持续质量改进循环管理(Find-Organize-Clarify-Understand-Select-Plan-Do-Check-Act,FOCUS-PDCA)模式对消毒供应中心复用医疗器械管理质量的影响。方法以本院2023年1—4月采用常规清洗消毒管理模式进行管理的4562件手术器械为对照组,2023年5—8月行FMEA理论结合FOCUS-PDCA模式后管理的手术器械5628件为观察组,通过FMEA理论识别管理过程中的故障模式,并通过FOCUS-PDCA持续进行针对性的改进,对比2组器械管理不合格率、丢失损坏率、环境卫生学检测情况、团队合作情况、使用满意度、院内感染发生率的差异。结果观察组的器械管理不合格率和丢失损坏率显著低于对照组,环境卫生学检测情况、团队合作情况和手术器械使用满意度显著优于对照组,且院内感染发生率显著低于对照组,差异均有统计学意义(P<0.05)。结论FMEA理论结合FOCUS-PDCA模式能够显著提升消毒供应中心复用医疗器械的管理质量,明显改善消毒供应中心环境卫生情况,还能够提升消毒供应中心工作人员之间的团队合作能力和医生对医疗器械的满意度,降低院内感染的发生率。
文摘目的讨论计划、实施、检查、处理(plan do check action,PDCA)循环模式用于小儿肺炎门诊护理管理的效果及对患儿家属不良情绪的影响。方法收集2021年3月~2023年10月来中国医科大学附属盛京医院门诊就诊的112例小儿肺炎患儿的临床资料,进行回顾性分析。根据护理管理方式的不同分为对照组(n=56,行常规护理干预)和观察组(n=56,行常规护理+PDCA循环模式管理)。比较两组干预效果和患儿治疗依从性,观察两组患儿家属干预前后不良情绪和心理负担状况。结果干预后观察组患儿发热消退时间、咳嗽缓解时间、肺啰音消失时间较对照组显著缩短(P<0.05)。观察组输液不良事件发生率显著低于对照组(P<0.05)。干预后观察组患儿治疗依从性明显优于对照组(P<0.05)。干预后观察组汉密尔顿抑郁量表、汉密尔顿焦虑量表及Zarit照顾者负担量表评分均明显低于对照组(P<0.05)。结论PDCA循环模式在小儿肺炎门诊护理中临床效果显著,能明显提升患儿的治疗依从性,改善患儿家属的不良情绪及心理负担,具有临床推广价值。
文摘Objective: the experiment will apply failure mode and effect analysis combined with PDCA cycle management to hepatobiliary surgery patients to jointly improve the nursing results of patients. Methods: the experiment selected the patients of hepatobiliary surgery as the object of this investigation. In terms of time period, we retrieved 120 patients who received corresponding treatment in our hospital from June 2019 to December 2020. They were divided into two groups by random number method. Patients in the control group were given routine nursing measures, while patients in the observation group were given failure mode and effect analysis combined with PDCA cycle management to compare the nursing results. Results: from the point of view of nursing quality, the incidence of nursing errors in the observation group was 1.7% and that in the control group was 6.7%, which was statistically significant (P < 0.05). At the same time, the satisfaction degree of the patients in the observation group was 98.3%, which was better than that of the control group (90.0%), and the difference was statistically significant (P < 0.05). Finally, the incidence of complications was 8.3% (5/60) in the observation group and 18.3% (11/60) in the control group, the difference was statistically significant (P < 0.05). Conclusion: the application of failure mode and effect analysis combined with PDCA circulation management mode has good effect on rehabilitation nursing of patients with hepatobiliary surgery diseases, can improve the overall quality of nursing work, and has promotional value.
