品管圈活动降低护士对腹腔镜胆囊切除手术医用耗材管理时间的应用评价

doi:10.3969/j.issn.2095-378X.2024.04.019

Abstract

Abstract: Objective To evaluate the application value of quality control circle （QCC） activities in reducing the management time of medical consumables for laparoscopic cholecystectomy （LC） among nurses. Methods A QCC project team consisting of 9 relevant personnel was established, and the theme of the QCC activities was “Reduce the management time of LC medical consumables among nurses”. Using the inspection method, the average management time of LC medical consumables among nurses was identified. Through the fishbone diagram, the causes were analyzed, and the true causes were identified. After formulating countermeasures, the Deming cycle method was used to implement corrective measures. Results The QCC activities improved the sense of responsibility, happiness, enthusiasm, cohesion, harmony, communication and cooperation, quality control methods, and problem-solving abilities of the team members. The management time of medical consumables in the operating room was reduced from 11.7 min to 5 min, a reduction of 52.3%. Conclusion Through QCC activities, the management time of LC medical consumables among nurses is significantly shortened, with enhanced ability to quality control. The application of QCC in the field of improving consumables management during surgery is relatively rare, and this article can provide a useful reference for solving similar problems.

Key words: Quality control circle, Medical consumables management, Laparoscopic cholecystectomy, Fishbone diagram, Deming cycle

CLC Number:

R197

ZHANG Qiong, JING Zijie, QIAN Huan, SHAO Lei. Evaluation of reducing nurses' management time on medical consumables for laparoscopic cholecystectomy through quality control circle activities[J]. Surgical Research and New Technique, 2024, 13(4): 350-353.

References

[1] 贺雪梅,穆殿平. 品管圈在降低静脉用药调配中心贴签差错率的管理效果分析国[J]. 中国医院药学杂志,2020,40(11):1257-1260.
[2] 周丽萌,宋淳,李燕,等. 重症护理小组品管圈活动在俯卧位通气患者中的应用[J]. 齐鲁护理杂志,2024,30(9):34-37.
[3] 吴小娟,李娟,卓少贤,等. 品管圈护理活动对改善高向压患者服药依从性的临床效果观察[J]. 特别健康,2021(24):153.
[4] 彭楚冬雪,金艳,武俊,等. 降低骨科清创换药低值耗材占比的品管圈实践[J]. 中西医结合护理,2020,6(6):158-160.
[5] Shi C, Zhang Y.The application of quality control circle to improve functional exercise execution rate of orthopaedic surgery patients: a SQUIRE-compliant quality-improving study[J] Medicine(Baltimore), 2021, 100(41): e27514-e2752l.
[6] 陈君君,蒲林哲,李海燕. 基于加速康复外科理念的品管圈在颈动脉内膜剥脱术围手术期中的应用效果[J]. 中国医药指南,2022,20(17):1-4.
[7] 陈丽芬,余淑炬,叶微微,等. 基于循证的品管圈在提高妇科肿瘤手术加速康复外科措施落实率中的应用[J]. 中华现代护理杂志,2021,27(16):2142-2146
[8] 金靖,石红林,闫利鹏,等. 加速康复外科策略下品管圈管理模式对妇科手术临床效率及护理质量的影响[J]. 中国计划生育学杂志,2023,31(9):2100-2104.
[9] 董芳芳,王雄,李杨茜. 公立医院医用耗材管理存在的问题及对策[J]. 中国社会医学杂志,2019,36(3):231-233.
[10] 夏科,樊幼林,陈星. 适应新形势加强医用耗材管理[J]. 经营与管理,2020(1):90-93
[11] 张靖靖,种银保,李旭,等. 品管圈活动提高新引进医用耗材采购效率的应用评价[J]. 中国医学装备,2021,18(11):155-158.
[12] 刘盟盟. 品管圈在降低低值医用耗材溢库率中的应用[J]. 财讯,2022(7):154-156.
[13] 许静,徐静,王莉. 品管圈活动对手术室术前高值耗材配备准确率影响分析[J]. 中国卫生产业,2024,21(8):134-137.
[14] 张春凤,芮婷,方水珍,等. 品管圈在计算机追溯系统应用于耳鼻咽喉头颈外科手术器械消毒管理中的研究[J]. 中国医疗器械信息,2024,30(11):164-166.
[15] 刘振颖,张永寿,孙文波,等. 品管圈管理在降低放射医学工作人员辐射剂量中的应用研究[J]. 中国医学装备,2020,17(4):143-147.
[16] 成学慧,曹晓萌,李波,等. 品管圈在提高医院医疗设备维修外包服务满意度中的应用[J]. 中国医学装备,2018.15(10):124-127.
[17] 刘荣,朱骞,李恒鑫,等. 品管圈在降低药品耗材报损率中的应用[J]. 西藏医药,2019,40(3):8-9.
[18] 徐淑婕,刘瑞敏,宋若楠. PDCA模式的QCC活动对体检科静脉采血人员等候时间的影响[J]. 黑龙江中医药,2019,48(6):161-162.
[19] 马红叶,洪燕英,郭宏林. PDCA循环管理在降低临床尿常规检验标本不合格率中的应用[J]. 标记免疫分析与临床,2019,26(9):1587-1590.
[20] 傅钰斌,汪传喜,张伟东,等. 不同检测模式下无偿献血者血液标本检测不合格情况对照分析[J]. 临床输血与检验,2019,21(2):52-54.
[21] 金煜红,陈雪妹. 品管圈活动在降低EICU多重耐药菌环境管理缺陷率中的应用[J]. 外科研究与新技术,2023,12(3): 225-230.

Evaluation of reducing nurses' management time on medical consumables for laparoscopic cholecystectomy through quality control circle activities

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