FMEA及PDCA循环在消毒供应中心软式内镜集中式管理中的应用OA
Application of FMEA and PDCA Cycle in Centralized Management of Soft Endoscopes in Disinfection Supply Centers
目的 探究失效模式与效应分析(Failure Mode and Effect Analysis,FMEA)及计划-执行-检查-处理(Plan-Do-Check-Action,PDCA)循环管理在消毒供应中心软式内镜集中式管理中的应用研究.方法 选取佛山市妇幼保健院配备的21套软式内镜器械及20名相关工作人员作为研究对象,按管理干预时间将研究分为对照组(2019年1月至2020年12月)与观察组(2022年1月至2023年12月).对照组实施常规管理模式,观察组实施FMEA及PDCA循环管理,采用统计学方法比较2组相关工作人员专业知识掌握度、工作情况、管理效果、管理质量的差异.结果 相较于对照组,观察组工作人员专业知识总掌握度更高,中午加班时间、取物时间更短,满意度评分更高,差异均有统计学意义(P<0.05).观察组软式内镜器械内镜维修率、故障发生率更低,3 s内内镜找出率、抽检合格率更高,差异均有统计学意义(P<0.05).2组包装合格率比较差异无统计学意义(P>0.05),相较于对照组,观察组消毒刷更换频率、洗涤剂更换频率、灭菌合格率更高,纱布损耗率、内镜表面黄斑量更低,差异均有统计学意义(P<0.05).结论 对于消毒供应中心软式内镜集中式管理,FMEA及PDCA循环管理的应用可提高相关工作人员专业知识掌握度,改善工作情况,提高管理效果与管理质量.
Objective To explore the application of failure mode and effect analysis(FMEA)and plan-do-check-action(PDCA)cycle management in the centralized management of soft endoscopes in disinfection supply centers.Methods A total of 21 sets of soft endoscopic instruments and 20 relevant staff members from Foshan Maternal and Child Health Hospital were selected as research objects.The study was divided into a control group(January 2019 to December 2020)and an observation group(January 2022 to December 2023)according to the time of management intervention.The control group implemented a conventional management model,while the observation group implemented FMEA and PDCA cycle management.Statistical methods were used to compare the differences in professional knowledge mastery,work performance,management effectiveness,and management quality of relevant staff between the two groups.Results Compared with the control group,the observation group had a higher overall mastery of professional knowledge among staff,shorter lunch overtime hours and item retrieval time,and a higher satisfaction score,with statistically significant differences(P<0.05).For soft endoscopic instruments in the observation group,the endoscopic maintenance rate and failure rate were lower,while the rate of finding endoscopes within 3 seconds and the sampling qualification rate were higher,with statistically significant differences(P<0.05).There was no statistically significant difference in packaging qualification rate between the two groups(P>0.05).Compared with the control group,the observation group had a higher replacement frequency of disinfection brushes and detergents,a higher sterilization qualification rate,a lower gauze loss rate,and a smaller number of macular spots on the endoscopic surface,with statistically significant differences(P<0.05).Conclusion For the centralized management of soft endoscopes in disinfection supply centers,the application of FMEA and PDCA cycle management can improve the professional knowledge mastery of relevant staff,optimize work performance,and enhance management effectiveness and management quality.
郑里乐;甘丽;陶洁;钟家荣;黄娟
佛山市妇幼保健院 消毒供应中心,广东 佛山 528000佛山市妇幼保健院 消毒供应中心,广东 佛山 528000佛山市妇幼保健院 消毒供应中心,广东 佛山 528000佛山市妇幼保健院 消毒供应中心,广东 佛山 528000佛山市妇幼保健院 消毒供应中心,广东 佛山 528000
医药卫生
消毒供应中心软式内镜失效模式与效应分析(FMEA)计划-执行-检查-处理(PDCA)循环管理集中式管理医疗设备
disinfection supply centersoft endoscopyfailure mode and effect analysis(FMEA)plan-do-check-action(PDCA)cycle managementcentralized managementmedical equipment
《中国医疗设备》 2025 (11)
92-96,109,6
广东省医学科学技术研究基金项目(A2020322)2022年佛山市自筹经费类科技计划项目(2220001003872).
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