PDCA循环在提高血液透析机24h完修率中的应用实践OA
Application of PDCA cycle in improving 24-hour repair rate of hemodialysis machine
目的:探讨PDCA循环管理在提高血液透析机(以下简称"血透机")24 h完修率中的应用效果.方法:运用PDCA循环管理法,根据改善重点拟订血透机24 h完修率提升方案并在方案实施后进行评价.选择2022年10-12月实施PDCA循环管理前的血透机运行数据作为对照组,2023年10-12月实施PDCA循环管理方法后的血透机运行数据作为研究组,对比2组24 h完修率、平均故障完修时间、不良事件发生率、平均故障致患者等待时间、故障后换机率、工程师职业能力评分、医护满意度、患者满意度.采用SPSS 22.0软件进行统计学分析.结果:研究组的24 h完修率(91.58%)高于对照组(67.88%),研究组的平均故障完修时间、不良事件发生率、平均故障致患者等待时间、故障后换机率均低于对照组,研究组的工程师职业能力评分、医护满意度、患者满意度均高于对照组,差异有统计学意义(P均<0.05).结论:采用PDCA循环管理法可有效提高血透机24 h完修率,提升血透机的精细化管理水平.
Objective To explore the efficacy of PDCA cycle management for enhancing the 24-hour repair rate of the hemodialysis machine.Methods PDCA cycle management was used to develop a scheme for enhancing the 24-hour repair rate of the hemodialysis machine based on the improvement priorities,and evaluation was carried out after the scheme was implemented.The operating data of the hemodialysis machine before the implementation of the PDCA cycle management from October to December 2022 were enrolled into a control group,and those after the implementation of the PDCA cycle management from October to December 2023 were included into an experimental group.The two groups were compared in terms of 24-hour repair rate,mean time to repair,incidence of adverse events,mean waiting time of patients due to failures,exchange rate after failures,engineer's professional competence score,medical staff satisfaction and patient satisfaction.Statistical analysis was performed with SPSS 22.0.Results The experimental group had a higher 24-hour repair rate(91.58%)than the control group(67.88%),which gained lower values in mean time to repair,incidence of adverse events,mean waiting time of patients due to failures and exchange rate after failures while higher values in engineer's professional competence score,medical staff satisfaction and patient satisfaction,with the differences being statistically significant(all P<0.05).Conclusion PDCA cycle management effectively enhances the 24-hour repair rate and fine management of the hemodialysis machine.[Chinese Medical Equipment Journal,2026,47(4):87-92]
周吉祥;马军
龙泉市人民医院,浙江龙泉 323700丽水市中心医院,浙江 丽水 323020
医药卫生
PDCA循环血液透析机24h完修率精细化管理
PDCA cyclehemodialysis machine24-hour repair ratefine management
《医疗卫生装备》 2026 (4)
87-92,6
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