FOCUS-PDCA循环模式在优化支气管镜统一洗消流程中的应用OA

Objective To explore the application effect of the Find-Organize-Clarify-Understand-Select-Plan-Do-Check-Act(FOCUS-PDCA)cycle model in the unified cleaning and disinfection of bronchoscopes,and to analyze the effectiveness of this model.Methods A retrospective study was conducted,bronchoscopes processed using the routine cleaning and disinfection procedure from January 2024 to December 2024 were assigned to the pre-improvement group,and bronchoscopes processed using the FOCUS-PDCA-based cleaning and disinfection procedure from January 2025 to August 2025 were included,and broncho-scopes from January 2025 to May 2025 were taken as the initial improvement phase,and bronchoscopes from June 2025 to August 2025 were regarded as the consolidation phase group.The qualified rate of monitoring the cleaning and disinfection effect of bron-choscopes,compliance rate of key processes,average time to cleaning of bronchoscopes,pre-cleaning waiting time,the number of repairs and incidence rates of occupational exposure events were compared before and after improvement.Results The pass rate of cleaning and disinfection quality monitoring of bronchoscopes was higher during improvement initiation phase and improve-ment consolidation phase compared to before improvement(P＜0.05).The timeliness rate of bedside pre-processing and execu-tion rate of leakage testing were all higher during improvement initiation and improvement consolidation phases than those before improvement(P＜0.05).Time to bronchoscope cleaning and time before bronchoscope washing was the shortest in the improve-ment consolidation phase,followed by the initial improvement phase and the pre-improvement phase(P＜0.05).The frequeny and rate of external repairs before improvement were higher than during the initial improvement initiation and consolidation phases(P＜0.05).There was no statistically significant difference in the overall incidence rate of occupational exposure events during the cleaning and disinfection process before and after improvement(P＞0.05).Conclusion FOCUS-PDCA cycle can effective-ly improve the quality and process efficiency of bronchoscope cleaning and disinfection through structured problem identification and systematic improvement,with potential for clinical application.