品管圈活动应用于藏区医务人员手卫生管理中的效果分析

目的：探讨品管圈活动在藏区医务人员手卫生管理中的应用效果。方法将品管圈活动应用于藏区医务人员手卫生管理中，按照品管圈十大步骤，通过调查、暗访等方法分析藏区医务人员手卫生影响因素，制定、实施相应对策并评估有效果。结果通过品管圈活动的开展，藏区医务人员手卫生依从率从44%提高到78%，正确率由51%提高到91%，超出了预期目标。同时圈员在发现、解决问题能力、责任心、自信心、QCC手法运用方面都得到了不同程度的提升。结论品管圈活动不仅可以提高藏区医务人员手卫生依从率和正确率，也可提高圈员间的团队凝聚力、和谐度，在各民族医院临床中值得进一步推广。

Analysis of the effect of the quality control circle activity on the management of hand hygiene for medical workers in Tibetan hospital

Objective To explore the application and effect of quality control circle on the management of hand hygiene for medical workers in Tibetan hospital. Methods QCC was applied to the management of hand hygiene in Tibetan hospital. The influencing factors of hand hygiene for medical workers in Tibetan hospital were analyzed by sur-veys and secret inquiries. The corresponding countermeasures were formulated and implemented. Moreover, the effect of QCC management was also assessed. Results After the application of QCC, the compliance and correctness of hand hygiene of medical workers in Tibetan Hospital was increased significantly from 44% to 78% ( P<0. 05 ) and 53% to 91% respectively, which exceeded expectations largely. Moreover, the problem-solving skills, responsibility, self-con-fidence and QCC techniques of the circle members were also improved. Conclusions The application of QCC can not only increase the compliance and correctness of hand hygiene of medical workers in Tibetan hospital, but also improve team cohesiveness and harmony, which is worth recommendation and promotion in all national hospital.