PDCA循环在提高手术室一次性物品有效使用率的效果观察

目的探讨PDCA循环在提高手术室一次性物品有效使用率的效果。方法2012年1～5月，对未实施PDCA循环管理的普通外科、肝胆外科手术446台，所用一次性无菌物品9362件设为实施前组，2012年6～11月，实施PDCA循环管理的外科、肝胆外科手术501台，所用一次性手术物品11973件设为实施后组。比较PDCA实施前后一次性无菌物品有效使用率及手术医生对手术室护士满意度情况。结果PDCA实施前后一次性无菌物品有效使用率及手术医生对手术室护士满意度比较，均P〈0．05，差异具有统计学意义，实施后效果明显高于实施前。结论PDCA循环管理手术室一次性无菌物品能有效提高一次性物品的使用率，减少浪费，节约资源。

PDCA circulation improves the effectiveness of disposable articles in the operation room

Objective To explore the effect of PDCA circulation on the effective utilization of the disposable articles in the operating room. Methods 9, 362 aseptic articles for 446 operations in the departments of general surgery and hepatobiliary surgery during January to May 2012 were put in the pre-experiment group, in which PDCA circulation was not used. Another 11, 973 articles for 501 operations in the same departments during June to November 2012 were set as the post-experiment group, in which PDCA circulation was used. The two groups were compared in terms of the effective utilization rate and the degree of doctor＇ s satisfaction with the nurses in the operation room. Result After the implementation of PDCA circulation, the effective utilization rate and the degree of doctor＇ s satisfaction were both significantly higher than before the implementation （both P 〈 0.05）. Conclusion PDCA circulation for the management of sterile disposable articles in the operation room may effectively improve the utilization rate of disposable articles, reduce wasting of articles and safe resources.