中国医疗设备2025，Vol.40Issue(11)：92-96,109,6.DOI:10.3969/j.issn.1674-1633.20250016
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
Application of FMEA and PDCA Cycle in Centralized Management of Soft Endoscopes in Disinfection Supply Centers
摘要
Abstract
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.关键词
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Key words
disinfection supply center/soft endoscopy/failure mode and effect analysis(FMEA)/plan-do-check-action(PDCA)cycle management/centralized management/medical equipment分类
预防医学引用本文复制引用
郑里乐,甘丽,陶洁,钟家荣,黄娟..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[J].中国医疗设备,2025,40(11):92-96,109,6.基金项目
广东省医学科学技术研究基金项目(A2020322) （A2020322）
2022年佛山市自筹经费类科技计划项目(2220001003872). （2220001003872）
