机器人外科学杂志（中英文）2026，Vol.7Issue(3)：480-484,5.DOI:10.12180/j.issn.2096-7721.2026.03.019
基于"6S"基础框架构建的目视管理模式在达芬奇Xi手术系统消毒管理中的应用效果
Application effect of a visual management model based on"6S"framework in the disinfection management of Da Vinci Xi surgical system
摘要
Abstract
Objective:To investigate the application effect of a visual management model constructed based on the"6S"framework(seiri,seiso,shitsuke,seiton,seiketsu,and security)in the disinfection management of Da Vinci Xi Surgical System.Methods:Da Vinci Xi surgical instruments sterilized at the Central Sterile Supply Department(CSSD)of the First Affiliated Hospital of Air Force Medical University were enrolled.Instruments sterilized from January 2024 to August 2024 were served as the conventional group(n=148,managed by conventional sterilization model)and instruments sterilized from September 2024 to May 2025 were divided into the study group(n=151,managed by a visual management model based on the"6S"framework),respectively.Instrument cleaning qualification rate,incidence of adverse management events,and satisfaction level of operating room personnel were compared between the two groups.Results:Under visual inspection,no statistically significant difference in cleaning qualification rate was observed between the two groups(P>0.05).However,under magnified light inspection,the study group showed a significantly higher cleaning qualification rate than the control group(P<0.05).Further ATP bioluminescence testing of instruments deemed qualified by both visual and magnified light inspections confirmed a significantly higher qualification rate in the study group than the conventional group(P<0.05).The study group showed significantly lower incidence rates of adverse events including instrument loss,incorrect packaging or loading,and use beyond expiration date(P<0.05),while no significant difference was found in instrument damage rate(P>0.05).The study group scored significantly higher than the conventional group in terms of user satisfaction including mechanical arm flexibility after cleaning,CSSD pre-processing method,CSSD staff attitude,instrument cleaning quality,and CSSD operational efficiency(P<0.05).Conclusion:The visual management model based on the"6S"framework can effectively enhance the cleaning qualification rate of Da Vinci Xi surgical instruments,reduce the incidence of adverse management events,and improve satisfaction level of operating room personnel.关键词
消毒管理/"6S"模式/目视管理模式/机器人手术系统Key words
Disinfection Management/"6S"Model/Visual Management Model/Robotic Surgical System分类
医药卫生引用本文复制引用
王崔崔,石慧..基于"6S"基础框架构建的目视管理模式在达芬奇Xi手术系统消毒管理中的应用效果[J].机器人外科学杂志（中英文）,2026,7(3):480-484,5.基金项目
空军军医大学第一附属医院重点学科助推计划项目(XJHL22D302) Key Discipline Boosting Program of the First Affiliated Hospital of Air Force Medical University(XJHL22D302) （XJHL22D302）
