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目的探索研QCC活动在手术室脊柱外科体内植入物应用,提高手术患者体内植入物的质量,建立合理的工作流程,提高手术室护士工作效率。方法成立QCC小组,分析脊柱外科体内植入物在手术室使用中存在的问题,患者预后等无法追溯,并采取相应的措施,实现体内植入物追溯管理。结果体内植入物型号准备不全由12.40%降至1.30%,扫码追溯由100.00%降至5.00%,记账错误由10.70%降至1.25%。结论手术室护理工作中应用QCC方法解决体内植入物质量无法追溯的问题,不仅提高体内之入物合格率,制定了体内植入物使用制度,规范体内植入物进入手术间流程,优化全院体内植入管理,而且提高了科室人员的团队协作力,增强工作的积极性和基层人员的创造性。
Objective To explore the application of QCC in implant surgery of spinal surgery in operating room to improve the quality of implants in surgical patients and establish a reasonable workflow to improve the work efficiency of operating room nurses. Methods A QCC team was established to analyze the problems of using the implants in the operating room and the prognosis of the patients without spasm and to take corresponding measures to achieve the retrospective management of the implants in the body. Results The number of implants in vivo decreased from 12.40% to 1.30%, the traceability decreased from 100.00% to 5.00%, and the accounting error dropped from 10.70% to 1.25%. Conclusion The application of QCC method to solve the problem of in vivo implant quality can not be traced back to the operating room nursing. It not only improves the qualified rate of in vivo implant, but also sets the system of in vivo implant usage, regulates the flow of the implant into the operation room, The hospital implantation management, but also improve the department staff teamwork, enhance the enthusiasm of the work and grassroots personnel creativity.