基于FOCUS-PDCA计划的牙科手工件加工质量管理实践
Feng-Lian Che1,2, Jia-Qi Li2, Shuang-di Li2
1Department of Nursing, The Affiliated RuiJin Hospital of Shanghai Jiaotong University School of Medicine, Shanghai, 200025, China.
BMC oral health
|November 5, 2025
概括
焦点-PDCA计划显著提高了牙科手工件 (DHP) 处理质量,提高了清洁,包装和杀菌率. 这种质量改进框架还减少了机械故障,提高了员工的熟练程度.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 医疗器械加工 医疗器械加工
- 临床工作流的优化 临床工作流优化
背景情况:
- 牙科手工件 (DHP) 处理对于患者安全和感染控制至关重要.
- 现有的工作流可能存在影响DHP处理质量的低效率.
- 一个结构化的质量改进框架可以解决这些挑战.
研究的目的:
- 应用Find,Organize,Clarify,Understand,Select - Plan,Do,Check and Act (FOCUS-PDCA) 程序来分析影响DHP处理质量的因素. 这是一个很好的方法.
- 使用FOCUS-PDCA框架优化DHP处理工作流程.
- 评估FOCUS-PDCA计划对DHP处理结果的影响.
主要方法:
- 一项前性观察性研究,将例行处理 (控制) 与FOCUS-PDCA程序 (干预) 进行比较.
- 在对照组中包括2,893名DHP,在干预组中包括3,032名DHP.
- 使用千平方和t测试进行统计分析,以比较处理质量,员工知识,机械故障和满意度得分.
主要成果:
- 焦点-PDCA计划显著提高了清洁,包装和杀菌的合格率 (P < 0.01).
- 在干预组中观察到高水平的员工理论知识和操作技能 (P < 0.01).
- 在FOCUS-PDCA组中,减少了机械故障 (轴承和紧轴的问题) 和更高的满意度得分 (88.80对65.13).
结论:
- 焦点-PDCA计划有效地提高了DHP处理质量,并减少了医院环境中的机械故障.
- 这项研究是关于将FOCUS-PDCA应用于DHP处理的第一份报告之一.
- 临床工作人员的高满意度表明,他们成功地实施了改进的方案.
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