目的探究故障模式与失效分析(Failure Mode and Effects Analysis,FMEA)理论结合持续质量改进循环管理(Find-Organize-Clarify-Understand-Select-Plan-Do-Check-Act,FOCUS-PDCA)模式对消毒供应中心复用医疗器械管理质量的影响。方法以...目的探究故障模式与失效分析(Failure Mode and Effects Analysis,FMEA)理论结合持续质量改进循环管理(Find-Organize-Clarify-Understand-Select-Plan-Do-Check-Act,FOCUS-PDCA)模式对消毒供应中心复用医疗器械管理质量的影响。方法以本院2023年1—4月采用常规清洗消毒管理模式进行管理的4562件手术器械为对照组,2023年5—8月行FMEA理论结合FOCUS-PDCA模式后管理的手术器械5628件为观察组,通过FMEA理论识别管理过程中的故障模式,并通过FOCUS-PDCA持续进行针对性的改进,对比2组器械管理不合格率、丢失损坏率、环境卫生学检测情况、团队合作情况、使用满意度、院内感染发生率的差异。结果观察组的器械管理不合格率和丢失损坏率显著低于对照组,环境卫生学检测情况、团队合作情况和手术器械使用满意度显著优于对照组,且院内感染发生率显著低于对照组,差异均有统计学意义(P<0.05)。结论FMEA理论结合FOCUS-PDCA模式能够显著提升消毒供应中心复用医疗器械的管理质量,明显改善消毒供应中心环境卫生情况,还能够提升消毒供应中心工作人员之间的团队合作能力和医生对医疗器械的满意度,降低院内感染的发生率。展开更多
Malcolm Baldrige National Quality Award-BNQA-SA was introduced in 1987 in US companies to create overall excellence in all parts of an organisation, leading to “integrated companies” as the ultimate goal for sustain...Malcolm Baldrige National Quality Award-BNQA-SA was introduced in 1987 in US companies to create overall excellence in all parts of an organisation, leading to “integrated companies” as the ultimate goal for sustained performance by using the Baldrige Excellence Framework (BEF). The “Balanced Score Cards” (BSC) methodology, as an instrument of designing, cascading and communicating strategy, was introduced in 1992. Operations excellence is an outcome of a well-designed, monitored and implemented operations strategy (OS). This paper traces the evolution of an “OS Wheel” model of operations strategy, for continuous manufacturing industries (CMI), deployed using the BEF, using BSC’s, to achieve performance excellence and sustained competitive advantage. The model was applied in a large scale, CMI company in India, over a period of fifteen years (a longitudinal study), the description of which will demonstrate its utility.展开更多
文摘目的探究故障模式与失效分析(Failure Mode and Effects Analysis,FMEA)理论结合持续质量改进循环管理(Find-Organize-Clarify-Understand-Select-Plan-Do-Check-Act,FOCUS-PDCA)模式对消毒供应中心复用医疗器械管理质量的影响。方法以本院2023年1—4月采用常规清洗消毒管理模式进行管理的4562件手术器械为对照组,2023年5—8月行FMEA理论结合FOCUS-PDCA模式后管理的手术器械5628件为观察组,通过FMEA理论识别管理过程中的故障模式,并通过FOCUS-PDCA持续进行针对性的改进,对比2组器械管理不合格率、丢失损坏率、环境卫生学检测情况、团队合作情况、使用满意度、院内感染发生率的差异。结果观察组的器械管理不合格率和丢失损坏率显著低于对照组,环境卫生学检测情况、团队合作情况和手术器械使用满意度显著优于对照组,且院内感染发生率显著低于对照组,差异均有统计学意义(P<0.05)。结论FMEA理论结合FOCUS-PDCA模式能够显著提升消毒供应中心复用医疗器械的管理质量,明显改善消毒供应中心环境卫生情况,还能够提升消毒供应中心工作人员之间的团队合作能力和医生对医疗器械的满意度,降低院内感染的发生率。
文摘Malcolm Baldrige National Quality Award-BNQA-SA was introduced in 1987 in US companies to create overall excellence in all parts of an organisation, leading to “integrated companies” as the ultimate goal for sustained performance by using the Baldrige Excellence Framework (BEF). The “Balanced Score Cards” (BSC) methodology, as an instrument of designing, cascading and communicating strategy, was introduced in 1992. Operations excellence is an outcome of a well-designed, monitored and implemented operations strategy (OS). This paper traces the evolution of an “OS Wheel” model of operations strategy, for continuous manufacturing industries (CMI), deployed using the BEF, using BSC’s, to achieve performance excellence and sustained competitive advantage. The model was applied in a large scale, CMI company in India, over a period of fifteen years (a longitudinal study), the description of which will demonstrate its utility.
