PDCA cycle method on a one-time items in the operating room usage in the application of effective

[Abstract] Objective: To improve the primary surgery in a hospital operating room sterile disposable effective utilization. METHODS: The PDCA cycle method through the planning, implementation, inspection, review of the disposable sterile surgical manage the effective use of results: surgery the effective utilization of disposable sterile items significantly improved from the implementation of the PDCA cycle method to pre-94.67% 98.65% after the implementation, results were satisfactory. Conclusion: Application of PDCA cycle primary hospital operating room surgical method to improve the sterile disposable effective utilization of operating room will continue to apply the PDCA cycle method to continuously improve quality of care in the operating room.

[Keywords] PDCA cycle method; operating room; disposable sterile; effective utilization of
With the rapid development of surgery, a large number of new surgical operation carried out, the type and amount of sterile greatly increased, so that sterile operating room management more difficult [1] followed in the surgical process, the gradual emergence of surgery is not an effective use of the phenomenon, in order to improve the effective use of disposable sterile, reducing the waste of resources, reduce surgical patient costs from hospital operating room Applications since April 2011 PDCA cycle method of sterile disposable surgery effective use management, satisfactory results. are presented below:
1PDCA cycle method
Deming PDCA cycle method, also known as round-robin. Is a widely used quality management standardization, scientific circulation system, which is divided into four phases: P (Plan for the plan, D (Do for the implementation, C (Check) to check, A (Action) for the sum [2 ].

2 Methods
2.1 program (P phases:
2.1.1 understand the use of disposable sterile: a secondary level hospital is a comprehensive hospital, Statistics March 1, 2011 to 31 operations a total of 460 units, disposable sterile surgery needed total of 11,332, surgery is not open bags of items used are 604, the effective utilization rate of 94.67%.

2.1.2 Analysis: (1, nurses are not familiar with the business: As the business are not familiar with lead-time required for surgery in sterile uncertainty about, and fear of doctors to patients in need, so they suffer no more prepared to form a concept of operation too many items before the open (2, a surgeon accustomed to non-uniform, with a surgical way different doctors, different because of their habit to take a different sterile (3, part of the staff is not strong lead on saving too much sense.

2.1.3 the development objectives: PDCA cycle method in surgery within six months so that effective utilization of sterile one-time increase to 98%.

2.2 Implementation (D) stages:
2.2.1 strengthen the young nurses to learn the business: low demand years of nursing with the teacher every time I complete a post-surgery with timely detailed record of the items for surgery, surgery with the main points and special requirements in order to meet the same surgery in the next before you go over, be aware of repeated cycles, enhance memory, but also to identify and correct record of the previous surgery inadequacies.

2.2.2 Memorandum of Understanding to establish a specialist and specialist surgery Preparation for Card: specialists in each department according to established procedure used to love the memorandum and articles, including placed in position, the necessary instruments, equipment and special requirements, etc. When the doctor has new changes, the changes recorded by the Nurse in this Memorandum, and in the morning shift at the exchange, while the department to conduct the meeting concluded, emphasizing a deeper impression. Preparation for surgery specialist card is carried out in various sections of the existing surgical operation name, conventional materials preparation, special items and spares ready to list, in order to ensure non-occurrence of new items for nurses omissions and errors played a role in safeguarding.

2.2.3 strengthen the awareness of conservation: conservation of medical supplies will not only help reduce the medical expenses of patients, and to realizing the economic benefits of the largest health care resources, but also the construction of a concrete manifestation of social conservation [3] a day when the morning shift nurse strengthen conservation awareness, avoid waste, personnel management. daily, weekly, monthly and use of waste materials sum up the situation, so that the entire department to consciously strengthen management, mutual supervision, to avoid unintentional waste, the establishment of conservation team.

2.2.4 strengthen the health care communication: the health care that both sides should respect each other and support each other, cooperate, and sincere cooperation. Nurses must have a solid professional knowledge, continue to understand the specialty of the new technology, new development, close attention to surgical technique in the process of forecasting the need for operation in advance to prepare materials required for surgery. The use of items that can not be sure ask your doctor in advance to get answered in the affirmative when the surgeon opened spares. Links to free download http://www.hi138.com 2.3 check (C stage: by hand daily, weekly disposable sterile waste and use of registration, monthly summary Statistics. matron reported results, and directly linked to the assessment on the quality of care.

2.4 Summary (A) stage: 2.4.1 test results analyzed according to the monthly meeting held in the quality of care department, requiring departments must participate in the same time the last month and one-time use of sterile waste Statistics, and analyze the reasons proposed corrective measures for continuous improvement.

2.4.2 Results: The PDCA cycle method using disposable sterile surgical management, the same method to July 1, 2011 -31 Days 31 days of one-time use of sterile Statistics and with the use of PDCA cycle method compared to previous results showed that: the effective rate has improved significantly. Table 1

3 Experience
PDCA cycle method is a procedure, standardization of scientific methods of work. Use this method of sterile disposable surgical management by strengthening the young nurses to learn the business, the establishment of specialist surgical equipment and specialist material memo cards, strengthen conservation awareness, strengthen communication and other health care measures to patients in the effective utilization of disposable sterile greatly improve the operating room will continue to use the PDCA cycle method to continuously improve quality of care in the operating room.

References
[1] Zheng Hongwei, Wang Guofeng, Li Xuelian .5 S Management Act bacteria in the operating room material goods management Application [J]. Misdiagnosis of China, 2008,8 (32:7895
[2] Liang-ling, GAO Hai Lin, Zeng Zhi. PDCA cycle method standardized training of nurses in the Application [J]. Journal of nursing Management, 2002,2 (2) :52-53
[3] Chen Xiumin, Cheng Lesen. Saving medical care - medical ethics education needs to strengthen the concept [J]. Chinese medical ethics, 2005,18 (5:22 Links to free download http://www.hi138. com