運用 PDCA循環降低置放永久性心律調節器病患之傷口感染率～以北部某醫學中心心導管室為例

Reduction of the Wound Infection Rate by Applying the Plan-Do-Check-Action (PDCA) Cycle for Patients with Permanent Pacemaker Implantation

蔡銘松(Ming-Sung Tsai) ； 許文菁(Wen-Jing Hsu) ； 李仁忠(Ren-Jen Lee) ； 洪惠風(Huei-Fong Hung)

《醫務管理期刊》 13卷2期 (2012/06) Pp. 110-119

https://doi.org/10.6174/JHM2012.13(2).110

摘要

目的：本專案的目的在於降低置放永久性心律調節器病患之傷口感染率，提升服務品質並降低醫療成本支出。傷口感染率從2009全年度的6.7%上升至2010年第三季的24%；為降低感染率，因而執行品質改善專案並導入計畫─執行─查核─處置（Plan-Do-Check-Action, PDCA）循環。方法：資料收集期間為2010年第一季至2011年第三季；期間共有151位病患接受置放永久性心律調節器。由該151位病患的護理紀錄比較導入PDCA循環前後感染率的差異。結果：本專案結果顯示運用PDCA循環後感染率由2010年第三季的24%下降至2011年第三季的0%，達到預期的目標。結論：將PDCA循環運用於降低置放永久性心律調節器病患之傷口感染率是有效的，期待本專案作為同儕的借鏡，進而提升服務品質。

關鍵字

PDCA循環 ； 永久性心律調節器 ； 感染率

並列摘要

Objectives: The goals of this project were to protect patients with permanent pacemaker (PPM) implantation from wound infection, promote quality service, and reduce cost. The wound infection rate had increased from 6.7% in 2009 to 24.0% in 2010. In order to reach the goal, the Plan-Do-Check-Action (PDCA) cycle was implemented.Method: The nursing records of 151 patients with PPM implantation in the cardiac catheterization laboratory of a northern medical center were reviewed; the period was from the first quarter of 2010 through the third quarter of 2011.Results: Application of the PDCA cycle reduced the infection rate from 24% to 0%.Conclusions: This project demonstrated that the PDCA cycle was an effective way to reduce the infection rate. We suggest that this cycle may be helpful to other units for improving the quality of service.

並列關鍵字

Plan-Do-Check-Action cycle ； Permanent pacemaker ； Infection rate

參考文獻

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