目的 探讨消毒供应中心的管理方法，切实提高其质量。 方法 2008年8月－2010年12月应用PDCA循环管理模式，对消毒供应中心实施标准化、规范化、系统化和科学化的管理。 结果 应用PDCA循环管理模式以来，消毒供应中心的建筑布局及工作流程得以规范；手术器械处置效率、清洗消毒灭菌质量得以提高；手术切口、Ⅰ类手术切口的感染率均得以降低。2009年与2008年、2010年与2008年比较，手术切口感染率均得以降低，差异有统计学意义（χ2=39.95，P＜0.05；χ2=27.80，P＜0.05）；2009年与2010年比较，手术切口感染率差异无统计学意义（χ2=0.02，P＞0.05）。2009年与2008年、2010年与2008年、2010年与2009年比较，Ⅰ类手术切口感染率降低，但差异无统计学意义（χ2=2.83，P＞0.05；χ2=2.21，P＞0.05；χ2=0.05，P＞0.05）。 结论 推行PDCA循环管理模式，促进了消毒供应中心的规范化管理，实现了消毒器械质量控制的前馈控制、过程控制以及反馈控制；拓展了消毒供应专业领域，使医院的现有资源得到了最为高效的利用；使患者安全得到了切实保障。
ObjectiveTo analyze the effectiveness of PDCA cycle model in antibiotics management by comparison of antibiotics use before and after the use of PDCA in a tertiary hospital. MethodsProspective study was adopted to analyze the using rate of antibiotics in outpatients, emergent patients and inpatients between June 2011 and December 2013. ResultsThe reasonable antibiotics use was improved since the beginning of PDCA cycle model. The antibiotics using rates of outpatients were 33.00%, 29.09% and 19.31%, of emergent patients were 45.00%, 32.81% and 28.94%, and of inpatients were 71.00%, 57.76% and 53.28% in year 2011 (from June to December), 2012 (from January to December) and 2013 (from January to December) respectively. Meanwhile, ClassⅠ incision antimicrobial use also decreased and bacteria examination rate continuously increased during the last three years. As a consequence, patients' cost was reduced. ConclusionThe PDCA cycle model promotes the standardized management of clinical medication application.