Effect of 9S management combined with PDCA cycle on the incidence of nonstandard surgical instrument handover in urological endoscopic surgery
10.3969/j.issn.1009-0754.2025.05.017
- VernacularTitle:9S管理联合PDCA对泌尿外科腔镜手术器械交接不规范操作发生率的影响
- Author:
Haiying ZHU
1
;
Lihua LUO
;
Huijuan MIAO
;
Xiaojun DENG
Author Information
1. 200083 上海,上海大学附属四一一医院麻醉科
- Keywords:
9S management;
PDCA cycle management;
Operating room;
Instrument
- From:
Journal of Navy Medicine
2025;46(5):500-504
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effect of 9S management combined with plan-do-check-adjust(PDCA)cycle on the incidence of nonstandard surgical instrument handover in urological endoscopic surgery in operating room and supply room.Methods A total of 760 instruments of urological endoscopic surgery used from June 2022 to December 2022 were selected as control group and received routine management.A total of 920 instruments of urological endoscopic surgery used from January 2023 to June 2023 were selected as observation group,and 9S management and PDCA cycle management mode were administrated in instrument handover.The management performance and the satisfaction of surgeons to the instrument nursing staff were compared between the two groups.Results The accuracy of instrument identification and master rate of assembly and disassembly of instruments in the observation group were significantly higher than those in the control group(P<0.05).The incidence of instrument cleaning and packaging errors in the observation group was significantly lower than that in the control group(P<0.05).The satisfaction of surgeons to the instrument nursing staff in the observation group was higher than that in the control group,but no significant difference was found(P>0.05).Conclusion The 9S management combined with PDCA cycle management solves the problem of transport and handover of urological instruments between operating room and supply room,decreases the error rates of disassembly,cleaning,assembly and packaging of instruments,improves work efficiency,reduces the probability of instrument damage,and saves costs.
