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将风险管理付诸行动:改善库存管理和植入物安全的六西格玛模型(英文版).pdf

上传人: 芦苇 编号:1146419 2026-02-14 23页 2.50MB

1、Engineering Risk Management into Action:A Six Sigma Model for improving inventory management and implant safety.Name:Michelle OdayanRN.Grad.dip Critical Care,PG Cert Infection Prevention&Control,Cert OR Nursing.Background&Key Studies:Implant Safety Challenges 1.Reprocessing of loaned surgical instru

2、ments/implants in Australia and Brazil:A survey of those at the coalface Anaclara Ferreira Veiga Tipple Dayane de Melo Costa Lillian Kelly de Oliveira Lopes Dulcelene de Sousa Melo Junnia Pires de Amorim Trindade Karen VickeryPublished:October 14,2021 DOI:https:/doi.org/10.1016/j.idh.2021.09.003Loan

3、ed surgical devices reprocessing failures were found in Australia and Brazil1.2.Costa DM,Lopes LKO,Vickery K,Watanabe E,Vasconcelos LSNOL,de Paula MC,Melo DS,Hu H,Deva AK,Tipple AFV.Reprocessing safety issues associated with complex-design orthopaedic loaned surgical instruments and implants.Injury.

4、2018 Nov;49(11):2005-2012.doi:10.1016/j.injury.2018.09.006.Epub 2018 Sep 5.PMID:30236794.Project Foundation Applying the Six Sigma DMAIC Model in Sterilization Services The projects goal was to implement the Six Sigma DMAIC methodology to optimise the inventory management of hospital/loan sets and e

5、nsure the safety of orthopaedic trauma implants.Improving compliance quality standards in the sterilization process is critical to safeguarding patient safety and preventing cross infections.By applying DMAIC principles,the aim was to streamline sterilization department processes,minimise reprocessi

6、ng cycles,reduce inspection and packing workloads.Our analysis focused on surgical implant usage and reprocessing,reducing the risk of infection due to implant degradation and the propensity for surface erosion and biofilm formation.Ultimately,this six-sigma project led to a more efficient use of st

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1. **项目目标**:应用六西格玛DMAIC模型优化骨科创伤植入物库存管理,确保安全,减少重复处理,提升效率。 2. **核心问题**:71%(3953件)植入物零使用,28.6%(1593件)低使用,反复灭菌增加感染风险(如生物膜形成)及追溯困难。 3. **关键措施**:按使用频率(零/低/中/高)分类植入物,移除零使用库存,优化存储系统,改进灭菌流程(如化学指示剂)。 4. **成果**:库存处理成本节省$881,190.10/年,提升植入物可追溯性及患者安全,减少灭菌部门工作量。 5. **持续改进**:年度数据分析动态调整库存,确保系统可持续性,并加强利益相关方沟通。
**如何降低感染风险?** **库存如何优化?** **成本如何节省?**
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