Volume 30, Issue 2, 2021
DOI: 10.24205/03276716.2020.4061
Reduction of Non-Standard Ophthalmic Surgical Towel Incidences Through Quality Control Circle Practice
Abstract
Objective: For the insurance, the surgical safety of patients, surgical safety management and risk management in the operating room are key in guaranteeing this happening [1]. In management of the operating room, quality management, means and tools are commonly used to implement surgical safety management [2] along with the application of quality control circle (QCC) activity [3] to the optimize ophthalmic surgery safety verification process, non-standard ophthalmic surgery draping incident improvement, patient's surgical site error and surgical site infection (SSI) reduction and other adverse events caused by non-standard exposure of sterile area in the surgical field.
Methods: Establishing QCC with the additional use of brainstorming, innovation, and selection of the topic of the project according the relevant approximation errors that have occurred. Discussing the feasibility and effectiveness measures, drafting an activity plan to analyse and verify the causes and discuss reason, test results, and countermeasures shown in "the surgical eye exposure error after ophthalmic surgery draping". "The exposure range of the surgical site after ophthalmic surgery draping is not standardized" is the focal point of this activity which is in need of improvement. This is accomplished through countermeasure formulation and implementation, confirmation and maintenance of activity effects, and establishment of standardization of ophthalmic surgical towels.
Results: From 8 pieces/week before QCC activity to 1 piece/week after activity, a moderate reduction in irregular ophthalmic surgical towel incidences were accomplished through the application of QCC activity, maintenance of standardization and normalization, optimization of the surgical safety verification process and the standardization of ophthalmic surgical towels process.
Conclusion: The QCC activity was effective. Reduction in irregular ophthalmic surgical draping incidence was observed. Therefore, the risk of adverse events of ophthalmic surgery such as surgical site errors and surgical incision infection was reduced to eliminate potential safety hazards and ensure the safety of patients undergoing surgery.
Keywords
Quality Control Circle, Optimized process, Ophthalmic Surgical Drapes