目的 探讨质量协同管理(quality collaboration management chain,QCM)模式对提升急件达芬奇机器人手术器械(以下简称"急件达芬奇器械")全流程管理质量的效果,为提高管理水平提供依据。方法 2024年2-8月,采用便利抽样法选取某院消毒供应中心处置的急件达芬奇器械98件为对照组,实施常规管理模式;同法选择2024年9月至2025年3月同类器械98件作为实验组,实施全程QCM模式。比较两组器械再处理质量、再处理时长、意外事件发生率,以及处置人员对QCM模式应用的满意度评分。结果 实验组再处理质量高于对照组;其再处理时长为(234.35±10.83)min短于对照组的(248.34±10.90)min;且器械相关意外事件总发生率为2.04%,低于对照组的10.20 %,差异均有统计学意义(均P<0.05);处置人员对QCM模式应用的满意度评分为(4.81±0.27)分。结论 采用QCM模式可有效提升急件达芬奇器械再处理质量,促进资源有效整合,降低人力与时间成本。

Objective To explore the effect of the quality collaboration management chain (QCM) model on improving the whole-process management quality of urgent Da Vinci robotic surgical instruments (hereinafter referred to as "urgent Da Vinci instruments"), so as to enhance the management level of robotic surgical instruments.Methods From February to August 2024,98 urgent Da Vinci instruments processed by the Central Sterile Supply Department (CSSD) of a hospital were selected as the control group, receiving the conventional management model. Using the same method, 98 similar instruments from September 2024 to March 2025 were selected as the experimental group, receiving the whole-process QCM model. The reprocessing quality, reprocessing duration, incidence of unexpected events, and satisfaction scores of the processing personnel regarding the QCM model application were compared between the two groups.Results The reprocessing quality of the experimental group was higher than that of the control group.The reprocessing duration of the experimental group was (234.35±10.83) min, which was shorter than (248.34±10.90) min of the control group.The total incidence of instrument-related unexpected events was 2.04% in the experimental group, lower than 10.20% in the control group, and the difference were statistically significant (all P=0.017).The satisfaction score of the processing personnel regarding the QCM model application was (4.81±0.27) points.Conclusions The application of the QCM model can effectively improve the reprocessing quality of urgent Da Vinci instruments, promote effective resource integration, reduce labor and time costs, increase satisfaction.

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