Abstract:

Objective: To evaluate the effectiveness of Plan-Do-Check-Act (PDCA) cycle management in enhancing the standardization rate of preoperative preparation for bronchoscopy diagnosis and treatment in the tuberculosis department. Methods: A total of 382 hospitalized patients who underwent bronchoscopy for diagnosis and treatment at the Third People’s Hospital of Shenzhen from May 15 to June 9, 2023, were included as the control group, where conventional preoperative preparation methods were employed. An additional 346 hospitalized patients who underwent bronchoscopy from September 25 to October 27 of the same year constituted the observation group, in which the PDCA cycle management strategy was applied. The effectiveness of PDCA cycle management in enhancing the standardization rate of preoperative preparation was compared between the two groups. Results: Following the implementation of the PDCA cycle management method, the standardization rate of preoperative preparation in the observation group (90.75%, 314/346) was significantly higher than that in the control group (82.72%, 316/382), with the difference being statistically significant (χ²=10.047, P=0.002). Conclusion: The application of the PDCA cycle management method significantly improved the standardization rate of preoperative preparation for bronchoscopy diagnosis and treatment in hospitalized tuberculosis patients. This approach played a crucial role in enhancing patient safety and improving the quality of diagnostic and therapeutic procedures. The PDCA cycle is a scientifically grounded management method in clinical practice and is recommended for broader adoption.

Key words: Bronchoscopy, Medical practice management, Preoperative care, Quality control