Copyright: ©Author(s) 2026. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.
World J Gastrointest Surg. Jun 27, 2026; 18(6): 117147
Published online Jun 27, 2026. doi: 10.4240/wjgs.117147
Published online Jun 27, 2026. doi: 10.4240/wjgs.117147
PDCA cycle-based optimization of laparoscopic instrument management in digestive surgery supply rooms
Li-Feng Dong, Feng-Qi Shen, Yuan-Yuan Qian, Department of Central Sterile Supply, Affiliated Hospital of Jiangnan University, Wuxi 214000, Jiangsu Province, China
Wen-Lan Zhu, Department of Operating Room, Affiliated Hospital of Jiangnan University, Wuxi 214000, Jiangsu Province, China
Author contributions: Dong LF is the first author responsible for design and paper writing; Shen FQ and Zhu WL participated in data collection and analysis; Qian YY is the corresponding author responsible for project guidance and paper review. All authors have reviewed and agreed to the final draft.
Institutional review board statement: This study was reviewed and approved by the Institutional Review Board of Affiliated Hospital of Jiangnan University, No. LS2025254.
Informed consent statement: All participants provided written informed consent before enrollment.
Conflict-of-interest statement: The authors declare no conflicts of interest.
Data sharing statement: No additional data are available.
Corresponding author: Yuan-Yuan Qian, Associate Chief Nurse, Department of Central Sterile Supply, Affiliated Hospital of Jiangnan University, No. 1000 Hefeng Road, Binhu District, Wuxi 214000, Jiangsu Province, China. jdfyby@163.com
Received: January 13, 2026
Revised: January 30, 2026
Accepted: March 12, 2026
Published online: June 27, 2026
Processing time: 152 Days and 9.2 Hours
Revised: January 30, 2026
Accepted: March 12, 2026
Published online: June 27, 2026
Processing time: 152 Days and 9.2 Hours
Core Tip
Core Tip: This study explored process improvement based on the PDCA cycle in the management of laparoscopic instruments in a digestive surgery supply room. The results showed that after implementing PDCA cycle management, the incidence of adverse events decreased from 15.2% to 2.7%, the detection rate of multidrug-resistant bacteria decreased from 8.7% to 3.6%, and operating room staff satisfaction with supply room management increased from 51.6% to 83.9%. The PDCA cycle can optimize instrument handling process, reduce hospital operating costs, and improve operating room efficiency.