腹腔镜手术器械清洗质量管理

发布时间：2018-04-20 11:11

本文选题：腹腔镜器械 + 清洗质量　；参考：《中华医院感染学杂志》2016年18期

【摘要】：目的通过制定腹腔镜手术器械清洗、保养操作规范及质量标准,不同清洗方法的对比研究,以确保腹腔镜手术器械的清洗质量,延长器械使用寿命,节约开支。方法将术后腔镜器械随机分成A、B两组,每组100件器械进行检测,A组采用传统手工清洗方法,B组采用手工清洗方法联合超声波清洗;通过裸眼目测法、5倍放大镜目测、特殊棉签法、菌落数检测法、ATP生物检测法对两组器械的清洗合格率进行检测,并对2013年1月-2014年12月8 751件器械的清洗合格率进行统计分析。结果传统手工清洗联合超声清洗的清洗质量明显优于传统手工清洗,差异有统计学意义(P0.05);对医院8 751件腔镜器械进行清洗合格率检测,2013年1-6月合格率为93.0%;2013年7-12月合格率为95.0%;2014年1-6月合格率为97.0%;2014年7-12月合格率为99.0%,医护满意度明显提高。结论采取传统手工清洗联合超声清洗,并加强管理制度的落实和人员培训,使清洗流程不断改进,大大提高了工作效率和清洗质量,也延长了腔镜器械的使用寿命。
[Abstract]:Objective to ensure the cleaning quality of laparoscopic surgical instruments, prolong the service life and save expenses by making a comparative study on the cleaning, maintenance and quality standards of laparoscopic surgical instruments and different cleaning methods. Methods Endoscopic instruments were randomly divided into two groups: group A (100 pieces of instruments) were examined by traditional manual cleaning method and group B (group B) were cleaned by manual method combined with ultrasonic cleaning, and 5 times magnifying glass was detected by naked eye method. Special cotton swabs method, colony number test method and ATP biological detection method were used to detect the qualified rate of cleaning of the two groups of instruments, and the qualified rate of cleaning of 8,751 instruments from January 2013 to December 2014 was statistically analyzed. Results the cleaning quality of traditional manual cleaning combined with ultrasonic cleaning was significantly better than that of traditional manual cleaning. The difference was statistically significant (P 0.05), the qualified rate of cleaning 8 751 endoscopy instruments in hospital was 93 0 in January to June 2013, 95 0 in July to December 2013, 97 0 in January to June 2014 and 99 0 in July to December 2014. Conclusion the traditional manual cleaning combined with ultrasonic cleaning and strengthening the implementation of management system and personnel training can improve the cleaning process greatly improve the working efficiency and the quality of cleaning and prolong the service life of the endoscopic instruments.
【作者单位】：吉林大学中日联谊医院消毒供应中心;吉林大学中日联谊医院口腔科;吉林大学中日联谊医院手术室;
【基金】：吉林省财政厅基金资助项目(sczsy201520)
【分类号】：R472.1

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