医院消毒供应中心对精密手术器械管理的调查研究

发布时间：2018-06-05 21:03

本文选题：精密手术器械 + 设备和供应　；参考：《中华护理杂志》2017年10期

【摘要】：目的了解国内医院消毒供应中心对精密手术器械的管理现状,为制订精密手术器械的标准处理流程提供参考。方法采用便利抽样法,选择全国30个省、自治区、直辖市共616所不同等级医院的消毒供应中心进行问卷调查。结果368所(59.74%)设有精密手术器械清洗专岗,426所(69.16%)设有清洗质量检查专岗,382所(62.01%)设有装配包装专岗;347所(56.33%)为厂家培训,299所(48.53%)为自学厂家说明书,420所(68.18%)采取科室内部培训;116所(18.83%)为手工清洗,413所(67.05%)为手工加超声清洗,87所(14.12%)为机械清洗;518所(84.10%)采用高压蒸汽灭菌,398所(64.61%)采用过氧化氢低温等离子灭菌,222所(36.04%)采用环氧乙烷灭菌。结论精密手术器械的专岗人员设置不足;精密手术器械管理人员的培训有待加强;精密手术器械的清洗方式以手工加超声清洗为主,灭菌方式以压力蒸汽灭菌法为主。建议针对不同的精密器械,制订统一的器械清洗和灭菌规范。
[Abstract]:Objective to understand the management status of precision surgical instruments in hospital disinfection and supply center in China, and to provide reference for establishing the standard management process of precision surgical instruments. Methods the convenient sampling method was used to investigate the disinfection supply centers of 616 hospitals in 30 provinces, autonomous regions and municipalities directly under the Central Government. Results 368 units were equipped with precision surgical instruments, 426 units, 69.16) cleaning quality checks, 382 special posts, 382 special posts, 62.01l) assembly packages, special posts, 347 units, 56.33) training for manufacturers, 299 units, 48.53) for self-study manufacturers' instructions, 420 units, 68.1828), and internal cultivation of departments. For manual cleaning, 67.05) for manual plus ultrasonic cleaning, 87 for 14.12) for mechanical cleaning, 518 for 84.10) for high-pressure steam sterilization, 398 for 64.61) for hydrogen peroxide low-temperature plasma sterilization, 222 for 36.04) for ethylene oxide sterilization. Conclusion the training of precision surgical instrument managers needs to be strengthened, the cleaning method of precision surgical instrument is mainly manual and ultrasonic cleaning, and the sterilization method is pressure steam sterilization. It is suggested that uniform cleaning and sterilization specifications should be made for different precision instruments.
【作者单位】：四川大学华西医院洗浆消毒供应中心;北京协和医院消毒供应室;
【分类号】：R472

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