手术室器械隔夜清洗的管理研究

发布时间：2018-04-03 19:34

本文选题：PDCA管理　切入点：手术器械　出处：《中华医院感染学杂志》2014年13期

【摘要】：目的通过采取有针对性的措施,改进器械清洗流程及方案,提高器械清洗质量,保证手术器械合格率,减少医院感染的发生。方法运用PDCA管理循环的理论,分析影响手术室隔夜器械清洗质量的因素,将手术室隔夜器械包内的止血钳随机分为A组(228把)和B组(230把),两组器械均使用1∶500STERIS碱性清洗剂预浸泡5min,A组止血钳浸泡后放入清洗消毒机内按器械程序清洗;B组止血钳浸泡后采用超声清洗,然后装载放入清洗消毒机内按器械程序清洗,检测数据采用SPSS软件进行统计分析。结果清洗合格率A组99.6%,高于B组的86.5%,差异有统计学意义(P0.01)。结论 PDCA管理循环运用于消毒供应中心的集中管理,持续改进清洗质量,是进行质量过程控制管理的有效手段,使消毒供应中心的工作更加科学化、制度化、规范化。
[Abstract]:Objective to improve the cleaning process and scheme, improve the cleaning quality, ensure the qualified rate of surgical instruments and reduce the incidence of nosocomial infection.Methods using the theory of PDCA management circulation, the factors influencing the cleaning quality of overnight instruments in operating room were analyzed.The hemostatic forceps in the operating room overnight instrument package were randomly divided into two groups: group A (228) and group B (30). The two groups of instruments were presoaked with 1:500STERIS alkaline cleaning agent for 5 minutes and then put into the washing and disinfecting machine according to the equipment procedure after immersion in group A hemostatic forceps.Group B was soaked in hemostatic forceps and then washed with ultrasound.Then loading and disinfecting machine according to the instrument program cleaning, the test data using SPSS software for statistical analysis.Results the qualified rate of cleaning in group A was 99.6, which was higher than that in group B (86.5%), and the difference was statistically significant (P 0.01).Conclusion the application of PDCA management cycle in centralized management of disinfection supply center and continuous improvement of cleaning quality are effective means of quality process control management, and make the work of disinfection supply center more scientific, institutionalized and standardized.
【作者单位】：宜昌市夷陵医院消毒供应中心;
【基金】：湖北省教育厅自然科学基金资助项目(B20101204)
【分类号】：R187.4

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