全自动内镜清洗消毒机消毒纤维支气管镜失败原因分析

发布时间：2018-07-22 20:25

【摘要】：目的分析纤维支气管镜清洗消毒机消毒失败原因,提出针对性改进措施,达到全自动内镜清洗消毒机消毒效能最佳化。方法 2013-2014年按国家规范对内镜内腔面采样,针对7例阳性标本进行细菌学鉴定,从内镜预处理、设备维护管理、消毒剂管理、人员培训4个方面查找失败原因,分别从管理、培训、标准流程的制定、设备清洗保养等方面提出针对性改进措施。结果通过根因分析,发现主要原因为人员培训不到位、操作人员对设备过度依赖、未实施有效预清洗、全自动清洗消毒机自身清洁消毒不到位、未建立标准化操作及维护保养流程等;通过建立内镜首洗负责制、设备预防性维护计划、标准化操作及管理流程、强化人员培训4项改进措施,进行针对性管理,纤维支气管内镜清洗消毒后期采样合格率达标。结论全自动内镜清洗消毒机运用过程必须加强预处理、设备的维护保养、注重人员的培训和标准化流程的建立,才能确保清洗消毒效果。
[Abstract]:Objective to analyze the causes of failure in disinfection of fiberoptic bronchoscope cleaning and disinfecting machine, and to put forward corresponding improvement measures to optimize the disinfection efficacy of automatic endoscope cleaning and disinfection machine. Methods Endoscopic endoscopes were sampled according to the national standard in 2013-2014. Seven positive specimens were identified by bacteriology. The reasons of failure were found from four aspects: endoscope pretreatment, equipment maintenance management, disinfectant management and personnel training. Training, standard process development, equipment cleaning and maintenance and other aspects of targeted improvement measures. Results through root cause analysis, it was found that the main reasons were that the personnel training was not in place, the operators were too dependent on the equipment, the effective pre-cleaning was not carried out, and the automatic cleaning and disinfecting machine itself was not in place. No standardized operation and maintenance process has been established, through the establishment of endoscopic first wash responsibility system, equipment preventive maintenance plan, standardized operation and management process, strengthen the personnel training of 4 improvement measures to carry out targeted management, the establishment of the first wash responsibility system, equipment preventive maintenance plan, standardized operation and management process, The qualified rate of sampling in the later stage of fiberoptic endoscopy cleaning and disinfection was up to standard. Conclusion Pretreatment, maintenance of equipment, training of personnel and establishment of standardized flow should be strengthened in the operation of automatic endoscopic cleaning and disinfecting machine in order to ensure the efficacy of cleaning and disinfection.
【作者单位】：苏北人民医院消毒供应中心;苏北人民医院内镜中心;苏北人民医院临床检验中心;苏北人民医院耳鼻咽喉科;
【基金】：江苏省自然科学基金资助项目(BK20131233)
【分类号】：R187.4

【共引文献】