利用根因分析法持续改进复用医疗器械清洗质量

发布时间：2019-02-22 07:07

【摘要】：目的利用根因分析法持续改进复用器械清洗质量,以降低医院感染及器械耗损。方法利用因果分析鱼骨图对影响器械清洗质量的要因进行分析并验证,针对5个末端因素进行持续质量改进,比较实施持续质量改进前后器械的生锈率、污渍率、返洗率、报损率与临床科室满意度。结果器械清洗合格率由实施前的94.24%上升至实施后的97.60%,器械的生锈率、污渍率、返洗率、报损率分别由实施前的3.39%、2.37%、5.76%和2.08%,下降至实施后的1.55%、0.85%、2.40%和0.48%,各组比较,差异均有统计学意义(均P0.001);实施前临床科室对消毒供应中心的满意度为(93.87±3.87)分,实施后为(98.08±0.59)分,经比较差异有统计学意义(t=6.80,P0.001)。结论利用根因分析法对复用医疗器械进行持续质量改进,有利于提高器械清洗质量,降低医院感染和器械损耗,节约医疗成本。
[Abstract]:Objective to continuously improve the cleaning quality of multiplex instruments by means of root cause analysis to reduce nosocomial infection and device wear. Methods the causality analysis of fish bone diagram was used to analyze and verify the factors affecting the cleaning quality of the instruments. The continuous quality improvement was carried out according to the five terminal factors. The rust rate, stain rate and washing rate of the instruments before and after the continuous quality improvement were compared. Reported loss rate and clinical department satisfaction. Results the qualified rate of instrument cleaning increased from 94.24% before implementation to 97.60% after implementation. The rust rate, stain rate, washing rate and damage rate were 5.76% and 2.08%, respectively, from 3.39% to 2.37%, respectively. It decreased to 1.55% 0.85% and 0.48%, the difference was statistically significant (P0.001). The satisfaction of clinical departments to the disinfection supply center was (93.87 卤3.87) and (98.08 卤0.59) after implementation. The difference was statistically significant (t = 6.80, P 0.001). Conclusion the continuous quality improvement of reusable medical devices by root cause analysis is beneficial to improve the cleaning quality, reduce nosocomial infection and device wastage, and save medical cost.
【作者单位】：湖南省儿童医院;
【基金】：湖南省卫生计生委课题(B2015-132)
【分类号】：R187

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