消化内镜清洗及消毒质量监测不合格原因分析及干预措施探讨

发布时间：2018-05-02 15:32

本文选题：内镜 + 清洗、消毒　；参考：《重庆医学》2017年01期

【摘要】：目的分析本院内镜洗消效果不合格原因,为采取有效干预措施提供相关依据,确保内镜诊疗安全。方法调查分析2015年4至5月和2015年10至11月本院清洗、消毒后的内镜987镜次和980镜次的监测结果。后者每镜次监测结果不合格者均进行溯源分析,提出相应的干预措施,追踪并落实,直至重新采样监测结果为合格。结果 2015年4至5月随机采样清洗、消毒后的内镜987镜次,合格率为97.87%,有21镜次不合格,采取综合性干预措施后,2015年10至11月再对清洗、消毒后的胃肠内镜随机采样检测980镜次,合格率提高到99.69%,仅3个不合格的镜次,与采取干预措施前监测结果比较差异有统计学意义(P0.05)。结论对引起院内镜清洗、消毒不合格的原因进行及时溯源分析,采取综合性干预措施,完善内镜洗消操作流程和管理制度,并追踪落实,能明显提高内镜清洗、消毒质量。
[Abstract]:Objective to analyze the causes of disqualification of endoscopy in our hospital, to provide relevant basis for effective intervention and to ensure the safety of endoscopic diagnosis and treatment. Methods the results of cleaning and disinfection of 987 and 980 times of endoscopy in our hospital from April to May of 2015 and October to November of 2015 were investigated and analyzed. In the latter case, traceability analysis was carried out in each case, and corresponding intervention measures were put forward, followed up and implemented until the results of re-sampling and monitoring were qualified. Results from April to May 2015, random sampling and cleaning, 987 endoscopy after disinfection, qualified rate was 97.87, 21 times were not qualified. After comprehensive intervention, cleaning was done again from October to November 2015. After disinfection, 980 endoscopy samples were collected randomly, and the qualified rate increased to 99.690.Only 3 unqualified endoscopy times, there was significant difference between the results of monitoring before intervention and that before intervention (P 0.05). Conclusion the causes of ineligible disinfection and cleaning in hospital can be analyzed in time, comprehensive intervention measures should be taken to improve the operation flow and management system of endoscopy, and the quality of endoscopy cleaning and disinfection can be improved obviously.
【作者单位】：第三军医大学大坪医院野战外科研究所消化科内镜中心;
【分类号】：R187

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