摘要
目的探讨多部门协作模式在外来医疗器械管理中的应用效果。方法 2018年1月—6月,根据2017年7月—12月消毒供应中心处理1 314件外来医疗器械出现的问题及其原因,结合新行业标准,将多部门协作模式运用于外来医疗器械的管理。比较实施前后外来器械管理质量。结果实施多部门协作模式后医疗器械的交接缺陷率由实施前的19.94%降低至2.94%,送达时间合格率、清洗合格率及术后器械送洗率由实施前的68.95%、85.08%、40.87%分别上升至89.96%、97.82%、93.84%,差异有统计学意义(P<0.01)。结论将多部门协作模式应用于外来医疗器械管理,有效提高了外来医疗器械的管理质量,降低医疗安全隐患,保障了医疗安全。
Objective To investigate the application value of multi-sector collaboration in management of loaner instruments. Methods A total of 1 314 cases loaner instruments were accepted for cleaning and disinfection in Central Sterile Supply Department(CSSD) between July and December 2017. The problems in management of loaner instruments were analyzed and a multi-sector collaboration was adopted in management of loaner instruments. The management quality of loaner instruments was evaluated before and after implementation of multi-sector collaboration. Results The implementation of multi-sector collaboration lead to a remarkable decrease in defect rate of instrument hand-over(19.94% vs. 2.94%, P<0.01), and increases in qualification rate of instrument delivery( 68.95% vs. 89.96%, P<0.01), cleaning(85.08% vs. 97.82%, P<0.01) and of instruments washing after surgery(40.87% vs. 93.84%, P<0.01). Conclusion The multi-sector collaboration is potentially effective to improve the quality and safety in management of loaner instruments.
引文
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