多部门协作模式在外来医疗器械管理中的应用
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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.
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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[4] 叶媛媛,徐小群,林卫红,等.取消外来手术器械跟台人员对骨科手术质量管理的影响[J].中华现代护理杂志,2017,23(3):429-432.
[5] 武伟,刘维维,许多朵,等.标准化管理在外来器械接收质量管理中的应用[J].中华现代护理杂志,2014,20(36):4661-4662.
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[9] 顾菁华,张继英,徐虹,等.消毒供应中心对口腔诊疗器械采用追溯系统集中管理的效果评价[J].中华医院感染学杂志,2016,26(22):5246-5248.
[2] 冯秀兰.消毒供应中心三项标准修订内容解读及其对护理管理的启示[J].中国护理管理,2017,17(6):725-729.
[3] 郭丽萍,徐潜,王云亭,等.日本某三级综合医院预防控制MRSA医院感染的多部门协作模式成效实证分析[J].中华医院感染学杂志,2016,26(12):2854-2857.
[4] 叶媛媛,徐小群,林卫红,等.取消外来手术器械跟台人员对骨科手术质量管理的影响[J].中华现代护理杂志,2017,23(3):429-432.
[5] 武伟,刘维维,许多朵,等.标准化管理在外来器械接收质量管理中的应用[J].中华现代护理杂志,2014,20(36):4661-4662.
[6] 侯二英,冯美连.追踪法在外来器械管理中的应用[J].护理研究,2014,28(9):1131-1132.
[7] 孙秀芳.外来器械管理中存在的难点问题及管理对策[J].护士进修杂志,2012,27(15):1363-1364.
[8] 石敏,宋瑾,张翔,等.品管圈活动在提高骨科外来器械清洗合格率中的应用[J].中华医院感染学杂志,2016,26(22):5252-5254.
[9] 顾菁华,张继英,徐虹,等.消毒供应中心对口腔诊疗器械采用追溯系统集中管理的效果评价[J].中华医院感染学杂志,2016,26(22):5246-5248.