信息化追溯系统在器械清洗质量监测中的应用
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摘要
目的利用信息化追溯系统监测、分析我院消毒供应中心器械清洗质量的数据,发现问题,进而为优化管理方案,提高工作质量提供数据支撑与决策。方法应用信息追溯系统,以本院2017年3月至2017年9月清洗的全部器械为对照组,统计分析有关清洗质量数据,发现问题,提出改进措施。以2017年10月至2018年3月采取改进措施后清洗的全部器械为观察组,对比两组器械清洗质量数据。结果观察组各类型器械清洗不合格率较对照组均有所降低,差异有统计学意义(P<0.05)。结论应用信息化追溯系统对清洗不合格器械进行记录,实现清洗效果的数据监测,有助于提供相对精准的数据统计,帮助消毒供应中心发现导致器械清洗不合格的原因,从而针对性地采取有效措施,提高医疗器械清洗质量。
Objective To monitor and analyze the data of the cleaning quality of the instrument in the central sterile supply department(CSSD) of our hospital by the information traceability system, and find out problems, then provide data support to make decision for optimizing the management scheme and improving the quality of work. Methods Using the information traceability system, all the instruments cleaned in our hospital from March 2017 to September 2017 were used as the control group. The data of cleaning quality were analyzed, some problems were found, and the improvement measures were proposed and implemented. All the instruments cleaned from October 2007 to March2018 were taken as the observation group, and the cleaning quality data of the two groups were compared. Results The unqualified rate of all kinds of instruments in the observation group was lower than that in the control group, and the difference was statistically significant(P<0.05). Conclusion The application of the information tracing system to record the unqualified instruments and to realize the data monitoring of the cleaning effect is helpful to provide more accurate data statistics and help the CSSD to find out the reasons for the disqualification of the instrument cleaning, so as to take effective measures to improve the quality of medical equipment cleaning.
Objective To monitor and analyze the data of the cleaning quality of the instrument in the central sterile supply department(CSSD) of our hospital by the information traceability system, and find out problems, then provide data support to make decision for optimizing the management scheme and improving the quality of work. Methods Using the information traceability system, all the instruments cleaned in our hospital from March 2017 to September 2017 were used as the control group. The data of cleaning quality were analyzed, some problems were found, and the improvement measures were proposed and implemented. All the instruments cleaned from October 2007 to March2018 were taken as the observation group, and the cleaning quality data of the two groups were compared. Results The unqualified rate of all kinds of instruments in the observation group was lower than that in the control group, and the difference was statistically significant(P<0.05). Conclusion The application of the information tracing system to record the unqualified instruments and to realize the data monitoring of the cleaning effect is helpful to provide more accurate data statistics and help the CSSD to find out the reasons for the disqualification of the instrument cleaning, so as to take effective measures to improve the quality of medical equipment cleaning.
引文
[1]WS310.1-2016,医院消毒供应中心.第1部分:管理规范[S].
[2]周宏,陈洪玲.PDCA循环对消毒供应室清洗灭菌合格率、工作质量及科室满意度的影响[J].当代医学,2018,24(16):121-123.
[3]WS310.3-2016,医院消毒供应中心.第3部分:清洗消毒及灭菌效果监测标准[S].
[4]花瑞芳,崔杰,王桂贞,等.不同保湿方法预防隔夜开颅探查手术器械生锈的效果[J].中国消毒学杂志,2014,31(8):906-907.
[5]崔书华.含氯消毒剂对内窥镜及附件腐蚀性的临床观察[J].中国消毒学杂志,2013,30(9):866-867.
[6]周静平,崔志丹.三种器械预处理方法的清洗质量与效率比较[J].中国消毒学杂志,2016,33(8):798-799.
[7]吕红果,徐健,谢甜芳.保湿剂在隔夜手术器械预处理中的使用方法[J].中国消毒学杂志,2014,31(9):970-971.
[8]刘启华,楚蔚琳,郇姗姗,等.手工预处理对吸引头类金属管腔器械机械清洗效果的影响[J].中国消毒学杂志,2015,32(8):813-814.
[9]陈洁,许丽辉,董海蛟,等.医疗器械除锈的应用研究进展[J].中国消毒学杂志,2013,(11):1066-1068.
[10]丁兆梅,余艳琼,黄蓉,等.手术室器械隔夜清洗的管理研究[J].中华医院感染学杂志,2014,(13):3368-3369.
[11]郭海燕,曹力,张芳,等.消毒供应科再生医疗器械清洗质量的影响因素及对策[J].中华医院感染学杂志,2012,(13):2801.
[12]徐萍,王晓娅,吕健,等.影响手术器械清洗质量的因素及对策[J].中国消毒学杂志,2011,(4):487.
[13]苑世英,徐美玲.医院消毒供应室医疗器械清洗质量调查[J].中国消毒学杂志,2011,(1):62-64.
[14]隋本健,王久儒.手术器械生锈原因和处理方法[J].中国医疗器械信息,2012,(1):13-15.
[15]崔文,张鑫,王庆良.316L不锈钢关节材料的摩擦腐蚀行为[J].润滑与密封,2016,(8):34-38.
[16]王军,刘莹.316L不锈钢在模拟体液中的腐蚀行为[J].表面技术,2016,(11):76-80.
[17]杨宏泉,段永锋.奥氏体不锈钢的氯化物应力腐蚀开裂研究进展[J].全面腐蚀控制,2017,(1):13-19.C
[2]周宏,陈洪玲.PDCA循环对消毒供应室清洗灭菌合格率、工作质量及科室满意度的影响[J].当代医学,2018,24(16):121-123.
[3]WS310.3-2016,医院消毒供应中心.第3部分:清洗消毒及灭菌效果监测标准[S].
[4]花瑞芳,崔杰,王桂贞,等.不同保湿方法预防隔夜开颅探查手术器械生锈的效果[J].中国消毒学杂志,2014,31(8):906-907.
[5]崔书华.含氯消毒剂对内窥镜及附件腐蚀性的临床观察[J].中国消毒学杂志,2013,30(9):866-867.
[6]周静平,崔志丹.三种器械预处理方法的清洗质量与效率比较[J].中国消毒学杂志,2016,33(8):798-799.
[7]吕红果,徐健,谢甜芳.保湿剂在隔夜手术器械预处理中的使用方法[J].中国消毒学杂志,2014,31(9):970-971.
[8]刘启华,楚蔚琳,郇姗姗,等.手工预处理对吸引头类金属管腔器械机械清洗效果的影响[J].中国消毒学杂志,2015,32(8):813-814.
[9]陈洁,许丽辉,董海蛟,等.医疗器械除锈的应用研究进展[J].中国消毒学杂志,2013,(11):1066-1068.
[10]丁兆梅,余艳琼,黄蓉,等.手术室器械隔夜清洗的管理研究[J].中华医院感染学杂志,2014,(13):3368-3369.
[11]郭海燕,曹力,张芳,等.消毒供应科再生医疗器械清洗质量的影响因素及对策[J].中华医院感染学杂志,2012,(13):2801.
[12]徐萍,王晓娅,吕健,等.影响手术器械清洗质量的因素及对策[J].中国消毒学杂志,2011,(4):487.
[13]苑世英,徐美玲.医院消毒供应室医疗器械清洗质量调查[J].中国消毒学杂志,2011,(1):62-64.
[14]隋本健,王久儒.手术器械生锈原因和处理方法[J].中国医疗器械信息,2012,(1):13-15.
[15]崔文,张鑫,王庆良.316L不锈钢关节材料的摩擦腐蚀行为[J].润滑与密封,2016,(8):34-38.
[16]王军,刘莹.316L不锈钢在模拟体液中的腐蚀行为[J].表面技术,2016,(11):76-80.
[17]杨宏泉,段永锋.奥氏体不锈钢的氯化物应力腐蚀开裂研究进展[J].全面腐蚀控制,2017,(1):13-19.C