摘要
目的 探讨全程风险质量控制管理模式在消毒供应室中的应用效果.方法 医院消毒供应室于2022年7月开始实施全程风险质量控制管理模式,分别于实施前(2022年1-6 月)和实施后(2022 年 7-12 月)选取 350 件物品包作为研究对象.比较全程风险质量控制管理模式实施前后供应室护理人员的基本素质指标[包括自我效能感量表(GSES)、三基知识考核、风险防范意识评分]、工作质量评分及手术室医护人员的满意度,并统计实施前后供应室的工作效率(包括物品接受、物品准备、物品发放、物品补充和环境整理时间)和质量控制效果(包括器械回收合格率、洗涤合格率、包装合格率、生物监测合格率和物品发放合格率).结果 实施全程风险质量控制管理模式后,供应室护理人员的GSES、三基知识考核、风险防范意识、工作质量评分及手术室医护人员的满意度均高于实施前,供应室的物品接受、物品准备、物品发放、物品补充和环境整理时间均短于实施前,器械回收合格率、洗涤合格率、包装合格率、生物监测合格率和物品发放合格率均高于实施前,差异均有统计学意义(P<0.05).结论 在消毒供应室实施全程风险质量控制管理模式,可增强护理人员的自我效能感、三基知识水平、风险防范意识,提高工作质量和工作效率,各项质量控制效果显著.
Abstract
Objective To explore the application effect of whole-process risk quality control management mode in disinfection supply room.Methods With the implementation of the whole-process risk quality control management model for the hospital disinfection supply room in July 2022,and the selection of 350 item packages as research subjects before implementation(from January to June 2022)and after implementation(from July to December 2022),the basic quality index of nursing staff in supply room before and after the implementation of whole-process risk quality control management mode[including general self-efficacy scale(GSES),three basic knowledge assessment,risk prevention awareness score],work quality score and satisfaction of operating room medical staff were compared.And,the work efficiency of the supply room before and after implementation(included the time of item acceptance,item preparation,item distribution,item replenishment and environmental cleaning)and the quality control effect(including the qualified rate of equipment recycling,washing,packaging,biological monitoring and distribution)were counted.Results After the implementation of the whole-process risk quality control management mode,the GSES,three basic knowledge assessment,risk prevention awareness,work quality rating of nurses in the supply room and the satisfaction of medical staff in the operating room were all higher than before the implementation.In addition,the time of item acceptance,item preparation,item distribution,item replenishment and environmental cleaning in the supply room were all shorter than before implementation,and the qualified rate of equipment recycling,washing,packaging,biological monitoring and item distribution were all higher than before implementation,with statistical significance(P<0.05).Conclusion The implementation of the whole-process risk quality control management mode in the disinfection supply room can enhance the self-efficacy of nursing staff,the level of three basic knowledge,the awareness of risk prevention,improve work quality and work efficiency,with significant quality control effects.