首页|质量协同管理链在消毒供应中心复用手术器械中的应用

质量协同管理链在消毒供应中心复用手术器械中的应用

扫码查看
目的 探讨质量协同管理链(quality chain mana gement,QCM)模式在消毒供应中心(central sterile supply department,CSSD)复用手术器械质量追溯中的应用.方法 选取 2022 年1 月—2023 年 1 月钦州市第二人民医院 105 件复用手术器械作为研究对象,根据管理模式分为观察组(53 件)和对照组(52件),观察组采用QCM模式管理,对照组采用常规流程管理.比较 2 组复用手术器械质量合格情况、器械不良事件发生情况及质量控制情况.结果 观察组复用手术器械回收合格率(98.11%)、包装合格率(100%)、发放合格率(98.11%)均高于对照组(88.46%、92.30%、86.53%)(P<0.05);观察组复用手术器械清洗合格率(98.11%)、消毒合格率(100%)、灭菌合格率(98.11%)均高于对照组(96.53%、86.53%、84.61%)(P<0.05).观察组发生 1 件灭菌包内器械缺失、2 件灭菌包内敷料错误,对照组发生3件灭菌包内器械缺失、3件灭菌包标识错误、4 件灭菌包内敷料错误,观察组器械不良事件总发生率(5.66%)低于对照组(19.23%)(P<0.05).观察组完成质量、服务质量及满意度评分均高于对照组(P<0.05).结论 QCM模式用于CSSD复用手术器械质量追溯中,可以有效提高复用手术器械回收、包装、发放合格率及清洗、消毒、灭菌合格率,减少器械不良事件的发生率,提高手术器械质量控制水平.
Application of Quality Collaborative Management Chain in Reusing Surgical Instruments in Disinfection Supply Centers
Objective To explore the application of Quality Chain Management(QCM)model in the quality traceability of reusable surgical instruments in Central sterile supply department(CSSD).Methods A total of 105 reusable surgical instruments from the Second People's Hospital of Qinzhou from January 2022 to January 2023 were selected as the research subjects.According to the management mode,they were divided into an observation group(53 instruments)and a control group(52 instruments).The observation group was managed using the QCM mode,while the control group was managed using the conventional process.Observe and compare the quality compliance,occurrence of adverse events,and quality control of two groups of reusable surgical instruments.Results The qualified rate of recycled surgical instruments in the observation group(98.11%),the qualified rate of packaging(100%),and the qualified rate of distribution(98.11%)were all higher than those in the control group(88.46%,92.30%,86.53%)(P<0.05).The qualified cleaning rate(98.11%),disinfection qualified rate(100%),and sterilization qualified rate(98.11%)of reusable surgical instruments in the observation group were higher than those in the control group(96.53%,86.53%,84.61%)(P<0.05).The observation group had 1 missing instrument in the sterilization package,2 incorrect dressings in the sterilization package,and the control group had 3 missing instruments in the sterilization package,3 incorrect labeling of the sterilization package,and 4 incorrect dressings in the sterilization package.The total incidence of adverse events in the observation group(5.66%)was lower than that in the control group(19.23%)(P<0.05).The observation group had higher scores for completion quality,service quality,and satisfaction compared to the control group(P<0.05).Conclusion The QCM model used in the quality traceability of CSSD reusable surgical instruments can effectively improve the qualification rates of recycling,packaging,distribution,cleaning,disinfection,and sterilization of reused surgical instruments,reduce the incidence of adverse events,and improve the quality control level of surgical instruments.

quality collaborative management chain modeldisinfection supply centersurgical instrumentsquality traceabilityadverse eventsquality control

王兴萍、梁志梅、张杏

展开 >

钦州市第二人民医院消毒供应中心,广西 钦州 535000

质量协同管理链模式 消毒供应中心 手术器械 质量追溯 不良事件 质量控制

2024

中国卫生标准管理
《中国卫生标准管理》杂志社

中国卫生标准管理

影响因子:1.374
ISSN:1674-9316
年,卷(期):2024.15(1)
  • 16