首页|手术微创腔镜器械清洗及包装期间消毒供应室质量管理的价值

手术微创腔镜器械清洗及包装期间消毒供应室质量管理的价值

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目的 探讨针对手术微创腔镜器械清洗及包装期间消毒供应室的质量管理,并分析其管理价值。方法 选取2023年1—6月聊城市中医医院消毒供应中心的200件手术微创腔镜器械作为对照组,实施常规管理;选取2023年7—12月聊城市中医医院消毒供应中心的200件手术微创腔镜器械作为观察组,实施质量管理。2组均进行清洗和包装,比较2组的清洗质量、包装质量、器械灭菌率、湿包率、细菌监测状况、工作人员满意度。结果 观察组钳类清洗、管道类清洗、器皿类清洗、精细类清洗质量评分及总分分别为(97。23±1。21)分、(96。89±2。21)分、(97。27±0。98)分、(97。31±1。45)分、(378。45±5。87)分,均高于对照组的(94。54±2。34)分、(94。37±2。08)分、(95。46±1。22)分、(94。08±2。34)分、(365。77±8。93)分,差异有统计学意义(P<0。05)。观察组包装材料、包装密合、器械摆放、器械组合质量评分及包装总分分别为(98。64±0。77)分、(97。86±1。01)分、(98。11±1。01)分、(97。55±1。08)分、(381。28±4。95)分,均高于对照组的(95。23±1。65)分、(95。27±2。04)分、(95。46±2。27)分、(94。69±2。16)分、(370。11±7。76)分,差异有统计学意义(P<0。05)。观察组湿包率为1。00%,低于对照组7。00%,差异有统计学意义(P<0。05)。观察组工作人员手细菌量、器械表面细菌量、空气中的细菌量均低于对照组,差异有统计学意义(P<0。05)。观察组工作人员在环境、布局、设备、流程评分及总分均高于对照组,差异有统计学意义(P<0。05)。结论 针对手术微创腔镜器械清洗及包装期间实施消毒供应室质量管理可显著提高清洗质量和包装质量,降低病原菌感染,得到较高的满意度。
Value of Quality Management of Disinfection Supply Room During Cleaning and Packaging of Surgical Minimally Invasive Endoscopic Instruments
Objective To explore the quality management of disinfection supply room during the cleaning and packaging period of minimally invasive endoscopic surgical instruments,and to analyze its management value. Methods A total of 200 minimally invasive endoscopic surgical instruments from the disinfection supply center,Liaocheng Traditional Chinese Medicine Hospital from January to June 2023 were selected as the control group,implement routine management. A total of 200 minimally invasive endoscopic surgical instruments from the disinfection supply center,Liaocheng Traditional Chinese Medicine Hospital from July to December 2023 were selected as the observation group,implement quality management. Both groups were cleaned and packaged,and the cleaning quality,packaging quality,instrument sterilization rate,wet packaging rate,bacteria monitoring status and staff satisfaction of the two groups were compared. Results The quality scores of pliers cleaning,pipe cleaning,utensil cleaning and fine cleaning and total scores in the observation group were (97.23±1.21) points,(96.89±2.21) points,(97.27±0.98) points,(97.31±1.45) points and (378.45±5.87) points,respectively,which were higher than (94.54±2.34) points,(94.37±2.08) points,(95.46±1.22) points,(94.08±2.34) points,(365.77±8.93) points in the control group,the differences were statistically significant (P<0.05). The packaging materials,packaging close,device placement,device combination quality score and total packaging score in the observation group were were (98.64±0.77) points,(97.86±1.01) points,(98.11±1.01) points,(97.55±1.08) points and (381.28±4.95) points,respectively,which were higher than (95.23±1.65) points,(95.27±2.04) points,(95.46±2.27) points,(94.69±2.16) points,(370.11±7.76) points of the control group,the differences were statistically significant (P<0.05). The wet packaging rate of observation group was 1.00%,which was lower than 7.00% of control group,the difference was statistically significant (P<0.05). The the volume of hand bacteria,device surface bacteria and air bacteria in the observation group was lower than that in the control group,the differences were statistically significant (P<0.05). The scores of environment,layout,equipment,process and total score of the observation group were higher than those of the control group,the differences were statistically significant (P<0.05). Conclusion Implementing quality management in the disinfection supply room during the cleaning and packaging period of minimally invasive endoscopic surgical instruments can significantly improve the quality of cleaning and packaging,reduce pathogen infections,and achieve high satisfaction.

disinfection supply roomminimally invasive endoscopic surgical instrumentsquality managementcleaning and packaging qualitybacterial monitoring statussatisfaction

刘曙光、许宏兰

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聊城市中医医院消毒供应中心,山东聊城 252000

消毒供应室 手术微创腔镜器械 质量管理 清洗包装质量 细菌监测状况 满意度

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(22)