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集束化管理对第四代达芬奇机器人手术器械再处理的应用

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目的 探讨集束化管理在改善第四代达芬奇机器人手术器械的消毒供应质量及功能质量中的应用价值.方法 选取 2021 年 1-6 月 459 台手术器械作为试验组,采用集束化管理;选取 2020 年 6-12 月 438 台手术器械作为对照组,采用常规管理,比较 2 组手术器械再处理质量、医护人员满意度及患者安全性.结果 试验组手术器械的清洗、灭菌、包装、放置、发放和回收合格率高于对照组(P<0.05);试验组手术器械的连接线、内镜、辅助器和其他零部件的功能质量评分高于对照组(P<0.05);试验组手术器械的配送、交接、功能质量和记录溯源满意率高于对照组(P<0.05);试验组患者手术相关院内感染率及并发症率低于对照组(P<0.05).结论 集束化管理可改善第四代达芬奇机器人手术器械的再处理质量,提高医护人员满意度.
Application value of cluster management to the reprocessing of the fourth generation Da Vinci robotic surgical instruments
Objective To explore the application value of bundle management in improving the sterilization supply quality and functional quality of the fourth-generation da Vinci robotic surgical instruments.Methods A total of 459 surgical instruments from January 2021 to June 2021 were selected as the experimental group and given cluster management.A total of 438 surgical instruments from June 2020 to December 2020 were selected as the control group and given routine management.The quality of surgical instruments reprocessing,satisfaction of medical staff and safety of patients were compared between the two groups.Results The qualified rate of surgical instrument cleaning,sterilization,packaging,placement,distribution and recovery in experimental group was higher than that in control group(P<0.05).The functional quality scores of connecting wire,endoscope,auxiliary device and other parts of surgical instruments in experimental group were higher than those in control group(P<0.05).The satisfaction rate of delivery,handover,functional quality and record traceability of surgical instruments in experimental group was higher than that in control group(P<0.05).The rate of operation-related nosocomial infection and complication in experimental group was lower than that in control group(P<0.05).Conclusion Cluster management can improve the reprocessing quality of the fourth generation Da Vinci robotic surgical instruments and improve the satisfaction of medical staff.

cluster managementthe fourth-generation Da Vinci robotsurgical instrumentsqualitysatisfactionsafety

张萍、陈慧

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四川大学华西医院,四川成都 610044

集束化管理 第四代达芬奇机器人 手术器械 质量 满意度 安全性

2024

中国消毒学杂志
军事医学科学院疾病预防控制所,中华预防医学会

中国消毒学杂志

CSTPCD
影响因子:0.754
ISSN:1001-7658
年,卷(期):2024.41(8)