首页|追踪方法学与失效模式及效应分析在医疗器械集中管理中的应用效果观察

追踪方法学与失效模式及效应分析在医疗器械集中管理中的应用效果观察

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目的 研究追踪方法学与失效模式及效应分析(FMEA)在医院手术室与消毒供应中心(CSSD)医疗器械集中管理中的应用效果.方法 选取 2023 年 1-3 月某医院 800 件手术器械为对照组,2023 年 4-6 月 800 件手术器械为观察组.对照组给予常规器械管理,观察组给予追踪方法学与FMEA管理,比较 2 组质量管理合格情况、返洗器械原因,以及医护人员对手术器械使用满意度.结果 观察组医疗器械清洗合格率、消毒合格率、功能完好率、数量准确率均高于对照组,2 组合格率差异有统计学意义(P<0.05).观察组的医疗器械发生锈斑率、胶痕迹率、污渍率和未干燥率均低于对照组(P<0.05).30 名医务人员对观察组器械的总满意度明显高于对照组.结论 医院手术室与CSSD实施追踪方法学与FMEA对医疗器械集中管理,可有效提高医疗器械的再处理质量,降低器械损耗,并提高手术器械使用满意度.
Application effect observation of tracking methodology and failure mode and effect analysis in the centralized management of medical devices
Objective To study the effect of tracking methodology and Failure Mode and Effect Analysis(FMEA)in the centralized management of medical devices in hospital operating room and disinfection supply center(CSSD).Methods 800 surgical instruments from a hospital from January to March 2023 were selected as the control group,and 800 surgical instruments from April to June 2023 were selected as the observation group.The control group was given conventional management of instruments,and the observation group was given tracking methodology and FMEA management.The quality management qualification of the two groups,the reasons for washing back the instruments,as well as the satisfaction of medical staff with the use of surgical instruments were compared.Results The qualified rates of device cleaning,disinfection,functional integrity and quantity accuracy of the observation group were higher than those of the control group,and the qualified rate of the two groups was statistically significant(P<0.05).The rust spot rate,glue trace rate,stain rate and undried rate of medical devices in the observation group were lower than those in control group(P<0.05).The overall satisfaction of 30 medical staff with the observation group's equipment was significantly higher than that of the control group.Conclusion The implementation of tracking methodology and FMEA for centralized management of medical devices in hospital operating rooms and CSSD can effectively improve the reprocessing quality of medical devices,reduce instrument wear and tear,and increase satisfaction with the use of surgical instruments.

tracking methodologyfailure mode and effect analysismedical devicescentralized managementmanagement effect

李娜、罗恒、王宇、王琪

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空军军医大学第一附属医院,陕西 西安 710032

追踪方法学 失效模式及效应分析 医疗器械 集中管理 管理效果

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(12)