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持续质量管理在医院消毒供应室管理中的效果
摘    要:目的分析医院消毒供应室管理中介入持续质量管理的效果与价值。方法从我院供应室工作者中选取10名组成持续质量管理小组,参照卫生部2009版《消毒供应中心管理规范》,并根据本院实际情况合理制定质量管理规范,严格按照规范强化消毒供应各项流程,定期开展抽查工作。对比消毒供应室实施持续质量管理前、后无菌物品合格率及不良事件报告处理合格率变化情况。结果持续质量管理后无菌物品合格率(96.13%)高于实施前(88.00%),差异具有统计学意义(P0.05)。我院实施持续质量管理前、后消毒供应室日常各项工作质量存在明显差异,其中实施后包装、回收及清洗消毒合格率高于实施前,包装满意率与灭菌合格率明显上升;实施后发放差错率低于实施前,差错率明显降低,差异有统计学意义(P0.05)。结论消毒供应室管理中介入持续质量管理可健全完善各工作人员及医疗设备的优化配置及管理,提升工作效率、器械无菌品质,可增强供应室整体管理水平。

关 键 词:消毒供应室  持续质量管理  灭菌合格率  无菌品质

Effect of continuous quality management in the management of hospital disinfection supply room
Abstract:Objective To analyze the effect and value of intervention in continuous quality management in hospital disinfection supply room management.Methods Ten workers in our hospital supply room were chosen to form a continuous quality management team.Referring to the 2009 version of Disinfection Supply Center Management Regulations issued by the Ministry of Health,and according to the actual situation of the hospital,the quality management practices were developed.The process of disinfection and supply was strengthened in strict accordance with the norms,and random checks were regularly carried out.The pass rates of sterile goods and adverse event reporting process before and after the implement of continuous quality management in disinfection supply room were compared.Results The pass rate of sterile goods(96.13%)after continuous quality management was higher than that before implementation(88.00%), and the difference was statistically significant(P<0.05).There was significant difference in the quality of the daily work of the disinfection and supply room before and after the implementation of continuous quality management.The pass rates of packaging,recycling,cleaning and disinfection after the implementation were higher than those before the implementation.The packaging satisfaction rate and sterilization pass rate increased significantly.The rate of payment errors after the implementation was lower than that before the implementation,and the error probability was significantly decreased.There was statistically significant difference in the data(P<0.05).Conclusion The implementation of continuous quality management in the management of disinfection supply room,can improve and perfect the optimal allocation and management of the staff and medical equipment,and improve the working efficiency and the sterile quality of the equipment,and can enhance the overall management level of the supply room.
Keywords:Disinfection supply room  Continuous quality management  Sterilization pass rate  Sterile quality
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