区级医院消毒供应中心落实新规范细节质控方法的探讨

目的 探讨区级医院消毒供应中心（CSSD）在落实新规范中的细节质控方法.方法 细节质控思路分为完善本院CSSD质量体系文件并编辑成册;合理的质控管理岗位设置和人员分工与设计不同表格记录本搭建;发现问题及时写入动态巡查记录本;每周定期汇总讨论讲评;制作流程图梳理程序完善细节.上述5步组成细节质控运行构架.结果 细节质控实施后,工作质量效率指标情况（管腔清洗175 vs 290;χ2=25.29,P＜0.01）、护理检查评分情况（满意度94.26±1.22 vs 98.46±1.67;t=42.10,P＜0.05）、各功能区出现偏差情况（去污区偏差数78 vs 12;χ2=56.94,P＜0.01）,与实施前比较,差异均有统计学意义.结论 区级医院消毒供应中心在落实新规范中,按照细节质控路径运行,能促使工作流程细节中的不规范问题迅速解决,达到工作质量和效率提高,物耗降低的目的.

Evaluation on the detail of quality control method during the implementation of the new CSSD guideline in district level hospitals

Objective To study the detail of quality control method during the implementing the new CSSD guideline in the district level hospitals. Methods The quality control was divided into 5 steps:Wrote the hospital' s CSSD quality system documents and comply them into a booklet. Set up reasonable quality control positions and staff and designed relative record files. Record the problems in the dynamic patrol handbook in time. Summary and discuss the problem by period. Made flow charts to improve the quality control details. All the above 5 steps formed the frame of the detail quality control. Results It had distinctly difference for inspection on quality efficiency ( Lumen clean, 175 vs 290, χ2 = 25.29, P ＜ 0. 01 ), and thescores of nursing inspection of( satisfaction ,94.26 ± 1.22 vs 98.46 ± 1.67 ,t =42. 10,P ＜0. 05 ), after the detail quality control.Conclusions It can solve the anti-guideline problems, improve work quality and efficiency and low down cost for the implementation of the CSSD guideline of the district level hospital by detail quality control method.