手术器械消毒供应室一体化管理探讨

目的：探讨手术器械消毒供应室一体化管理的应用效果。方法本院2013年1∽12月实行手术器械纳入消毒供应室一体化管理,全部手术器械由消毒供应室工作人员进行消毒、包装、灭菌、发放,2012年1∽12月手术器械采用传统管理模式,由手术室工作人员进行清洗、消毒、包装后送至供应室进行灭菌,一体化管理前后（2012、2013年）分别随机抽取600件手术器械包进行质检,比较管理前后手术器械包装合格率、清洗合格率、灭菌合格率,并统计管理前后手术器械丢失、损耗率,调查手术医师对手术器械管理的满意度。结果管理后手术器械包装、清洗、灭菌合格率明显高于管理前,差异有统计学意义（P〈0.05）；管理后手术器械遗失损耗量及更换频次明显低于管理前,手术医师满意度明显高于管理前,差异有统计学意义（P〈0.05）。结论消毒供应室一体化管理可以有效提高手术器械管理效率,提高消毒灭菌合格率,减少损耗或丢失,值得应用。

Integrated management investigation of surgical instruments in central sterile supply department

Objective To investigate the effect of integrated management of surgical instruments in central sterile supply department. Methods Integrated management of surgical instruments in central sterile supply department was implemented in our hospital from January to December 2013,the disinfection,packaging,sterilization,distribution of all surgical instruments were developed by sterile supply room staff;and traditional management mode of surgical instruments was used from January to December 2012,the cleaning,disinfection,packaging of surgical instruments was developed by operating room staff,and then package was sent to the supply room for sterilization. Before and after （2012,2013） integrated management,600 packets were randomly selected for quality inspection;the package qualified rate,cleaning qualified rate,sterilization qualified rate before and after management were compared,the loss and wastage of surgical instruments were analyzed,and the surgeon satisfaction on surgical instrument management was investigated. Results After management,the packaging,cleaning,sterilization qualified rate of surgical instruments were significantly higher than those before management,the differences were significant （P〈0.05）;the loss,wastage volume and replace frequency were significantly less than those before management,surgeon satisfaction was significantly higher than that before management,the differences were significant （P〈0.05）. Conclusion Integrated management of surgical instruments in central sterile supply department can improve management efficiency of surgical instruments,improve the sterilization qualified rate,reduce loss and wastage volume of surgical instruments,it is worthy of application.