基层医疗机构一次性医疗用品管理潜在的风险及对策

目的探索基层医疗机构一次性医疗用品管理办法。方法对基层医疗机构的现场查询、电话询问了解基层医疗机构一次性医疗用品的管理状况。结果调查了解医疗机构使用一次性医疗用品达100%;普遍使用注射器、输液器、导尿管、胃管、引流管、扩阴器等一次性医疗用品;进货渠道不统一;入库验收、登记、索要检验报告、使用前监测极少;私营医院、个体诊所普遍存在现金交易,无进货单及购货发票;专人管理、专库、分类贮存的医疗机构极少,回收、浸泡消毒、毁形极不规范,无害化处理无法达到。结论出现基层医疗机构一次性医疗用品管理不规范是基层医疗机构自身的现状所致,重视基层培训,强化监管,增强医院感染防控意识是规范基层医疗机构一次性医疗用品管理积极可行的管理模式。

Management of Disposable Medical Daily Necessities in Basic-level Medical Organization:Potential Risks and Countermeasures

OBJECTIVE To study the way to solve the problem of management of disposable medical daily(necessities) in basic-level medical organization.METHODS To understand the state of management of the disposable medical daily necessities in basic-level medical organization,we investigated actively and inquired the medical(organization) in our county.RESULTS The(rate) of their usage was 100% including syringes,implements of(perfusion),catheters,gastric tubes,drainage tubes and vaginal dilators in basic-level medical organization,but their quality could not be guaranteed due to unregulated management;few of medical organization had specialized management,and(special) and classified storage.CONCLUSIONS The reason of unregulated management in(disposable) medical daily necessities in basic-level medical organization lies in themselves;the way to solve these questions is to put emphasis on training medical staff in basic-level medical organization,strengthen the(superintendence),and increase the consciousness of controlling hospital infection.