医院医疗器械清洗消毒管理的风险质量控制研究

Application of risk quality control management in the management of cleaning and disinfection of medical equipment in hospital

目的:分析风险质量控制管理在医院医疗器械清洗消毒管理中的应用价值。方法:从医护人员素质提高、环境质量控制和器械灭菌前后管理进行器械清洗消毒风险质量控制。选取医院消毒供应中心清洗消毒的219件医疗器械包,按照管理方式的不同将其分为对照组(94件)和观察组(125件),对照组实施常规管理,观察组实施风险质量控制管理。比较两组消毒灭菌情况、使用前准备情况、使用情况和使用满意率。结果:观察组清洗合格、灭菌质量和包装符合评分高于对照组,差异有统计学意义(t=50.615,t=31.281,t=36.027;P<0.05)。观察组回收供给及时、有效验收、配套齐全和流向明确高于对照组,差异有统计学意义(χ^(2)=8.463,χ^(2)=6.079,χ^(2)=6.256,χ^(2)=4.979;P<0.05)。观察组数量缺失率和用后遗失率均低于对照组,差异有统计学意义(χ^(2)=4.979,χ^(2)=4.629;P<0.05)。观察组使用总满意率高于对照组,差异有统计学意义(χ^(2)=13.073,P<0.05)。结论:风险质量控制管理模式能提高医疗器械灭菌质量和使用前准备效率,明确器械流向,减少器械遗失,提高使用满意度。

Objective:To analyze the application value of risk quality control management in management of the cleaning and disinfection of medical equipment in hospitals.Methods:Risk quality control of medical equipment cleaning and disinfection was carried out from the aspects of quality improvement,environmental quality control and management before and after equipment sterilization.219 medical equipment packages cleaned and disinfected in the hospital disinfection supply center were selected and divided into a control group(94 pieces)and an observation group(125 pieces)according to the different management methods.The control group implemented routine management,and the observation group implemented risk quality control management.The disinfection and sterilization,preuse preparations,usage and use satisfaction rates of the two groups were compared.Results:The scores of cleaning qualification,sterilization quality and packaging conformance of the observation group were higher than those of the control group,and the difference was statistically significant(t=50.615,t=31.281,t=36.027;P<0.05).Timely recovery and supply,effective acceptance,complete supporting facilities and clear flow direction of the observation group were higher than those of the control group,the difference was statistically significant(χ^(2)=8.463,χ^(2)=6.079,χ^(2)=6.256,χ^(2)=4.979;P<0.05).The rate of quantity missing quantity and the rate of loss after use in the observation group were lower than those in the control group,the difference was statistically significant(χ^(2)=4.979,χ^(2)=4.629;P<0.05).The total satisfaction rate of the observation group was higher than that of the control group,the difference was statistically significant(χ^(2)=13.073,P<0.05).Conclusion:The risk quality control management model can improve the sterilization quality of medical equipment and the efficiency of pre-use preparation,clarify the flow direction of equipment,reduce equipment loss,and improve the user satisfaction.