消毒供应中心应用可追溯管理系统对风险事件及管理满意度的影响

Impact of traceability management system application in central sterile supply departments on risk events and management satisfaction

目的探究消毒供应中心(CSSD)应用可追溯管理系统对风险事件及管理满意度的影响。方法滨州市中心医院CSSD 2017年3月1日至5月31日采用可重复使用医疗器械集中式管理;于2017年6月1日至8月31日采用可追溯管理系统管理。比较两个阶段风险事件发生情况、工作管理情况、工作人员管理满意度。结果 2017年6月1日至8月31日CSSD风险事件的总发生率显著低于2017年3月1日至5月31日, 差异有统计学意义(P<0.05);CSSD包装合格及灭菌合格率均显著高于2017年3月1日至5月31日, 而器械损耗率显著低于2017年3月1日至5月31日, 差异有统计学意义(P<0.05);CSSD工作人员的规范操作、仪器清点、故障排除及工作效率得分均显著高于2017年3月1日至5月31日, 差异有统计学意义(P<0.05)。结论 CSSD应用可追溯管理系统后, 降低了医疗风险事件的发生率, 提高了包装合格及灭菌合格率, 降低了器械损耗率, 同时提高了工作人员的使用及管理满意度, 从而提高了CSSD的风险控制能力及综合管理水平。

Objective To explore the impact of traceability management systems on risk events and management satisfaction in central sterile supply department(CSSD).Methods Centralized management of reusable medical devices was adopted in this CSSD from March 1,2017 to May 31,2017.The traceability management system was adopted from June 1,2017 to August 31,2017.The occurrence of risk events,work management and staff management satisfaction were compared.Results The overall incidence of CSSD risk events from June 1 to August 31,2017 was significantly lower than that from March 1 to May 31,2017,and the difference was statistically significant(P<0.05).The qualified rate of CSSD packaging and sterilization was significantly higher than that from March 1,2017 to May 31,2017,while the device loss rate was significantly lower than that from March 1,2017 to May 31,2017,with statistically significant differences(P<0.05).The standard operation,instrument counting,troubleshooting and work efficiency scores of CSSD staff were significantly higher than those from March 1,2017 to May 31,2017,and the differences were statistically significant(P<0.05).Conclusions After the application of CSSD traceability management system,the incidence of medical risk events is reduced,the qualified rate of packaging and sterilization is improved,the device loss rate is reduced,and the use and management satisfaction of staff is improved,so as to improve the risk control ability and comprehensive management level of CSSD.