信息化管理追溯系统在消毒供应中心外来器械风险管理中的应用效果

Application effects of information management traceability system in risk management of external instruments in central sterile supply department

目的:观察信息化管理追溯系统在消毒供应中心外来器械风险管理中的应用效果。方法:选取2021年11月至2022年5月该院消毒供应中心2300件外来器械作为对照组,选取2022年6—11月该院消毒供应中心2300件外来器械作为观察组。对照组实施常规风险管理,观察组在对照组基础上实施信息化管理追溯系统,比较两组器械合格率、管理质量评分、器械供应质量评分、不良事件发生率和科室满意率。结果:观察组包装合格率、清洗合格率和消毒合格率等器械合格率均高于对照组,差异有统计学意义(P<0.05);观察组消毒灭菌处理、质量监督管理、质量检查、执行无菌原则等管理质量评分均高于对照组,差异有统计学意义(P<0.05);观察组收发速度、供应质量、问题追溯、沟通服务等器械供应质量评分均高于对照组,差异有统计学意义(P<0.05);观察组不良事件发生率低于对照组,差异有统计学意义(P<0.05);观察组科室满意率高于对照组,差异有统计学意义(P<0.05)。结论:在常规风险管理基础上实施信息化管理追溯系统可提高消毒供应中心外来器械的器械合格率、管理质量评分、器械供应质量评分和科室满意率,降低不良事件发生率,其效果优于单纯常规风险管理。

Objective:To observe application effects of information management traceability system in risk management of external instruments in central sterile supply department.Methods:From November 2021 to May 2022,2300 external instruments in the central sterile supply department were selected as the control group,and from June to November 2022,2300 external instruments in the central sterile supply department were selected as the observation group.The control group was given the routine risk management,while the observation group was given the information management traceability system management on the basis of that of the control group.The instrument qualification rate,the management quality score,the instrument supply quality score,the incidence of adverse events,and the department satisfaction rate were compared between the two groups.Results:The qualified rates of packaging,cleaning and disinfection in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).The management quality scores of disinfection and sterilization treatment,quality supervision and management,quality inspection,and implementation of aseptic principles in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).The scores of instrument supply quality such as transceiver speed,supply quality,problem traceability and communication service in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).The incidence of adverse events in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).Furter,the satisfaction rate of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusions:The implementation of information management traceability system on the basis of the routine risk management can improve the instrument qualification rate,the management quality score,the instrument supply quality score and the department satisfaction rate of the external instrument risk management in the central sterile supply department,and reduce the incidence of adverse events.Moreover,it is superior to simple routine risk management.