医院消毒设备质量控制管理体系的建设及应用研究

Study on construction and application of management system of quality control for sterilization equipment of hospital

目的:建设基于消毒质量、操作规范、设备性能和科学管理的4项保障体系的医院消毒设备质量控制管理体系,探讨其在提高器材消毒质量和科学管理方面的应用价值。方法:从消毒灭菌质量、设备操作规范、设备性能安全和管理科学高效4个方面调研分析2016年医院消毒设备质量控制管理中存在的问题,修订完善4项保障体系。将2016年医院消毒设备消毒质量、设备性能及人员管理等数据纳入对照组,2017年的4项保障体系应用后数据为观察组,评估对照组和观察组设备使用情况,分析研究质量控制管理体系应用前后差异性。结果:在质量控制管理中共修订完成制度规范21项,培训合格人员31名,观察组消毒设备应用的医疗器材清洗合格率、消毒灭菌合格率、包装合格率、设备故障率、设备管理成本、操作人员考核成绩及消毒物品供应满意度等7项评估指标数据均好于对照组,其差异有统计学意义(F=42.68,F=49.28,F=62.14,F=59.64,F=18.58,F=203.44,F=44.08;P<0.01)。结论:基于4项保障体系的消毒设备质量控制管理体系可提高消毒供应中心工作质量,提升消毒灭菌、技术操作和管理等方面的业务水平,具有重要的应用价值。

Objective: To construct the management system of quality control for sterilization equipment of hospital based on the 'four guarantee systems' included sterilization quality, operation standards, equipment performance and scientific management, and to discuss its application value in improving sterilization quality and scientific management of instruments. Methods: Through investigated and analyzed these existing problems in the management of quality control about sterilization equipment of hospital in 2016 year from four aspects included quality of sterilization and disinfection, operation standards of equipment, safety of equipment performance, and management science, to revise and improve four guarantee system. The data of sterilization quality, equipment performance and personnel management of sterilization equipment of hospital in 2016 year were divided into control group. And after 4 guarantee systems were applied in 2017 year, these corresponding data were divided into experiment group. And then through evaluated the usage situation of equipments of control group and experimental group, to analyze and research the differences between before and after the management system of quality control was applied. Results: A total of 21 institutional norms in the management of quality control were revised, and 31 qualified staffs were trained. The data of seven evaluation indexes, included qualified rate of washing medical instrument, qualified rate of sterilization and disinfection, qualified rate of packing, failure rate of equipment, management cost of equipment, check results of operators and satisfaction situation of supplying sterilization materials of the application of sterilization equipment, of experiment group were significantly better than those of control group(F=42.68, F=49.28, F=62.14, F=59.64, F=18.58, F=203.44, F=44.08, P<0.01), respectively. Conclusion: The management system of quality control of sterilization equipment based on the 'four guarantee systems' can effectively improve the work quality of sterilization and supply center, and promote the vocational levels of sterilization and disinfection, technical operation and management. It has important application value in management of hospital.