以循证为基础的质量管理对提高手术器械清洗灭菌质量及医院感染控制的影响

The effect of evidence-based quality management on improving the quality of cleaning and sterilizing surgical instruments and controlling nosocomial infections

目的探讨以循证为基础的质量管理对提高手术器械清洗灭菌质量及医院感染控制的影响。方法选取2018年3月—2019年12月惠州市中信惠州医院进行的50台手术器械为对照组,另选取2020年5月—2021年3月该院进行的80台手术器械为观察组,对照组行常规管理,观察组行以循证为基础的质量管理。统计分析2组器械消毒质量、器械包缺陷发生情况及医院感染发生情况。结果观察组器械灭菌、清洗、包装质量评分分别为(99.16±0.43)分、(98.65±0.49)分、(99.04±0.37)分,高于对照组的(95.75±2.24)分、(93.87±2.53)分、(94.96±1.82)分,差异有统计学意义(P<0.05);观察组器械包装缺陷发生率为3.75%,低于对照组的22.00%,医院感染发生率为1.25%,低于对照组的12.00%,差异有统计学意义(P<0.05)。结论以循证为基础的质量管理能有效提高手术器械清洗灭菌质量,减少医院感染的发生,值得推广。

Objective To explore the effect of evidence-based quality management on improving the quality of cleaning and sterilizing surgical instruments and controlling nosocomial infections.Methods 50 surgical instruments performed in our hospital from March 2018 to December 2019 were selected as the control group,and 80 surgical instruments performed in our hospital from May 2020 to March 2021 were selected as the observation group.The control group underwent routine management,and the observation group underwent evidence-based quality management.Statistical analysis of the disinfection quality of the two groups of equipment,the occurrence of equipment package defects and the occurrence of nosocomial infections.Results The sterilization,cleaning and packaging quality scores of the observation group were(99.16±0.43)points,(98.65±0.49)points,and(99.04±0.37)points,which were higher than those of the control group(95.75±2.24)and(93.87±2.53)points,(94.96±1.82)points,the difference was statistically significant(P<0.05);the incidence of device packaging defects in the observation group was3.75%,which was lower than 22.00%in the control group,and the incidence of hospital-induced infections was 1.25%,lower than 12.00%of the control group,the difference was statistically significant(P<0.05).Conclusion Evidence-based quality management can effectively improve the cleaning and sterilization quality of surgical instruments and reduce the incidence of nosocomial infections.It is worthy of clinical promotion.