复用医疗器械包分散与集中管理效果分析

Dispersing vs Centralized Management of Non-disposable Medical Instrument Packages:An Effect Analysis

目的对全院非一次性使用医疗器械包由各科室分散式管理转为由供应室集中式管理,以提高其质量,节约医疗成本。方法集中管理采取分步实施策略,重点规范回收、清洗、包装程序;评价2种管理方式下非一次性使用的医疗器械包的包布清洁度和完好性、包内指示卡和包外标签、器械清洁度、功能完好性等质量指标;比较人力资源利用和物质消耗间的差异。结果集中管理模式下的医疗器械包从包布清洁度、包布完好性、包内指示卡放置、包外标签书写黏贴、器械清洁度、器械功能完好性6个项目的合格率明显高于分散式管理(P<0.05);人力资源节约42.8%,物质消耗降低22.3%。结论非一次性使用的医疗器械包由供应室集中管理,能有效地提高医疗器械包的质量,有利于控制医院感染,节约人力和物质资源,降低医疗成本。

OBJECTIVE To transfer the dispersing management non-disposable medical instrument packages into the centralized management by the supply department, to improve its quality and save the medical cost. METHODS The centralized management adopted the step by step implementation strategy, standardized recycling, cleaning, and packaging procedure for key instruments. The cleanliness and integrity of the packaging sheet, the in-packet indicator cards and the out-packet label, and instrument and their human and material resources consumption were compared each other. RESULTS Under the centralized management, the cleanliness and integrity of packaging sheet, the wholeness indicator cards in packet and outside packet of instrument label were obviously better than dispersing management （P〈0.05）; the human resources saved 42.8%, the consumption of materials reduced 22.3 %. CONCLUSIONS The centralized management of non-disposable medical instrument package by the supply department can effectively improve its quality, advantageously control the hospital infection, save the human and its material resources, and reduce the medical cost.