外科手消毒规范执行过程中存在的问题及管理对策

Problems existing in implementation of specifications for surgical hand sterilization

目的进一步规范、统一海南省外科手消毒操作与监督管理。方法 2010年5月对海南省6所三级甲等医院外科手消毒规范执行现状进行调查,将执行过程中存在问题进行汇总、分析,制定相应管理对策。结果该次调查中,仅1所医院制作图文并茂的外科手消毒指引,内容包括洗手前着装要求、外科手消毒流程、关键步骤示意图等,使手术人员对该项调查的满意度由75.24%提高至92.63%。结论建议各医院强化管理力度、提高外科手消毒质量,以保证手术患者安全。

OBJECTIVE To further standardize and unify the procedures, supervision and management of surgical hand disinfection in Hainan Province. METHODS A survey of the implementation of standardized surgical hand disinfection in 6 third-level hospitals in Hainan Province was conducted in May 2010. The problems existing in the implementation of specifications for surgical hand disinfection were summarized and analyzed and appropriate management strategies were formulated. RESULTS There was only one hospital involved in this study had detailed guidance for surgical hand disinfection, using a diagram with illustration, such as the requirements for dressing before washing hands,procedures of surgical hand disinfection, indications for key steps, and so on. Surgical staffr s satisfaction toward this survey raised from 75.24% to 92.63%. CONCLUSION It is suggested that the hospital should intensify the quality of surgical hands disinfection, take effective measures, and strengthen the management so as to guarantee the patientsr safety.