细节问题管理前移模式在消毒供应室中的应用效果

Management moved forward and process control of detail problem in disinfection supply room

目的建立消毒供应室细节问题管理前移机制，达到过程控制的目的。方法建立发现问题、记录细节问题、讨论细节问题及追溯效果的供应室细节问题管理前移模式，与经验式管理比较实施前后各功能区细节偏差情况、工作质量效率指标及临床满意度情况。结果细节问题管理前移模式实施前去污区偏差数78例，实施后12例，实施前管腔清洗合格数175例，实施后290例，两组比较差异有统计学意义（x2分别为56．94，25．29；P〈0．01）；实施前临床服务满意度（94．26±1．22）分，实施后为（98．46±1．67）分，两组比较差异有统计学意义（t=42．10，P〈0．05）。结论消毒供应室建立细节问题管理前移运行机制，过程中的细节控制更有保证。

Objective To establish the management moved forward mechanism of detail problem in disinfection supply room, so as to achieve the purpose of the process control. Methods Management moved forward mechanism was established, such as finding problem, recording detail problem, discussing details problem, and tracing back to the effect in disinfection supply room. Deviation situation, efficiency targets of job quality, clinic satisfaction were compared before and after the management mechanism implemented. Results Compared before and after the management moved forward mechanism implemented in disinfection supply room, decontamination area deviation were cases （78 vs 12 ）, qualified cleaning were （175 vs 290 cases）, satisfaction survey scores were （94.26 ＋- 1.22 vs 98.46 ＋- 1.67 ）, the difference was statistically significance （P 〈 0. 05 ）. Conclusions Management moved forward mechanism established in disinfection supply room can ensure the process control on the details.