流程再造在硬式内镜管理之作用

Role of process reengineering in management of rigid endoscope

目的提高医院消毒供应中心硬式内镜及器械管理质量。方法选拔内镜专职护士,将手术配合、污染回收、清洁消毒、包装灭菌、储存发送的流程进行再造。抽取内镜及器械流程改造前707例和流程改造后956例,比较流程改造前后内镜及器械合格率差异。结果流程再造后与流程再造前硬式内镜及器械的综合管理质量相比较差异有统计学意义。结论流程再造实现了手术室供应中心内镜专职护士对硬式内镜及器械的专职管理,实现了手术室消毒供应中心硬式内镜及器械使用、清洗、消毒、灭菌等技术的规范化、专业化、科学化。

Objective To improve management quality of rigid endoscope and equipment in disinfection and supply center of hospital. Methods Professional endoscopic nurses were selected to reengineer the process of surgical cooperation, pollution recycling, cleaning and disinfection, steril- ization and packing and storage transmission. 707 cases （before reengineering） and 956 cases （after reengineering） were collected and compared on the aspect of qualified rate. Results There were statistical significances before and after reengineering in comprehensive management quality of rigid endoscope and equipment. Conclusion Through process reengineering, management of the rigid endoscope and equipment implemented by professional endoscopic nurses in operation supply center is achieved, and the use, cleaning, disinfection and sterilization of rigid endoscope and equipment are achieved with normalization, specialization and scientization.