消毒供应中心对外来器械的规范化流程管理

STANDARDIZED PROCESS MANAGEMENT FOR EXTERNAL INSTRUMENTS AT DISINFECTION SUPPLYING CENTER

目的将外来手术器械纳入医院消毒供应中心有效的规范化流程管理。方法医院消毒供应中心制定外来手术器械的规范化流程管理制度,包括器械的准入、接收、清点、清洗、包装、灭菌、发放、追溯的管理。结果解决外来手术器械在手术中存在的风险问题,确保手术器械的清洗和灭菌质量。外来手术器械清洗不合格率由管理前的16.07%下降到管理后的3.00%,灭菌包检测不合格率由管理前的10.00%下降到2.00%,p<0.001,统计学差异有显著性意义。结论通过对外来手术器械的规范化流程管理,保证了护理质量及医疗安全,有效控制了医院感染,确保了外来手术器械的安全使用和患者安全。

Objective Put all external surgical instruments into an effective standardized management process of Disinfection Supplying center in our hospital. Methods Our Disinfection Supplying center has worked out a standardized management system for external surgical instruments, including instrument permission, receiving, checking, cleaning, packing, sterilization, distributing and tracking. Results All the risks happening at operation of external instruments have been solved, and guarantee the quality of cleaning and sterilization of them. Reject ratio at cleaning for external surgical instrument has been reduced from 16. 07% to 3.00%, while unqualified percentage of sterilization bag has declined from 10.00% to 2. 00% compare to before, all ofp 〈0. 001, which is significant im- provement at statistic point of view. Conclusion With the standardization process management for external surgical instruments, we＇ve guaranteed the nursing quality and medical treatment security, effectively control the cross infec- tion at hospital, and to ensure the safe use of external surgical instruments and secure the operation of patient.