手术室-消毒供应中心实施腔镜器械流程化管理的效果

Process management of laparoscopic apparatus in sterilization and supply center with operating room

目的评价手术室一消毒供应中心实施腔镜器械流程化管理的效果。方法对手术室一消毒供应中心的腔镜器械实施流程化管理，内容包括手术室腔镜器械使用及使用后流程，消毒供应中心器械接收、清洗、质检、包装、灭菌和发送流程。对比分析流程化管理实施前后的效果。结果流程化管理实施后腔镜器械灭菌合格率为（99．60±0．38）％，器械包装合格率为（98．40±0．64）％，护理满意度为（98．90±2．84）％，实施前分别为（97．80±0．86）％，（92．80±1．32）％，（86．14±3．26）％，差异有统计学意义（t值分别为32．83，65．92，20．02；P〈0．01）。实施后器械循环时间为（2．12±0．34）h，器械损坏发生率为（0．24±0．11）％，实施前分别为（2．68±0．66）h，（0．56±0．47）％，差异有统计学意义（￡值分别为2．60，11．48；P〈0．01）。结论手术室一消毒供应中心腔镜器械流程化管理，不仅为器械的清洗灭菌质量提供了保障，而且提高了手术室的工作效率、工作满意度和护理服务质量。

Objective To evaluate the effect of process management of laparoscopic apparatus in sterilization and supply center with operating room. Methods The process management of laparoscopic apparatus in sterilization and supply center with operating room （OR） included the use and the process after using the laparoscopic apparatus in OR, as well as the receiving, cleaning, quality determination, packaging, sterilization and sending process in SSC. Effect before and after process management was compared. Results The qualified rates of sterilization and equipment packaging of laparoscopic apparatus and the nursing satisfaction were respectively （ 99.60 ± 0.38 ） %, （98.40 ± 0.64） %, （98.90 ± 2.84） % after process management, and （ 97.80 ± 0.86） %, （92.80 ± 1.32） %, （ 86.14 ± 3.26） % before, and the differences were statistically significant （ t = 32. 83,65.92,20.02, respectively;P 〈 0. 01 ）. The cycle time and fault rate of laparoscopic apparatus were （ 2.12 ± 0.34） h and （0.24 ± 0.11 ） % after process management, and （2.68 ± 0.66） h and （0.56 ± 0.47 ） % before, and the differences were statistically significant （ t = 2. 60, 11. 48, respectively; P 〈 0. 01 ）. Conclusions Process management of laparoscopic apparatus in sterilization and supply center with operating room can not only assure the cleaning and sterilization quality, but also improve the working efficiency, job satisfaction and nursing quality in OR as well.