持续质量改进在外来器械管理中的应用

Application of continuous quality improvement in management of foreign instruments

目的调查镇江市二、三级医院供应室外来器械管理现状,发现问题,提出改进方案,提高整个地区外来器械管理水平。方法采用问卷调查方法,对镇江市二级及二级以上医院供应室进行外来器械管理的现状调查分析,针对存在问题,召开镇江市二级及以上医院供应室研讨会,规范了外来器械管理中的行为,也充分考虑二级医院的实际情况,提出切实可行的方案,新方案运行一段时间后再将各所医院在执行过程中的问题汇总,再次提出改进方案。结果持续质量改进后,医院外来器械清洗合格率由质量改进前的95.96%提升至99.35%,差异有统计学意义,其他医院的外来医疗器械管理参照医院的经验也在不断完善中。结论外来器械处置过程中有许多细小环节直接影响医疗安全;消毒供应中心、手术室、医院管理层、器械商重视,对外来器械的质量管理持续改进,以降低医务人员和患者的医疗风险。

OBJECTIVE To investigate the current status of management of foreign instruments in grade two and three hospitals of Zhenjiang,find out the problems,and propose improvement programs so as to improve the overall level of management of foreign instruments.METHODS The questionnaire survey was conducted to investigate the current status of management of foreign instruments in sterile supply departments of the grade two and three hospitals in Zhenjiang,then the seminars,in coping with the existing problems,were held in the grade two or above hospitals in Zhenjiang,the management of the foreign instruments was standardized in the meetings,full consideration was taken to the actual status of the grade two hospitals,the problems were summed up after the new program was implemented for period of time,and improvement program was proposed.RESULTS After the implementation of continuous quality improvement,the qualified rate of cleaning of the foreign instruments increased from 95.96%to 99.35%,and the difference was significant;the experience of other hospitals in the management of foreign instruments was continuous enriched.CONCLUSIONSome tiny details in the management of foreign instruments may influence the medical safety,to which the central sterile supply department,operating room,leadership,and instrument suppliers should pay high attention;the quality management of the foreign instruments should be continuously improved so as to reduce the medical risk of the health care workers as well as the patients.