白内障手术显微器械两种处置方式的比较

Advantages and disadvantages of two disposal and supply modes for microscopic instruments of cataract surgery and countermeasures

目的探讨集中式与分散式处置供应白内障手术显微器械的优劣,为集中式处置供应提出解决对策。方法随机选择手术台次对医院眼科医务人员进行问卷调查,了解眼科医师对集中式与分散式两种不同的白内障手术显微器械处置供应方式的工作满意度,对集中式处置供应提出解决对策并实施。结果实施相应对策后,显微器械由供应室集中处置供应,无菌包合格率100.00%,在清洗质量、器械性能等方面眼科医师满意度达93.0%,明显优于手术室处置供应的75.00%,差异有统计学意义(P<0.01)。结论供应室集中处置供应眼科显微器械能提高器械清洗质量,保证器械性能完好及无菌包合格率,提高眼科医师对供应工作满意度;通过调整工作流程,规范要求及对策,可快速周转实时供应,确保大批量白内障患者连台手术的顺利完成。

OBJECTIVE To explore the advantages and disadvantages of centralized and decentralized disposal and supply modes of the microscopic instruments of cataract surgery so as to propose countermeasures for the centralized disposal and supply mode. METHODS The questionnaire survey was conducted for health care workers of department of ophthalmology by random selection of sets of surgeries, then the health care workers＇ satisfaction with the centralized and decentralized disposal and supply modes in treatment of the microscopic instruments was investigated so as to raise the countermeasures to solve the problems in the centralized disposal and supply mode. RESULTS After the implementation of corresponding countermeasures, the microscopic instruments of cataract surgery were treated with centralized disposal and supply mode in the supply room, the qualified rate of sterile packages was 100.00%; the physicians＇ satisfaction with the cleaning quality and the performance of instruments reached 93.0%, significantly higher than 75.00% of the disposal in the operating room, and there was significant difference （P〈0. 01 ）. CONCLUSION The centralized treatment in the supply room can improve the cleaning quality of microscopic instruments in the department of ophthalmology, ensure the performance of the instruments and qualified rate of sterile packages, and improve the physicians＇ satisfaction with the supply. It is an effective way to adjust the work process and standardize the requirements and countermeasures so as to realize the rapid turnover and real-time suoolv and ensure the successes of surgeries of a large number of cataract patients.