品管圈活动在提高外来器械清洗质量中的应用与探讨

Exploring study of Quality Control Circle Activities(QCCA) in improving the cleaning quality of Extraneous Surgical Instruments

目的应用品管圈管理方法,提高外来器械清洗质量,保证患者安全.方法：成立品管圈活动小组,确定“提高外来器械清洗质量”为活动主题.按照品管圈活动步骤对影响外来器械清洗质量进行调查分析,通过实施与检讨,形成标准化操作流程.结果：20 名护士对外来器械清洗认知及能力从改善前85%提高到100%.目测法检测清洗质量,从改善前96.6%提高到100%,ATP 生物荧光检测法检测清洗质量,从改善前的57.9 提高到90.3%.结论：通过品管圈活动实践,增强了CSSD 人员工作责任心和处置器械的能力,规范了外来器械的管理及清洗流程,提高了清洗质量.

Objective:To improve the cleaning quality of Extraneous Surgical Instruments and the safety of patients by way of QCCA.Method:We established the QCCA team, to determine the 'improve the cleaning quality of Extraneous Surgical Instruments' for the activities of the theme. We conducted a survey analysis on the effects of cleaning quality of Extraneous Surgical Instruments in accordance with the QCCA steps.and we finally formed a standard operation procedure through the implementation and review.Result:Comparison of the data before and after the implementation of QCCA, there were 20 nurses on Extraneous Surgical Instruments cleaning cognition and capacity increased from 85% to 100%. Visual detection method of cleaning quality was increased from 96.6% to 100%, ATP bioluminescence assay to detect the quality of cleaning, increased from 57.9 to 90.3%.Conclusion:Through the practice of QCCA way, we enhanced the ability of responsibility and disposal equipment of the staff in center of sterilization supply and distribution(CSSD), management and cleaning process of Extraneous Surgical Instruments have been standardized, finally, we made the cleaning quality improved.