口腔诊疗器械清洗质量检查记录表的设计及应用

The design and application of dental equipment cleaning quality check form

目的探讨质量检查表的设计应用方法,以提高临床科室椅旁预清洁依从性和口腔诊疗器械的清洗质量。方法根据中山大学附属口腔医院口腔诊疗器械污染物情况,自行设计专用于口腔器械的清洗质量检查记录表,并应用于器械回收分类及器械包装检查工作中,根据收集的数据,进行科学分析,采取针对性的措施控制影响因素,选取2012年11月与2013年11月改进前后数据进行比较,采用SPSS 13.0软件进行统计分析。结果改进前后器械清洗不合格率明显降低,调拌刀分别为7.22%和2.30%（χ^2=237.50,P〈0.001）,银汞充填器分别为8.29%和3.09%（χ^2=151.01,P〈0.001）;改进前后椅旁预清洁不合格率明显降低,水门汀充填器分别为10.80%和3.19%（χ^2=247.70,P〈0.001）,近远中雕刻刀分别为8.06%和2.89%（χ^2=212.31,P〈0.001）。结论口腔诊疗器械清洗质量检查记录表结合专科特色,可操作性强,为细化工作流程、修订质量标准以及人员培训提供依据,提高了椅旁预清洁依从性,提高口腔诊疗器械清洗的合格率,促进清洗质量的持续改进。

Objective To explore the design and application method of quality check form,in order to improve the dental clinic bedside pre-cleaning compliance and dental equipment cleaning quality.Metheods Based on the pollution of dental equipment in Hospital of Stomatology of Sun Yat-sen University,the quality check form specific for the dental equipment cleaning was designed and applied to the work of classification,recycling,packaging and checking. According to the data and analysis,corresponding measures were taken to control the influencing factors. Statistical analysis was performed by SPSS 13.0 to compared with the date in November 2012 and November 2012 those after improvement. Results The unqualified rate cleaned spatulas was significantly reduced from 7.22% to 2.30%（χ~2= 237.50,P〈0.001）,whereas that of amalgam pluggers was reduced from 8.29% to 3.09%（χ~2= 151.01,P〈0.001）;Dental clinic bedside pre-cleaning unqualified rate of cement pluggers and carbide carvers were both significantly reduced from 10.80% to 3.19%（χ~2=247.70,P〈0.001）,and from 8.06% to 2.89%（χ~2=212.31,P〈0.001）,respectively. Conclusions Dental equipment cleaning quality check form has specialty characteristics and,strong operability,which can provide the basis for the refinement process,revision of quality standards and staff training,as well as improve the bedside pre cleanning compliance,increase the qualified rate of dental equipment cleaning,promoting the continuous improvement of the cleaning quality.