全寿命周期管理模式下医用纤维支气管镜管理效果分析

Effect analysis on fiberbronchoscope management under life cycle management mode

目的:通过实施全寿命周期管理,保证消毒供应中心纤维支气管镜消毒灭菌质量,以维护好患者医疗安全。方法:运用历史比较法,选取2013年2月至2014年3月科室自行管理纤维支气管镜作为对照组,2014年4月至2015年5月消毒供应中心全寿命周期管理纤维支气管镜作为观察组,2组划分依据为不同的管理主体和管理模式,分别对比2组纤维支气管镜污染后的处理流程、过程质量控制及记录追溯有效性等方面。所有数据采用Excel表格录入整理,采用SPSS 17.0软件进行统计分析。结果:观察组内腔采样及外表面采样阳性结果的次数均为0,包装损坏或不合理放置的次数为1.07±0.13,数据追溯无效的次数为0.57±0.03,存储不规范的次数为0.13±0.07,均少于对照组的(1.11±0.15)、(1.09±0.20)、(2.75±0.22)、(1.53±0.31)、(0.95±0.21)次,管理效果显著(P<0.05),差异有统计学意义。观察组在科室的周转较对照组也有明显提高。结论:全寿命周期管理加强了纤维支气管镜污染后再处理过程所有环节的质量控制,确保了物品的使用安全,减少了院内感染的发生因素,从而维护了患者的生命权益。

Objective To ensure the quality of disinfection and sterilization of the fiberbronchoscope in the sterile supply center through the implementation of whole life cycle management. Methods Using the historical comparative method, the fiberbronchoscopes managed by the departments were enrolled into a control group from February 2013 to March 2014, and the ones undergoing life-cycle management in the sterile supply center were involved in an observation group from April2014 to May 2015. The two groups were divided according to the management subject and mode, and compared from the aspects of treatment flow, process quality control and record tracing validity. All the data were input with Excel sheet, and analyzed statistically with SPSS 17.0. Results The observation group and the control group had the numbers of positive results in internal cavities, positive results in external surface, damaged or irrationally-placed package, invalid data tracing and non-standardized storage being（0, 1.11 ±0.15）,（0, 1.09 ±0.20）,（1.07 ±0.13, 2.75 ±0.22）,（0.57 ±0.03, 1.53 ±0.31） and（0.13±0.07, 0.95±0.21） respectively, and the differences between the two groups were significant（P0.05）. The turnover of the fiberbronchoscope was enhanced significantly in the observation group when compared with that in the control group.Conclusion Life cycle management contributes to strengthening quality control of the treatment of polluted fiberbronchoscope,and decreases the incidences for hospital infection.