品管圈在消毒供应中心清洗消毒环节质量控制中的应用研究

Application of quality control circle in quality control of cleaning and disinfection process in sterilization and supply center

目的探讨品管圈应用于清洗消毒环节质量控制的重要性。方法对比2015年1月-2015年8月品管圈应用前为对照组,2015年9月-2016年4月品管圈应用后为实验组,计算医疗器械回收、分类、清洗、消毒、干燥、包装、灭菌、储存和发放的合格率及医院感染的发生率。结果对照组医疗器械回收、分类、清洗、消毒、干燥、包装、灭菌、储存和发放的合格率分别为94.50%、93.86%、94.93%、94.43%、95.07%、95.14%、94.43%、93.71%、94.50%,均低实验组98.21%、97.79%、99.29%、98.86%、99.14%、99.36%、98.14%、96.79%、97.71%,差异均有统计学意义(P<0.05);两组齿类轴节器械、非齿类无轴节器械、组合器械等各类器械合格率的差异均有统计学意义(P<0.05);除其他类型器械外,两组各类器械合格率的差异均有统计学意义(P<0.05);实验组医院感染率为1.30%显著低于对照组4.10%(P<0.05)。结论品管圈应用于消毒供应中心的清洗消毒环节质量控制,医疗器械回收、分类、清洗、消毒、干燥、包装、灭菌、储存和发放合格率提高,可有效降低医院感染率。

OBJECTIVE By comparing the the cleaning and disinfection rate of medical equipment difference of preand post-quality control circle applied to the cleaning link quality control in sterilization and supply center to discuss the importance of application of quality control circle in quality control of cleaning and disinfection process.METHODS The qualified rates of medical equipment recycling,classification,cleaning,disinfection,drying,package,sterilization,storage and issuing,and the incidence of nosocomial infections between from Jan.2015 to Aug.2015 before the application of quality control circle（control group）and from Sept.2015 to Apr.2016 after the application of quality control circle（experimental group）were compared.RESULTS The qualified rates of medical equipment recycling,classification,cleaning,disinfection,drying,package,sterilization,storage and issuing were 94.50%,93.86%,94.93%,94.43%,95.07%,95.14%,94.43%,93.71% and 94.43% in control group,which were lower than 98.21%,97.79%,99.29%,98.86%,99.14%,99.36%,98.14%,96.79% and 98.14%in experimental group.The differences were significant（P〈0.05）.The differences in qualified rates of gear and coupling equipment,non-gear and non-coupling equipment,and combination equipment between the two groups were significant（P〈0.05）.In addition to other type of equipment,the qualified rates of equipments between the two groups were significant（P〈0.05）.The nosocomial infection rates was 1.30% in control group,which was significantly lower than 4.10% in control group（P〈0.05）.CONCLUSION Application of quality control circle in quality control of cleaning and disinfection process in sterilization and supply center,can increase the quelified rates of medical equipment recycling,classification,cleaning,disinfection,drying,packaging,sterilization,storage and issuing,and reduce the nosocomial infection rate.