持续质量改进在消毒供应中心与临床科室沟通管理中的应用效果

The application effect of continuous quality improvement in the management of the communication of central sterile supply department and clinical department

目的 探讨持续质量改进（CQI）应用于消毒供应中心（CSSD）与临床科室沟通管理中的效果.方法 建立CSSD与临床科室沟通管理机制,并开展CQI措施加强临床科室对CSSD的质量监管并增强沟通.比较CQI实施前（2015年1～12月）和实施后（2016年1～12月）CSSD工作质量评分、服务效率及临床科室对CSSD工作的满意度.结果 实施CQI后消毒供应中心回收清洗、包装质量、灭菌质量、无菌物品发放质量评分均较实施前显著提高,差异有统计学意义（均P〈0.05）;实施CQI后,临床科室对CSSD工作满意度为95.45％,显著高于实施前的79.09％,差异有统计学意义（P〈0.05）;实施CQI后,临床科室及CSSD工作人员的知识掌握度分别为90.91％、100.00％,均显著高于实施前的74.55％、80.95％,差异有统计学意义（均P〈0.05）;实施后CSSD常规物品和临床急需物品送达时间均较实施前明显缩短,差异有统计学意义（均P〈0.05）.结论 在医院CSSD与临床科室沟通管理中开展CQI措施能够有效提高工作质量及服务效率,以及各科室医务人员对CSSD工作的满意度.

Objective To explore the effect of continuous quality improvement （CQI） in the communication management between central sterile supply department （CSSD） and clinical departments. Methods The communication management mechanism between CSSD and clinical departments should be established, and CQI measures should be carried out to strengthen the quality supervision and enhance communication between CSSD and clinical departments. The quality score, service efficiency and satisfaction of the clinical department to CSSD were compared before the implementation of CQI （ from January 2015 to December 2015 ） and after the implementation （from January 2016 to December 2016）. Results After the implementation of the CQI, the recovery and cleaning, the quality of the packaging, the quality of sterilization and the quality of the sterile articles distribution were significantly higher than before the im- plementation （P〈0. 05）. After the implementation of CQI, the job satisfaction of the clinical department to CSSD was 95.45%, which was significantly higher than that before the implementation of the 79.09% （P〈0. 05 ）. The degree of knowledge mastery of the room and CSSD staff was 90. 91% and 100. 00% respectively, which was significantly higher than that before the implementation of 74. 55% and 80. 95% （P〈0. 05）. The delivery time of the CSSD routine and the clinical needed items was significantly shorter than before the implementation （ P〈0. 05 ）. Conclusions The implementation of CQI measures in the communication management of the hospital CSSD and clinical department can effectively improve the work quality and service efficiency, and improve the job satisfaction of the medical staff in each department to the CSSD.