消毒供应中心护理质量敏感性指标的构建和应用研究

Establishment and Application of Nursing-Sensitive Quality Indicators in Central Sterile Supply Department

目的:探索构建消毒供应中心护理质量敏感性指标,并分析其应用效果。方法:成立消毒供应中心护理质量敏感性指标研究小组,确定器械清洗合格率、器械包装合格率、包装破损率、湿包发生率作为消毒供应中心护理质量敏感性指标,并进行护理质量控制与改进。比较观察组(实施后)、对照组(实施前)敏感指标的差异。结果:与对照组比较,观察组临床科室器械、手术器械的器械清洗合格率(98.1%VS 94.3%、98.6%VS 97.1%)、器械包装合格率(98.3%VS 93.5%、98.1%VS 94.4%)均明显升高,包装破损率(0.22%VS 0.34%、0.22%VS 0.41%)、湿包发生率(0.27%VS 0.37%、0.22%VS 0.34%)明显下降(P<0.05)。观察组医务人员对器械的满意率较对照组(97.0%VS 90.0%)显著提升(P<0.05)。结论:构建消毒供应中心护理质量敏感性指标对消毒供应中心医疗器械实施全程标准化质量控制管理,可促进护理质量的持续改进及护理服务满意度提升。

[Objective]To explore the establishment of nursing-sensitive quality indicators in central sterile supply department(CSSD)and analyze the application effect.[Method]The research group of nursing-sensitive quality indicators in CSSD was established to determine the qualified rate of equipment cleaning,equipment packaging,package breakage and wet bag as the nursing-sensitive quality indicators in CSSD,and given the control and improvement of the quality of nursing.Nursing-sensitive quality indicators between the observation group(after administration)and the control group(before administration)were compared.[Result]Compared with the control group,the qualified rate of equipment cleaning(98.1% vs 94.3%,98.6% vs 97.1%),eq uipment packaging(98.3% vs 93.5%,98.1% vs 94.4%)in clinical departments and surgical instruments in the observation group were significantly increased,and the rate of package breakage(0.22% vs 0.34%,0.22% vs 0.41%)and wet bag(0.27% vs 0.37%、0.22% vs 0.34%)was significantly decreased(P<0.05).The satisfaction rate of medical staff in the observation group was significantly higher than that in the control group(97.0% vs 90.0%)(P<0.05).[Conclusion]Establishing the nursing-sensitive quality indicators for the implement the whole-process standardized quality control management of CSSD medical devices can promote the continuous improvement of nursing quality and the improvement of nursing service satisfaction.