6S管理在手术器械清洁管理中的应用

Application of 6S Management in Cleaning Management of Surgical Instruments

目的分析6S管理在消毒供应中心手术器械清洁管理中的应用。方法选取2018年6~12月我院采用常规手术器械质量管理356件设为对照组,将2019年1~5月应用6S管理的356件设为观察组,比较两组手术器械检测合格率(清洗、包装、消毒、灭菌)、临床科室满意度评分(回收发放情况、临床需求满足情况、服务及时性、无菌物品质量)及不良事件发生率(包不破裂、湿包、标识卡错误、器械破损)。结果观察组手术器械清洗、包装、消毒、灭菌检测合格率均高于对照组,差异有统计学意义(P<0.05);观察组临床科室满意度评分高于对照组,差异有统计学意义(P<0.05);观察组不良事件发生率低于对照组,差异有统计学意义(P<0.05)。结论在消毒供应中心手术器械清洁管理中应用6S管理,有助于提高手术器械管理质量,保障手术器械安全,预防和减少院内感染的发生。

Objective To analyze the application of 6S management in the cleaning management of surgical instruments in the disinfection supply center.Methods From June to December 2018,our hospital used 356 pieces of conventional surgical instrument quality management as the control group,and from January to May 2019,356 pieces managed by 6S were set as the observation group.Compare the two groups of qualified rate of surgical instrument detection(cleaning,packaging,disinfection,sterilization),clinical department satisfaction score(recycling and distribution,clinical demand satisfaction,service timeliness,quality of sterile materials)and the incidence of adverse events(including Not broken,wet pack,wrong identification card,damaged equipment).Results The qualified rate of surgical instrument cleaning,packaging,disinfection and sterilization in the observation group was higher than that in the control group,the difference was statistically significant(P<0.05);the satisfaction score of clinical departments in the observation group was higher than that in the control group,the difference was statistically significant(P<0.05);the incidence of adverse events in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion The application of 6S management in the cleaning management of surgical instruments in the disinfection supply center can help improve the quality of surgical instruments management,ensure the safety of surgical instruments,and prevent and reduce the incidence of nosocomial infections.