采用全面质量控制模式对消毒供应中心的工作进行管理的效果评价

The effect of total quality control model on the management of the disinf ection supply center was evaluated

目的:探讨采用全面质量控制模式对消毒供应中心(CSSD)的工作进行管理的效果。方法:将2017年1月至2019年2月期间重庆市石柱土家族自治县人民医院CSSD回收的200件医疗器械及在该CSSD工作的18名工作人员作为研究对象。自2018年2月起,该医院采用全面质量控制模式对CSSD的工作进行管理。将2017年1月至2018年1月期间该CSSD回收的100件医疗器械设为对照组,将2018年2月至2019年2月期间该CSSD回收的100件医疗器械设为观察组,比较两组医疗器械消毒灭菌的合格率,并比较实施全面质量控制前后该CSSD工作人员的工作意识评分及该医院30名医护人员对CSSD工作的满意情况。结果:观察组医疗器械消毒灭菌的合格率高于对照组医疗器械,P<0.05。实施全面质量控制后,该CSSD工作人员自我防范意识的评分、服务意识的评分和差错防范意识的评分均高于实施全面质量控制前,P<0.05。实施全面质量控制后,该医院30名医护人员对CSSD工作的总满意率高于实施全面质量控制前,P<0.05。结论:采用全面质量控制模式对CSSD的工作进行管理能显著提高医疗器械消毒灭菌的合格率,提升CSSD工作人员的自我防范意识、服务意识和差错防范意识。

Objective:To explore the effect of total quality control(TQC)on the management of disinfection supply center(CSSD).Methods:From January 2017 to February 2019,200 pieces of medical devices recovered from CSSD of People’s Hospital of Shizhu Tujia Autonomous County,Chongqing city and 18 staff working in the CSSD were taken as research objects.Since February 2018,the hospital has adopted a total quality control model to manage the work of CSSD.In January 2017 to January 2018 the CSSD recovery during the period of 100 pieces of medical equipment is set to the control group,in February 2018 to February 2019 during the CSSD recycling of 100 pieces of medical apparatus and instruments as observation group,compared two groups of qualification rate of medical instrument disinfection sterilization,and compared before and after the implementation of total quality control CSSD staff working consciousness score and the hospital 30 medical staff of CSSD job satisfaction.Results:The qualified rate of disinfection and sterilization of medical devices in the observation group was higher than that in the control group(P<0.05).After the implementation of TOTAL quality control,the scores of self-prevention awareness,service awareness and error prevention awareness of the CSSD staff were all higher than before the implementation of TOTAL quality control(P<0.05).After the implementation of TOTAL quality control,the total satisfaction rate of 30 medical staff in the hospital was higher than that before the implementation of TOTAL quality control(P<0.05).Conclusion:Adopting TQC mode to manage the work of CSSD can significantly improve the pass rate of medical device disinfection and sterilization,and enhance the self-prevention consciousness,service consciousness and error prevention consciousness of CSSD staff.