强化质量监控及持续改进在消毒供应中心感染防控中的作用探讨

Discussion on the role of strengthening quality control and continuous improvement in infection prevention and control of disinfection supply center

目的对消毒供应中心实施强化质量监控及持续改进,分析其在消毒供应中心感染防控中的作用。方法于2018年8月在绍兴市第七人民医院消毒供应中心开展强化质量监控及持续改进活动,对比强化质量监控及持续改进活动实施前(2017年5月—2018年5月)、后(2018年8月—2019年8月)使用消毒供应中心发放的医疗器械诊疗的患者医院感染发生率及灭菌物品B-D实验合格率、消毒供应中心工作质量合格率及物品送达时间。结果实施后,使用消毒供应中心发放的医疗器械诊疗的患者医院感染发生率为1.1%,低于实施前的2.6%,且B-D实验合格率为98.8%,高于实施前的95.4%,差异具有统计学意义(均P<0.05);实施后消毒供应中心工作质量合格率包括清洗质量、消毒灭菌、包装质量、回收、验收、分类及发放合格率均高于实施前,差异具有统计学意义(均P<0.05);实施后常规物品及急需物品送达时间为(45.25±10.71)min、(9.64±1.17)min,均短于实施前的(51.26±10.33)min、(12.37±2.28)min,差异具有统计学意义(均P<0.05)。结论强化质量监控及持续改进可有效提高消毒供应中心感染防控力度,提高供应室物品合格率,缩短物品送达时间。

Objective To strengthen the quality control and continuous improvement of disinfection supply center and analyze its role in infection prevention and control.Methods In August 2018,strengthened quality monitoring and continuous improvement activities were carried out in the disinfection supply center of Shaoxing Seventh People’s hospital.The hospital infection rate,B-D test qualification rate of sterilized articles,qualified rate of work quality and delivery time of articles were compared before the implementation of enhanced quality control and continuous improvement activities(May 2017-May 2018)and after(August 2018-August 2019).Results After implementation,the incidence of nosocomial infection in patients treated with medical devices issued by the disinfection supply center was 1.1%,lower than 2.6%before implementation,and the pass rate of B-D experiment was 98.8%,higher than 95.4%before implementation,with statistically significant difference(all P<0.05).The qualified rate of work quality of the disinfection supply center after implementation,including cleaning quality,disinfection and sterilization,packaging quality,recovery,acceptance,classification and distribution,was higher than that before implementation,and the difference was statistically significant(all P<0.05).After implementation,the delivery time of conventional goods and urgently needed goods was(45.25±10.71)min and(9.64±1.17)min,both shorter than that before implementation(51.26±10.33)min and(12.37±2.28)min,with statistically significant difference(all P<0.05).Conclusion Strengthening quality control and continuous improvement can effectively improve the prevention and control of infection in the disinfection supply center,improve the qualified rate of goods in the supply room,and shorten the delivery time of goods,which is worthy of clinical application.