PDCA持续质量改进在外来医疗器械灭菌管理中的应用

Application of PDCA continuous quality improvement in sterilization management of loaner instrumentation

目的探讨PDCA持续质量改进方法在外来医疗器械灭菌管理中的应用,不断提高外来医疗器械灭菌质量。方法选取医院2018年1-6月未实施PDCA质量管理方法的1512包外来医疗器械及植入物作为对照组;将2019年1-6月实施PDCA质量管理的1944包作为观察组。对比2组外来医疗器械及植入物清洗合格率、包装合格率,灭菌合格率、湿包率及实施前后手术医护人员的满意度,并进行数据分析。结果对照组清洗合格数1329包,合格率87.90%;包装合格数1244包,合格率82.28%;灭菌合格数1381包,合格率91.34%;湿包数126包,湿包率8.33%;手术医护人员对外来医疗器械及植入物满意的包数1089包,满意率72.02%。观察组清洗合格数1919包,合格率98.71%;包装合格数1944包,合格率100%;灭菌合格数1928包,合格率99.18%;湿包数16包,湿包率0.82%;手术医护人员对外来医疗器械及植入物满意1750包,满意率90.02%。经统计学分析差异有统计学意义(P<0.01)。结论应用PDCA持续质量改进管理可有效提高外来医疗器械及植入物灭菌质量,提高手术医护人员满意度。

Objective To explore the application of PDCA continuous quality improvement method in the sterilization management of foreign medical devices,and to continuously improve the sterilization quality of foreign medical devices.Methods 1512 packs of loaner instrumentation and implants without PDCA quality management from January to June 2018 were selected as control group,1944 packs with PDCA quality management from January to June 2019 were selected as observation group.The cleaning qualified rate,packaging qualified rate,sterilization qualified rate,wet package rate of foreign medical devices and implants and the sterilization of medical staff before and after the improvemention of sterilization qualified were compared between two groups.Results In the control group 1329 packages were qualified,and the qualified rate was 87.90%.1244 packages were qualified for packages,with a qualified rate of 82.28%;1381 packages were qualified for sterilization,with a qualified rate of 91.34%;126 wet packs were counted with a wet pack rate of 8.33%;1089 packages were satisfied with foreign medical devices and implants,with a satisfaction rate of 72.02%.In the observation group 1919 packages were qualified for cleaning,with a qualified rate of 98.71%;1944 packages were qualified for packages,with a qualified rate of 100%;1928 packages were qualified for sterilization quality,with a qualified rate of 99.18%;16 wet packs are counted with a wet pack rate of 0.82%;1750 packages were satisfied with foreign medical devices and implants,with a satisfaction rate of 90.02%.The difference is statistically significant(P<0.01)after statistical processing and χ^(2) test.Conclusion The application of PDCA continuous quality improvement management can effectively improve the sterilization quality of foreign medical devices and implants and improve the satisfaction of surgical staff.