消毒供应中心湿包管理的证据应用

Evidence application for wet pack management

目的:对消毒供应中心湿包管理的证据进行总结及应用,提高消毒供应中心工作人员对循证相关知识的认知,提高证据应用的执行率。方法:按照JBI循证卫生保健中心的“证据的临床应用”模式,获取最佳实践证据,制定相应的审查指标。采用现场观察法、访谈法、测量法、查阅相关记录的方法收集数据。结果:证据应用后,审查指标执行率有7条达到100%;湿包发生率由0.85%下降到0.12%;消毒供应中心的工作人员对湿包管理相关知识的测试合格率由30.8%增高到92.3%;灭菌包在冷却期间的触摸次数由平均4.57次下降到平均1次。结论:湿包管理的证据应用可以规范消毒供应中心工作人员的实践操作,降低湿包的发生率。

Objective:To summarize and apply the evidence to prevent wet packs from autoclave sterilizers so as to improve the awareness of the staff in Central Sterile Supply Department on evidence-based knowledge,increase the implementation rate of evidence application,and reduce the incidence of wet packs.Methods:Based on the"clinical application of evidence"model of the Joanna Briggs Institute(JBI)evidence-based health care center,we obtained best practice evidence and formulated corresponding review indicators.We collected data using on-site observation,interview,measurement,and access to relevant records.Results:After the application of the best evidence,the implementation rate of seven review indicators reached 100%.The incidence rate of wet packs decreased from 0.85%to 0.12%.The pass rate of the staff in the Central Sterile Supply Department on the knowledge of wet pack management increased from 30.8%to 92.3%.The frequency of touches during cooling period decreased from 4.57 to 1 on average.Conclusion:The application of the best evidence of wet pack management can standardize the practice of the Central Sterile Supply Department staff and reduce the incidence of wet packs.