FOCUS-PDCA管理对软式内镜消毒质量的改善作用

Effects of FOCUS-PDCA management on the improvement of disinfection quality of flexible endoscopes

目的探讨FOCUS-PDCA管理对软式内镜消毒质量的改善作用。方法采用便利抽样法,选取2018年1月—2020年2月在商丘市第一人民医院内镜中心的124个软式内镜和23名护士为研究对象,将2018年1月—2019年1月采取常规方式消毒处理的软式内镜设为对照组(n=62);将2019年2月—2020年2月采用FOCUS-PDCA消毒处理的软式内镜设为观察组(n=62),比较两组软式内镜清洗消毒规范执行状况、消毒和管理缺陷发生率以及消毒管理质量。结果观察组软式内镜清洗、消毒规范、管理考核各维度得分均高于对照组,差异均有统计学意义(P<0.01)。观察组软式内镜消毒、管理缺陷发生情况少于对照组,清洗消毒记录完整率、清洗操作规范率、生物学检测结果合格率、消毒防护措施落实率均高于对照组,差异均有统计学意义(P<0.05)。结论FOCUS-PDCA管理模式能够有效提高软式内镜的洁净度和消毒质量,值得临床推广。

Objective To explore the effects of FOCUS-PDCA management on the improvement of disinfection quality of flexible endoscopes.Methods From January 2018 to February 2020,a total of 124 flexible endoscopes and 23 nurses in Endoscopy Center of The First People's Hospital of Shangqiu were selected as the research objects by the convenient sampling method.From January 2018 to January 2019,the flexible endoscopes that were disinfected by conventional methods were set as the control group(n=62).From February 2019 to February 2020,the flexible endoscopes treated with Focus-PDCA disinfection were set as the observation group(n=62).The implementation status of the cleaning and disinfection specifications,the incidence of validity management defects and the quality of disinfection management of flexible endoscopes were compared between the two groups.Results The observation group's flexible endoscope cleaning,disinfection specifications,and management evaluation scores were higher than those of the control group,and the differences were statistically significant(P<0.01).The disinfection and management defects of the flexible endoscope in the observation group were lower than those in the control group,the completeness rate of cleaning and disinfection records,the standard rate of cleaning operations,the qualification rate of biological test results,and the implementation rate of disinfection protection measures in the observation group were all higher than those of the control group,the differences were statistically significant.(P<0.05).Conclusions The FOCUS-PDCA management model can effectively improve the cleanliness and disinfection quality of flexible endoscopes,which is worthy of clinical promotion.