医院消毒供应中心清洗全程质量控制用于院内感染风险预防的价值

The value of whole process cleaning quality control in hospital disinfection supply center for hospital infection risk prevention

目的探讨医院消毒供应中心清洗全程质量控制用于院内感染风险预防价值。方法选取2019年1月—2021年6月期间医院消毒供应中心待清洗消毒的1000件手术器械(观察组),采用全程质量控制;另选取1000件手术器械(对照组),常规流程清洗;比较2组患者器械清洗质量,统计清洗后因术中器械的院内感染率。结果观察组清洗消毒后器械血渍、污垢、锈斑总发生率0.20%,低于对照组的1.50%,器械清洗、消毒、灭菌合格率高于对照组(P<0.05)。观察组器械操作流程与标准、科室管理、安全管理、综合质量管理高于对照组,院内感染率0.10%低于对照组的1.00%,医护人员满意度95.00%高于对照组的75.00%(P<0.05)。结论医院消毒供应中心清洗质量控制,可增加手术器械清洗质量,减少院内感染的发生。

Objective To explore the value of whole process cleaning quality control in hospital disinfection supply center for risk prevention of hospital infection.Methods From January 2019 to June 2021,1000 surgical instruments to be cleaned and disinfected in the hospital disinfection supply center(observation group)were selected,and the whole process quality control was applied;another 1000 surgical instruments(control group)were selected for routine cleaning.The quality of instrument cleaning in the two groups was compared,and the hospital infection rate after the application of cleaned instrument was calculated.Results After cleaning and disinfecting instruments,the total incidence of blood stains,dirt and rust was 0.20%in the observation group,lower than that in the control group,which was 1.50%,and the qualified rate of instrument cleaning,disinfecting and sterilizing was higher than that in the control group(P<0.05).The equipment operation procedures and standards,department management,safety management,and comprehensive quality management of the observation group were higher than those of the control group,the hospital infection rate was 0.10%,lower than that of the control group(1.00%),and the satisfaction rate of medical staff was 95.00%in the observation group,higher than that of the control group(75.00%,P<0.05).Conclusions The cleaning quality control of hospital disinfection supply center can improve the cleaning quality of surgical instruments and reduce the occurrence of hospital infection.