基于赋码的外来医疗器械链式管理方案在消毒供应中心安全管理中的应用

Application of external medical device chain management scheme based on coding in safety management of Central Sterile Supply Department

目的对消毒供应中心外来医疗器械实施基于赋码的链式管理模式方案,并探讨其对外来医疗器械链式管理环节质量控制检测不合格率和医护人员工作满意率的影响。方法随机抽取温州医科大学附属第二医院消毒供应中心2022年1月17日—2月6日的90个外来器械包作为对照组,随机抽取2022年6月13日—7月3日的90个外来器械包作为干预组。对照组采用传统外来医疗器械管理方式,干预组在对照组的基础上,于2022年3月1日开始在本院实施基于赋码的外来医疗器械链式管理方案,比较2组外来医疗器械链式管理环节质量控制检测不合格率和医护人员对外来医疗器械管理工作的满意率。结果干预组90个外来器械包管理环节不合格率为24.76%(156/630),干预组90个外来器械包管理环节不合格率为7.30%(46/630),2组差异有统计学意义(P<0.05)。干预组手术室医生、手术室护士和消毒供应中心护士对外来医疗器械管理工作的满意率均明显高于对照组,差异有统计学意义(P<0.01)。结论基于赋码的消毒供应中心外来医疗器械链式管理模式有利于减少管理差错,保障医疗安全,并有效提高医护人员的工作满意度,是值得临床参考借鉴的科学管理模式。

Objective The chain management scheme based on coding was implemented in the Central Sterile Supply Department for external medical devices,and its influence on the unqualified rate of quality control and job satisfaction rate of medical staff was discussed.Methods A total of 90 external medical instrument sets from the Central Sterile Supply Department of the Second Affiliated Hospital of Wenzhou Medical University from January 17 to February 6,2022 were randomly selected as the control group,and 90 external medical instrument sets from June 13,2022 to July 3,2022 were randomly selected as the intervention group.The control group adopted the traditional external medical device management mode,and the intervention group implemented the external medical device chain management scheme based on coding on the basis of the control group in our hospital on March 1,2022.The unqualified rate of external medical device management and the satisfaction rate of medical staff were compared between the two groups.Results The unqualified rate was 24.76%(156/630)in the intervention group and 7.30%(46/630)in the intervention group,the difference between the two groups was statistically significant(P<0.05).The satisfaction rate of the operating room doctors,nurses and nurses in the disinfection supply center in the intervention group was significantly higher than that in the control group,and the difference was statistically significant(P<0.01).Conclusion The external medical device chain management model based on coding is beneficial to reduce management errors,to ensure medical safety and improve the job satisfaction of medical staff.It is a scientific management model worthy of clinical reference.