持续质量改进管理在硬式内镜器械清洗消毒质量控制中的应用

Application of Continuous Quality Improvement Management in Cleaning and Disinfection Quality Control of Rigid Endoscopic Instruments

目的:探讨持续质量改进管理在硬式内镜器械清洗消毒质量控制中的临床效果。方法:选取本院消毒供应中心2022年1月~2022年6月清洗消毒的100套硬式内镜器械作为对照组,实施常规管理;选取2022年7月~2022年11月清洗消毒的100套硬式内镜器械作为观察组,实施持续质量改进管理。对比两组的管理质量、清洗质量合格率和灭菌质量合格率。结果:观察组的回收质量评分为(90.88±5.24)分、清洗质量评分为(90.74±5.63)分、消毒质量评分为(90.83±5.52)分、灭菌质量评分为(90.86±5.73)分、干燥质量评分为(90.77±5.48)分、包装质量评分为(90.79±5.54)分、发放质量评分为(90.81±5.66)分均较对照组高(P<0.05);在目测法清洗质量合格率、残留血试验清洗消毒合格率、试纸法清洗质量合格率、灭菌质量合格率的比较上,与对照组相比,观察组明显较高(P<0.05)。结论:持续质量改进管理在硬式内镜器械清洗消毒质量控制中的效果较显著,不仅可以提高整体的管理质量,还可以提升清洗质量合格率和灭菌质量合格率。

Objective:To explore the clinical effect of continuous quality improvement management in cleaning and disinfection quality control of rigid endoscopic instruments.Methods:100 sets of rigid endoscopic instruments cleaned and disinfected in the disinfection supply center of our hospital from January 2022 to June 2022 were selected as the control group,and routine management was carried out.100 sets of rigid endoscopic instruments cleaned and disinfected in the disinfection supply center of our hospital from July 2022 to November 2022 were selected as the observation group to implement continuous quality improvement management.The management quality,cleaning quality and sterilization quality of the two groups were compared.Results:In the observation group,the score of recovery quality was(90.88±5.24)points,cleaning quality was(90.74±5.63)points,disinfection quality was(90.83±5.52)points,sterilization quality was(90.86±5.73)points,drying quality was(90.77±5.48)points and packaging quality was(90.79±5.54)points,delivery quality score was(90.81±5.66)points,Compared with the control group were higher(P<0.05)points.Compared with the control group,the qualified rate of visual cleaning quality,residual blood test cleaning and disinfection,paper cleaning quality and sterilization quality were significantly higher in the observation group(P<0.05).Conclusion:Continuous quality improvement management has a significant effect on the cleaning and disinfection quality control of rigid endoscopic instruments,which can not only improve the overall management quality,but also improve the qualified rate of cleaning quality and sterilization quality.