根因分析法3C管理在消毒供应中心的实施与质控效果探究

Exploring the Implementation and Quality Control Effect of Root Cause Analysis 3C Management in Sterilized Supply Centers

目的探究根因分析法3C管理在消毒供应中心的实施效果及其对质量控制的影响。方法本研究采用前后对照的实验设计,选取武威肿瘤医院消毒供应中心工作的16名工作人员为研究对象,2023年1—6月实施常规管理(常规组),2023年7—12月在常规管理基础上引入根因分析法3C管理(3C组),并于两组各抽取500件医疗器械,比较两组的工作质量、器械供应质量和合格率。结果3C组的工作效率评分为(18.35±1.17)、操作规范性评分为(18.46±1.21)分、文书书写评分为(18.59±1.15)分、无菌意识评分为(18.63±1.09)分,均高于常规组的(17.28±1.31)分、(17.26±1.23)分、(17.52±1.18)分、(17.46±1.20)分,差异有统计学意义(t=2.437、2.782、2.598、2.887,P均<0.05)。3C组的器械供应质量评分高于常规组,医疗器械合格率也高于常规组,差异有统计学意义(P均<0.05)。结论在消毒供应中心实施根因分析法3C管理,可提升消毒供应中心工作质量,提高器械供应质量和医疗器械的合格率。

Objective To explore the effect of root cause analysis 3C management in disinfection supply center and its influence on quality control.Methods This study adopted a pre-and post-control experimental design,selected 16 staff working in the disinfection supply center of Wuwei Cancer Hospital as the study subjects,and implemented routine management(routine group)from January to June 2023,and introduced root cause analysis 3C management(Group 3C)on the basis of routine management from July to December 2023,and extracted 500 medical devices from each group.The work quality,equipment supply quality and qualification rate of the two groups were compared.Results In group 3C,the score of work efficiency was 18.35±1.17,the score of operation standard score was 18.46±1.21,the score of writing score was 18.59±1.15,and the score of aseptic consciousness score was 18.63±1.09,they were higher than 17.28±1.31,17.26±1.23,17.52±1.18 and 17.46±1.20 in the conventional group,and the differences were statistically significant(t=2.437,2.782,2.598,2.887,all P<0.05).The equipment supply quality scores of group 3C were higher than those of conventional group,and the qualified rate of medical devices were higher than conventional group,the differences were statistically significant(all P<0.05).Conclusion The implementation of root cause analysis 3C management in the disinfection supply center can improve the work quality of the disinfection supply center,improve the supply quality of medical devices and improve the qualified rate of medical devices.