6S管理法在消毒供应中心精密器械管理中的应用

Application practice of 6S management of delicate instruments in central supply sterilization department

目的分析6S管理法在消毒供应中心精密器械管理中的应用效果。方法2022年12月—2023年12月开始实施6S管理,通过创建科室6S管理体系,组织召开动员大会,制定6S管理的具体实施步骤,每季度接受护理部现场查检6S管理质量及科室自查6S管理质量,比较6S管理实施前后每季度手术器械包装合格率、无菌物品发放合格率、急消器械及时供应率,以P<0.05为差异有统计学意义。结果护理部现场查检6S管理质量发现一季度“整顿”不合格、二季度员工手工清洗着装“安全”不合格、三季度“清扫”不合格,四季度现场访谈消防“安全”合格,辅助区域6S管理质量合格。实施6S管理后,一、二、三、四季度手术器械包装合格率高于实施前常规管理(P<0.05);一、二、四季度无菌物品发放合格率高于实施前常规管理(P<0.05);二、三、四季度急消器械及时供应率高于实施前常规管理(P<0.05);结论6S管理法可提高消毒供应中心关键环节质量,发现精密器械管理中存在的各类问题,其中整理、整顿、清扫、清洁是日常管理的重点。

Objective Analysis of the application effect after using 6S management of delicate instruments in Central Supply Sterilization Department.Methods 6S management’s preliminary stage from December 2022 to December 2023,then created a departmental 6S management team and organized a mobilization meeting.Formulated specific implementation steps for 6S management,accepted on-site inspection of 6S management quality by the nursing department and self inspection of Central Supply Sterilization Department quarterly,compared the qualification rate of all instruments packaging and sterille goods supply quarterly,and the timely supply rate of emergency reprocessing instruments,the difference before and after 6S management was statistically significant(P<0.05).Results The on-site inspection of 6S management quality by the nursing department found that the“seiton”in the first quarter,the“safety”of manual cleaning of employees in the second quarter,the“seiso”in the third quarter,the“safety”of on-site interview in the fourth quarter,and the quality of 6S management in the auxiliary area were qualified were unqualified.The qualification rate of all instruments packaging were higher than before using 6S management in the first,second,third,fourth quarters(P<0.05),and the qualification rate of sterille goods supply were higher than before using 6S management in the first,second,fourth quarters(P<0.05),and the timely supply rate of emergency reprocessing instruments were higher than before using 6S management in the second,third,fourth quarters(P<0.05).Conclusion 6S management can improved the key link quality and identified various problems of delicate instrument management in Central Supply Sterilization Department,among which seiri,seiton,seiso,seiketsu is the focus of daily management.