亚专业联合优化质量追溯系统在CSSD日间骨科手术器械管理中的应用效果研究

Study on the Application Effect of Sub-Specialty Joint Optimization Quality Traceability System in the Management for Instruments of Orthopaedic Day Surgery in CSSD

目的探讨基于亚专业联合优化质量追溯系统构建消毒供应中心(Central Sterile Supply Department,CSSD)日间骨科手术器械供应质量管理模式。方法在CSSD传统信息追溯系统的基础上构建亚专业系统体系,并对其进行优化管理,实现数据分析与回溯、反馈与预警。选取2022年1—6月采取常规质量追溯管理的日间骨科5018件无菌包作为对照组;选取2022年7—12月采取亚专业联合优化质量追溯管理的日间骨科5107件无菌包作为实验组;比较2种模式下2组器械管理质量、供应质量缺陷、追溯管理质量缺陷、手术医护综合满意度。结果实验组器械回收、清洗、包装、灭菌流程、发放管理质量显著高于对照组;实验组急件器械处置时效和无菌包发放缺陷情况显著低于对照组;实验组无菌包全流程周期处置不合格率、不良预警事件发生率显著低于对照组;实验组手术医护综合满意度显著高于对照组,差异均有统计学意义(P<0.05)。结论亚专业联合优化质量追溯系统在CSSD日间骨科手术器械管理中效果显著,提高了CSSD器械管理质量,提升了供应效率,规避了供应不良事件发生,扩大了信息预警提示,降低了手术医疗风险,维持了手术室和CSSD良好合作氛围。

Objective To explore the construction of supply quality management model for instruments of orthopedic day surgery in central sterile supply department(CSSD)based on sub-specialty joint optimization quality traceability system.Methods On the basis of the traditional information tracing system in CSSD,a sub-specialty system was constructed and optimized for management to achieve data analysis and traceability,feedback and alerting.A total of 5018 aseptic kits for orthopedic day surgery with routine quality traceability management from January to June 2022 were selected as the control group.In comparison,5107 aseptic kits used for orthopedic day surgery with sub-specialty joint optimization quality traceability management from July to December 2022 were selected as the experimental group.The management quality,supply quality defects,traceability management quality defects,and overall satisfaction of surgical staff were compared between the two groups under the two models.Results The quality of the management processes for instrument retrieval,cleaning,packaging,sterilization,and distribution in the experimental group was significantly higher than that in the control group.The timeliness of urgent instrument disposal and the occurrence of defects in aseptic package distribution was significantly lower in the experimental group compared to the control group.The unqualified rate and the occurrence rate of adverse warning events during the whole process of aseptic packs in the experimental group were significantly lower than those in the control group.The comprehensive satisfaction of surgical staff in the experimental group was significantly higher than that in the control group,The differences were statistically significant(P<0.05).Conclusion The sub-specialty joint optimization quality traceability system shows significant effects in the management for instruments of orthopedic day surgery in CSSD.It improves the quality of instrument management in CSSD,enhances supply efficiency,avoids the occurrence of supply-related adverse events,expands information warning prompts,reduces surgical medical risks,and maintains a good collaborative atmosphere between the operating room and CSSD.