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基于质量协同管理链管理模式对提升手术器械消毒供应质量的效果评价

Effect Evaluation of QCM-Based Management Mode on Improving the Disinfection Supply Quality of Surgical Instruments
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摘要 目的:探讨基于质量协同管理链(QCM)管理模式对提升手术器械消毒供应质量的效果。方法:选取2022年7月1日~2022年12月31日本院消毒供应中心回收供应的400件手术器械为研究对象。以2022年7月1日~2022年9月30日常规管理下回收供应的200件手术器械为对照组,2022年10月1日~2022年12月31日QCM管理模式下回收供应的200件手术器械为观察组。比较两组器械清洗质量、待灭菌包包装质量及两组器械供应发放期间医护人员满意度。结果:观察组器械清洗质量控制效果各项评分及器械清洗合格率较高,细菌检出率低(P<0.05)。两组器械灭菌前观察组器械包包内器械错误、标识错误、封包不符合要求、棉包布不洁、棉包布破损等待灭菌包包装不符合要求概率较低,医护人员满意度较高(P<0.05)。结论:基于QCM管理模式可有效改善手术器械消毒供应质量,提升器械清洗质量及清洗合格率,降低细菌检出,减少待灭菌包包装不合格,提升医护人员满意度。 Objective:To explore the effect of quality collaborative management chain(QCM)management mode on improving the disinfection supply quality of surgical instruments.Methods:400 pieces of surgical instruments recovered and supplied from the Disinfection Supply Center of our hospital from July 1,2022 to December 31,2022 were selected as the research object.200 surgical instruments recovered and supplied under routine management from July 1,2022 to September 30,2022 were taken as the control group,and 200 surgical instruments recovered and supplied under QCM management mode from October 1,2022 to December 31,2022 were taken as the observation group.The cleaning quality of instruments,the packaging quality of packages to be sterilized and the satisfaction of medical staff during the supply and distribution of instruments were compared between the two groups.Results:In the observation group,the scores of instrument cleaning quality control effect and the qualified rate of instrument cleaning were higher,and the bacteria detection rate was lower(P<0.05).Before sterilization,in the observation group,the probability of equipment error,wrong identification,unqualified package,unclean cotton package and damaged cotton package waiting for sterilization package was low,and the satisfaction of medical staff was high(P<0.05).Conclusion:QCM-based management mode can effectively improve the disinfection supply quality of surgical instruments,improve the cleaning quality and qualified rate of instruments,reduce the detection of bacteria,reduce the unqualified packaging of packages to be sterilized,and improve the satisfaction of medical staff.
作者 邱丽晶 董春贺 QIU Li-jing;DONG Chun-he(Disinfection Supply Center,Xiamen Fifth Hospital,Fujian Xiamen 361100)
出处 《中国医疗器械信息》 2024年第17期161-164,共4页 China Medical Device Information
关键词 手术器械 消毒供应中心 清洗质量 质量协同管理链 surgical instruments disinfection supply center cleaning quality quality collaborative management chain
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