CAJ | 학술논문

目的建立消毒供应室发现和改进细节问题的管理关口前移机制,改善质控效果.方法将消毒供应室细节问题的管理模式更加细化和具体化,建立全员参与细节问题管理的关口前移平台,激励全员参与细节问题管理,及时追溯改进效果.结果细节问题管理关口前移后,供应室各区域物品检查合格率提高,去污区、包装检查灭菌区、无菌物品存放区、技能知识比赛、临床满意度得分分别为(96.9±1.7),(97.2±1.6),(98.8±1.7),(97.9±1.5),(98.2±1.8)分,前移前分别为(91.6±1.8),(93.7±2.4),(94.5±1.1),(93.9±1.7),(93.5±1.7)分,前移前后比较差异均有统计学意义(t值分别为-7.22,-4.79,-3.54,-6.26,-7.29；P＜0.01).结论消毒供应室细节问题管理关口前移可进一步改善质控效果.
목적 건립소독공응실발현화개진세절문제적관리관구전이궤제,개선질공효과.방법 장소독공응실세절문제적관리모식경가세화화구체화,건립전원삼여세절문제관리적관구전이평태,격려전원삼여세절문제관리,급시추소개진효과.결과 세절문제관리관구전이후,공응실각구역물품검사합격솔제고,거오구、포장검사멸균구、무균물품존방구、기능지식비새、림상만의도득분분별위(96.9±1.7),(97.2±1.6),(98.8±1.7),(97.9±1.5),(98.2±1.8)분,전이전분별위(91.6±1.8),(93.7±2.4),(94.5±1.1),(93.9±1.7),(93.5±1.7)분,전이전후비교차이균유통계학의의(t치분별위-7.22,-4.79,-3.54,-6.26,-7.29；P＜0.01).결론 소독공응실세절문제관리관구전이가진일보개선질공효과.
Objective To establish the mechanism of management-pass antedisplacement of detail problem and improve the effects of the quality control.Methods Made the former management-model of finding,noting and improving detail problems more fine and more material,established the platform of the management-pass antedisplacement of detail problem,and encouraged all staffs participating in management of detail problems and casting back effects of improving.Results After the implementation of the managementpass antedisplacement model of detail problem,the indexes of working quality were improved significantly.And comprehensive scores in various areas increased significantly such as removing dirt zone [(96.9 ± 1.7) vs(91.6 ± 1.8)],packing-check sterilization zone [(97.2 ± 1.6) vs (93.7 ± 2.4)],asepsis-goods storing zone [(98.8 ± 1.7) vs (94.5 ± 1.1)],skill-knowledge competition[(97.9 ± 1.5) vs(93.9 ± 1.7)],and clinical satisfaction degree [(98.2 ± 1.8) vs (93.5 ± 1.7)] were significantly higher than those before (t =-7.22,-4.79,-3.54,-6.26,-7.29,respectively;P ＜ 0.01).Conclusions The management-pass antedisplacement of detail problem can effectively improve the effects of quality control in sterilization-supply unit.