CAJ | 학술논문

目的：提高压力蒸汽灭菌质量，保证手术患者的医疗安全。方法将压力蒸汽灭菌过程中灭菌时间、温度、压力等实时数据引入电子化管理系统中，并设置灭菌合格最低阈值，达到该阈值系统自动识别为灭菌成功，同时BD测试结果、灭菌过程关键参数、灭菌过程化学监测结果、生物监测结果在电子化管理系统中形成环环相扣的质量控制链，对整个灭菌过程质量进行主动控制，确保物品发放前经过合格的灭菌过程。结果7个月中完成BD测试636批次，拦截可疑不合格2次，完成灭菌1987批次，系统主动判定灭菌不合格1次，植入物灭菌224批次1106个包，按批量监测包内第五类化学指示卡结果提前放行343个(31.01%)，其余按生物监测结果发放。结论通过电子化管理系统对压力蒸汽灭菌过程关键参数和过程监测结果的控制，可提高灭菌质量的可靠性，降低安全隐患。
목적：제고압력증기멸균질량，보증수술환자적의료안전。방법장압력증기멸균과정중멸균시간、온도、압력등실시수거인입전자화관리계통중，병설치멸균합격최저역치，체도해역치계통자동식별위멸균성공，동시BD측시결과、멸균과정관건삼수、멸균과정화학감측결과、생물감측결과재전자화관리계통중형성배배상구적질량공제련，대정개멸균과정질량진행주동공제，학보물품발방전경과합격적멸균과정。결과7개월중완성BD측시636비차，란절가의불합격2차，완성멸균1987비차，계통주동판정멸균불합격1차，식입물멸균224비차1106개포，안비량감측포내제오류화학지시잡결과제전방행343개(31.01%)，기여안생물감측결과발방。결론통과전자화관리계통대압력증기멸균과정관건삼수화과정감측결과적공제，가제고멸균질량적가고성，강저안전은환。
Objective To improve the quality of pressure steam sterilization, and ensure medical safety. Methods Sterilization time, temperature, pressure, and other real-time data during the process of the pressure steam sterilization were introduced into an electronic management system. The minimum threshold of eligible sterilization was set in the electronic management system in order to automatic identify the success of sterilization. An interlocking quality control chain was established. At the same time, the BD test results, key parameters of the sterilization process, chemical monitoring results, and biological monitoring results formed the quality control chain. The quality control chain actively controlled the quality of the whole process, and ensured products having been processed by qualified sterilization before distribution. Results In the past seven months, BD test was completed 636 batches. Two batches were intercepted for unqualified sterilization process, and 1 987 batches were completed sterilization. The electronic management system actively identified the unqualified sterilization process once. 224 batches of implant products including 1 106 bags were sterilized utilizing the electronic management system. 343 (31. 01%) bags were released early according to the fifth kinds of chemical indicative cards in the batch monitoring package, while the rest were released according to the biological monitoring results. Conclusions The electronic management system can improve the sterilization quality, reliability, and reduce the occult threat, by the control of the key parameters of pressure steam sterilization process and the process monitoring results.