中国医药导报
中國醫藥導報
중국의약도보
CHINA MEDICAL HERALD
2015年
17期
157-160
,共4页
持续质量改进%消毒供应室%质量控制%医院感染
持續質量改進%消毒供應室%質量控製%醫院感染
지속질량개진%소독공응실%질량공제%의원감염
Continuous quality improvement%Disinfection supply room%Quality control%Hospital infection
目的：探讨持续质量改进对消毒供应室管理的意义。方法抽取秦皇岛市第二医院2012年2月没有实施持续质量改进的500份消毒样本作为对照，随机抽取实施持续质量改进后的2014年2月的500份样本作为观察对象。比较两者的包装质量、清洗质量、灭菌质量、物品送达科室时间。结果实施持续质量改进前抽取500份样本中包装质量不合格率为3.6%(18/500)，清洗质量不合格率为2.4%(12/500)，灭菌质量不合格率为1.2%(6/500)；实施质量持续改进后抽取500份样本中上述指标分别为1.4%(7/500)、0.6%(3/500)、0.2%(1/500)。两者比较，差异均有统计学意义(均P<0.05)。实施持续质量改进后500份物品送达科室时间为(42.5±12.5)min，显著低于实施持续质量改进前的(60.5±15.5)min，差异有统计学意义(P<0.05)。结论实施质量持续改进及控制后，消毒物品在包装质量、清洗质量、灭菌质量上均有显著提高，保证了消毒供应室物品达标，满足临床需求，提高了消毒供应室工作质量的满意度，对有效地防止医院感染的发生具有重要意义。
目的：探討持續質量改進對消毒供應室管理的意義。方法抽取秦皇島市第二醫院2012年2月沒有實施持續質量改進的500份消毒樣本作為對照，隨機抽取實施持續質量改進後的2014年2月的500份樣本作為觀察對象。比較兩者的包裝質量、清洗質量、滅菌質量、物品送達科室時間。結果實施持續質量改進前抽取500份樣本中包裝質量不閤格率為3.6%(18/500)，清洗質量不閤格率為2.4%(12/500)，滅菌質量不閤格率為1.2%(6/500)；實施質量持續改進後抽取500份樣本中上述指標分彆為1.4%(7/500)、0.6%(3/500)、0.2%(1/500)。兩者比較，差異均有統計學意義(均P<0.05)。實施持續質量改進後500份物品送達科室時間為(42.5±12.5)min，顯著低于實施持續質量改進前的(60.5±15.5)min，差異有統計學意義(P<0.05)。結論實施質量持續改進及控製後，消毒物品在包裝質量、清洗質量、滅菌質量上均有顯著提高，保證瞭消毒供應室物品達標，滿足臨床需求，提高瞭消毒供應室工作質量的滿意度，對有效地防止醫院感染的髮生具有重要意義。
목적：탐토지속질량개진대소독공응실관리적의의。방법추취진황도시제이의원2012년2월몰유실시지속질량개진적500빈소독양본작위대조，수궤추취실시지속질량개진후적2014년2월적500빈양본작위관찰대상。비교량자적포장질량、청세질량、멸균질량、물품송체과실시간。결과실시지속질량개진전추취500빈양본중포장질량불합격솔위3.6%(18/500)，청세질량불합격솔위2.4%(12/500)，멸균질량불합격솔위1.2%(6/500)；실시질량지속개진후추취500빈양본중상술지표분별위1.4%(7/500)、0.6%(3/500)、0.2%(1/500)。량자비교，차이균유통계학의의(균P<0.05)。실시지속질량개진후500빈물품송체과실시간위(42.5±12.5)min，현저저우실시지속질량개진전적(60.5±15.5)min，차이유통계학의의(P<0.05)。결론실시질량지속개진급공제후，소독물품재포장질량、청세질량、멸균질량상균유현저제고，보증료소독공응실물품체표，만족림상수구，제고료소독공응실공작질량적만의도，대유효지방지의원감염적발생구유중요의의。
Objective To investigate the application value of continuous quality improvement in the management of dis-infection supply room. Methods 500 copies of disinfected samples before the implementation of continuous quality im-provement in February 2012 of the Second Hospital of Qinhuangdao were selected as a control, 500 samples after the implement of continuous quality improvement in February 2014 were selected as the observation objects. The quality of packaging, cleaning, sterilization quality and delivery time were compared. Results Before the implementation of con-tinuous quality improvement in the collected 500 samples, the unqualified rate of packaging was 3.6%(18/500), the un-qualified rate of cleaning was 2.4% (12/500), the unqualified rate of sterilization was 1.2% (6/500). After the imple-mentation of continuous quality improvement, the above indexes were 1.4% (7/500), 0.6% (3/500), 0.2% (1/500) re-spectively. There were statistically significant differences between the two groups (P<0.05). The delivered in time after implementation of continuous quality improvement of 500 samples was (42.5±12.5) min, which was significantly lower than that before the implementation of continuous quality improvement [(60.5±15.5) min], there was a significant differ-ence between the two groups (P<0.05). Conclusion After the implementation of continuous quality improvement, the disinfection materials are improved in packing quality, the quality of cleaning and sterilization quality, which standard-ize the items of disinfection supply room, meet the demand of clinic, improve the satisfaction of job content of disinfec-tion supply room, which has an important value in preventing the occurrence of hospital infection effectively.
