中华实验和临床感染病杂志（电子版）
中華實驗和臨床感染病雜誌（電子版）
중화실험화림상감염병잡지（전자판）
CHINESE JOURNAL OF EXPERIMENTAL AND CLINICAL INFECTIOUS DISEASES(ELECTRONIC VERSION)
2015年
3期
331-334
,共4页
品管圈%供应室%手术器械管理%医院感染%效果观察
品管圈%供應室%手術器械管理%醫院感染%效果觀察
품관권%공응실%수술기계관리%의원감염%효과관찰
Quality Control circle%Supply room%Surgical instrument management%Nosocomial infection%Effect observation
目的：评价品管圈活动的开展对于消毒供应室手术器械管理的改善效果。方法本院于2012年9月起开展品管圈活动，通过成立品管圈小组、设定活动主题、现状调查、原因分析及策略制定等一系列活动，进行持续质量改进，对比分析品管圈活动实施前后手术器械包装缺陷的发生情况，医疗器械清洗质量及消毒灭菌的合格率，并调查手术患者的医院感染发生情况。结果对于品管圈活动实施前后调查的各5000个手术器械包对比显示，实施前出现包装缺陷者36件，而实施后仅7件存在缺陷，实施品管圈活动后手术器械包的缺陷发生率显著降低（χ2=19.643，P ＜0.01），且进步率高达80.56%，器械清洗质量及消毒灭菌的合格率实施前分别是99.26%和99.02%，实施后均达到100%，手术患者的医院感染发生率由4.19%下降至2.31%，效果显著（P均＜0.05）。结论通过品管圈活动的开展，及时了解手术器械管理中的问题并制定策略，有效防止手术器械包装缺陷的发生，提高了消毒供应室护理质量，有助于有效控制医院感染的发生。
目的：評價品管圈活動的開展對于消毒供應室手術器械管理的改善效果。方法本院于2012年9月起開展品管圈活動，通過成立品管圈小組、設定活動主題、現狀調查、原因分析及策略製定等一繫列活動，進行持續質量改進，對比分析品管圈活動實施前後手術器械包裝缺陷的髮生情況，醫療器械清洗質量及消毒滅菌的閤格率，併調查手術患者的醫院感染髮生情況。結果對于品管圈活動實施前後調查的各5000箇手術器械包對比顯示，實施前齣現包裝缺陷者36件，而實施後僅7件存在缺陷，實施品管圈活動後手術器械包的缺陷髮生率顯著降低（χ2=19.643，P ＜0.01），且進步率高達80.56%，器械清洗質量及消毒滅菌的閤格率實施前分彆是99.26%和99.02%，實施後均達到100%，手術患者的醫院感染髮生率由4.19%下降至2.31%，效果顯著（P均＜0.05）。結論通過品管圈活動的開展，及時瞭解手術器械管理中的問題併製定策略，有效防止手術器械包裝缺陷的髮生，提高瞭消毒供應室護理質量，有助于有效控製醫院感染的髮生。
목적：평개품관권활동적개전대우소독공응실수술기계관리적개선효과。방법본원우2012년9월기개전품관권활동，통과성립품관권소조、설정활동주제、현상조사、원인분석급책략제정등일계렬활동，진행지속질량개진，대비분석품관권활동실시전후수술기계포장결함적발생정황，의료기계청세질량급소독멸균적합격솔，병조사수술환자적의원감염발생정황。결과대우품관권활동실시전후조사적각5000개수술기계포대비현시，실시전출현포장결함자36건，이실시후부7건존재결함，실시품관권활동후수술기계포적결함발생솔현저강저（χ2=19.643，P ＜0.01），차진보솔고체80.56%，기계청세질량급소독멸균적합격솔실시전분별시99.26%화99.02%，실시후균체도100%，수술환자적의원감염발생솔유4.19%하강지2.31%，효과현저（P균＜0.05）。결론통과품관권활동적개전，급시료해수술기계관리중적문제병제정책략，유효방지수술기계포장결함적발생，제고료소독공응실호리질량，유조우유효공제의원감염적발생。
Objective To evaluate the effect observation of quality control circle (QCC) in the central sterile supply department (CSSD) surgical instruments management. Methods QCC were carried out in our hospital since September, 2012, through the establishment of QCC team, theme settings, current situation investigation, cause analysis and strategy formulation, continuous quality improvement were conducted, and then the occurrence of defects, acceptability of sterilization in the packaging of surgical instruments before and after the implementation of quality control circle activities were analyzed comparatively and the progress rate was calculated. As well as the nosocomial infection was investigated. Results Before and after the implementation of QCC, each 5 000 surgical equipment package survey found that the packaging defects appeared in 36 cases before implementation, but only 7 cases occurred after the implementation of QCC, the occurrence of defects in the packaging of surgical instruments after the implementation of QCC were signiifcantly lower than before the implementation of QCC (χ2=19.643, P<0.01) and the progress rate was up to 80.56%. The acceptability of sterilization improved markedly to 100%, the nosocomial infection rate declined from 4.19%to 2.31%(P all<0.05). Conclusions With QCC activities developing the surgical instrument management issues could be kept abreast and the strategies could be developed to effectively prevent the occurrence of surgical instruments packaging defects and the quality of supply room care could be improved. It was beneift to controlling the nosocomial infection effectively.
