CAJ | 학술논문

目的：对消毒供应室可能存在的风险和安全隐患管理进行全面评估，并针对存在不足探讨其应对措施。方法对中山大学附属第六医院消毒供应室2014年的风险事件(包括漏放化学指示卡、锐气损伤和记录缺失等3方面)进行评估，并执行相应的防范措施，对比分析实施防范措施前后一年内风险事件发生率的变化情况。结果实施防范措施前后1年，风险事件发生率分别为3.87%和0.38%。与实施防范措施前相比较，实施后，风险事件在消毒供应室的发生率显著降低，差异具有统计学意义(P<0.05)。结论消毒供应室中实施风险管理的评估，同时排查潜伏的安全隐患，提高临床法律的意识，严把供应物品质量关，在保障临床物品使用安全上有着重要意义。
목적：대소독공응실가능존재적풍험화안전은환관리진행전면평고，병침대존재불족탐토기응대조시。방법대중산대학부속제륙의원소독공응실2014년적풍험사건(포괄루방화학지시잡、예기손상화기록결실등3방면)진행평고，병집행상응적방범조시，대비분석실시방범조시전후일년내풍험사건발생솔적변화정황。결과실시방범조시전후1년，풍험사건발생솔분별위3.87%화0.38%。여실시방범조시전상비교，실시후，풍험사건재소독공응실적발생솔현저강저，차이구유통계학의의(P<0.05)。결론소독공응실중실시풍험관리적평고，동시배사잠복적안전은환，제고림상법률적의식，엄파공응물품질량관，재보장림상물품사용안전상유착중요의의。
Objective To assess the risk and hazard loopholes in central sterile supply department (CSSD) and discuss the corresponding measures to cope with them. Methods To assess the risk events (omitting placing chemical index card, sharp instrument injury and missing record )in CSSD in 2014 in the No.6 Affiliated Hospital of Sun Yat-sen University and carry out the relevant precautious measures, as well as analyze the change of risk rate before and after the precautious measures being taken. Results The risk event within one year before and after the precautious measure being taken was 3.87% and 0.38% respectively. Compared with the period before the measure was taken, the rate of the risk events happening after the carrying out of precautious measures decreased dramatically and the difference was of statistical significance (P<0.05). Con-clusion It is of great significance to make risk assessment and clear the potential safety risks, as well as raise the legal awareness in terms of clinical field and control the quality so that qualified disinfection and sterilization items could be pro-vided for clinical departments and the medical security in the hospital can be guaranteed.