临床一次性医疗用品使用管理的调查分析与对策  

Management of disposable medical items in clinic and its countermeasures

作　　者：蒋乾坤[1] 魏明[1] 梁曼莉[1] 

机构地区：[1]广西壮族自治区南溪山医院感染管理科,广西桂林541002

出　　处：《中华医院感染学杂志》2011年第18期3924-3925,共2页Chinese Journal of Nosocomiology

摘　　要：目的调查一次性医疗用品使用的现状,强化管理,保证临床使用安全。方法对医院2008年1月-2010年1月,使用一次性医疗用品的28个科室,进行4个项目的调查12次,共计1344例次。结果 1344例次检查中有189例次存在管理问题,占14.1%,其中存在问题最多的为存放问题94例次,占49.7%、其次为使用环节问题62例次,占32.8%、用后处理问题31例次,占16.4%、进货环节缺陷2例次,占1.1%。结论临床医疗一次性用品的管理尚存在许多隐患,分析原因,提出强化医护人员医院感染意识、严把进货关、合理储存、避免积压、规范使用、加大督查力度等是保证一次性医疗用品质量,有效控制医院感染和社会污染,确保医疗用品安全的有效方法。OBJECTIVE To investigate the management status of the disposable medical products,to strengthen management and ensure the clinical use safety.METHODS From Jan 2008 to Jan 2010,a total of 28 departments where the disposable medical products used were performed four-item investigation for 12 times,1344 case-times in total.RESULTS Of 1344 case-times examinations,there were 189 case-times with management problems,accounting for 14.1%,among which,94 case-times were deposit problems,accounting for 97.7%,62 case-times were problems of link of use,accounting for 32.8%,31 case-times were disposal problems after using,accounting for 16.4%,and 2 case-times were defectiveness of the purchasing link,accounting for 1.1%.CONCLUSION There are many hidden dangers in the management of disposable medical items,the effective measures to effectively control nosocomial infection and social contamination and ensure the clinical safety of using medical items may include strengthening the awareness of medical personnel about hospital infection,strictly checking,rationally storing to avoid the backlog,standard use and stepping up the supervision,and so on.

关 键 词：一次性医疗物品 使用管理 调查分析 对策 

分 类 号：R197.323[医药卫生—卫生事业管理]