持续质量改进在消毒供应室管理中的应用  

Application of continuous quality improvement in the management of disinfection supply room

作　　者：陆卫华[1] 薛凤娟[1] 

机构地区：[1]河北省秦皇岛市第二医院,河北秦皇岛066600

出　　处：《中国医药导报》2015年第17期157-160,共4页China Medical Herald

基　　金：河北省秦皇岛市科学技术研究与发展计划科技支撑项目(2012023A064)

摘　　要：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。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.

关 键 词：持续质量改进 消毒供应室 质量控制 医院感染 

分 类 号：R187[医药卫生—流行病学]