标准化作业程序在消毒供应科中的应用  

Application of standard operational procedures in sterilization and supply departments

作　　者：侯宁蕊[1] 张海侠 王慧丽[3] 王燕 

机构地区：[1]西安交通大学第一附属医院麻醉手术部,西安710061 [2]咸阳市中心医院会诊中心,咸阳712000 [3]西安外事学院医学院护理系,西安710077 [4]西安市第五医院风湿七科,西安710082

出　　处：《中华现代护理杂志》2017年第8期1164-1166,共3页Chinese Journal of Modern Nursing

摘　　要：目的 探讨标准化作业程序（standard operating procedures,SOP）在消毒供应科质量管理体系各个环节中的作用效果,为保障消毒灭菌质量提供依据.方法 首先制订出SOP的标准化程序模版,科室根据每个员工的具体情况,分配到个人进行SOP的制订,制订完毕逐一进行审核,审核后先进行培训再实施;本研究采用随机抽样方法,分别抽取2014年1—12月SOP实施前与2015年1—12月SOP实施后的2000件手术器械作为研究对象,对在SOP实施前后清洗质量的不合格率、包装的不合格率、针刺伤的发生率、整理手术器械的平均时间进行统计,并比较其作用效果.结果 SOP实施后器械清洗质量的不合格率、包装的不合格率、针刺伤发生率、缝针丢失发生率、整理手术器械的平均时间比实施前减少（χ2分别为132.37、91.85、9.98、9.20、32.85;P〈0.05）.结论 SOP实施后,消毒供应科各个环节的工作有条不紊,质量明显提高,SOP应广泛推广到消毒供应科的质量管理体系中.Objective To explore the effect of standard operational procedures （SOPs） when used in the quality management system of sterilization and supply departments,and to provide a theoretical basis for ensuring sterilization quality. Methods At first,a standard procedure template was prepared,then each department member was assigned to customize their SOPs based on their own circumstances,and finally the SOPs were reviewed one by one by the departments before the members were trained and began to use the SOPs;totally 2000 surgical instruments from January to December 2014 （before SOPs） and from January to December 2015 （after SOPs） were selected by random sampling,and the percentage of their cleaning quality failure,packing failure,needlestick injury,and the average of clean-up time were measured and compared. Results The possibilities of disqualified cleaning,packing,needlestick injury and lost stitches and average clean-up time decreased compared with those before the SOPs were introduced （χ2=132.37,91.85,9.98, 9.20,32.85;P 〈 0.05）. Conclusions The introduction of SOPs maintains the work of sterilization and supply departments orderly and improve its quality,and therefore,SOPs should be introduced into the quality management system of sterilization and supply departments.

关 键 词：质量管理 标准化作业程序 消毒供应科 

分 类 号：R472.1[医药卫生—护理学]