风险管理在手术室医疗器械质量管控中的应用  

Application of risk management in quality control of medical apparatus and instruments of operating room

作　　者：姚利[1] 左爱芳[2] 

机构地区：[1]邯郸市中心医院手术室,河北邯郸056002 [2]邯郸市中心医院护理部,河北邯郸056002

出　　处：《中国医学装备》2017年第9期40-42,共3页China Medical Equipment

摘　　要：目的:探讨风险管理在手术室医疗器械质量管理控制中的应用效果。方法:选取手术室接受风险管理的172件手术医疗器械,按照时间的不同将2016年9月至2017年3月手术室接受风险管理的86件医疗器械作为风险管理组,2015年1月至2016年8月手术室接受常规管理的86件医疗器械作为常规管理组。对两组手术器械的有效验收、清洗合格、配套齐全、去向明确、数量缺失、准备差错、灭菌湿包、术后遗失以及手术医师满意度情况进行统计分析。结果:风险管理组手术器械的有效验收率、清洗合格率、配套齐全率以及去向明确率均显著高于常规管理组,差异有统计学意义(x^2=5.02,x^2=7.38,x^2=9.35,x^2=11.14;P<0.05);数量缺失率、准备差错率、灭菌湿包率以及术后遗失率均显著低于常规管理组,差异有统计学意义(x^2=6.63,x^2=9.21,x^2=11.34,x^2=13.28;P<0.05);手术医师满意度为97.7%(84/86)显著高于常规管理组的73.3%(63/86),差异有统计学意义(x^2=12.83,P<0.05)。结论:风险管理在手术室医疗器械质量管控中的应用效果较常规管理好。Objective：To explore the application effect of risk management in quality control of medical apparatus and instruments of operation room.Methods： 172 pieces of medical apparatus and instruments were divided into risk management group （n=86） and common management group （n=86）. A series of indicators, such as effective acceptance rate, qualified cleaning rate, completed supporting facility, specific aim rate, deficiency rate of quantity, error rate of preparation, wet pack rate of sterilization, lost rate of post surgery and the satisfaction degree of physician, were applied to complete statistic analysis.Results： The effective acceptance rate, qualified cleaning rate, completed supporting facility rate and specific aim rate of risk management group were significantly higher than that of common management group （x^2=5.02,x^2=7.38,x^2=9.35,x^2=11.14,P〈0.05）. The deficiency rate of quantity, error rate of preparation, wet pack rate of sterilization, lost rate post surgery of risk management group were significantly lower than that of common management group （x^2=6.63,x^2=9.21,x^2=11.34,x^2=13.28,P〈0.05）. And the satisfaction degree of physician of risk management group （97.7%, 84/86） was significantly higher than that of common group （73.3%, 63/86） （x^2=12.83, P〈0.05）.Conclusion： The application effect of risk management is better than that of common management in the quality control of medical apparatus and instruments in operation room.

关 键 词：风险管理 手术室医疗器械 质量控制 

分 类 号：R197.39[医药卫生—卫生事业管理]