复用器械使用后预处理存在问题的调查分析与改进效果  

Investigation and improvement of the problems which are caused by pretreating reused medical instruments after usage

作　　者：韩春红[1] 卢崇梅 陆晓梅[3] 

机构地区：[1]江苏省东台市人民医院消毒供应中心,224200 [2]江苏省东台市人民医院护理部,224200 [3]江苏省东台市人民医院感染科,224200

出　　处：《中国实用护理杂志》2017年第28期2224-2227,共4页Chinese Journal of Practical Nursing

摘　　要：目的探讨医院临床各科室复用器械使用后预处理执行存在问题的原因，保证复用器械的清洗质量及延长器械的使用寿命。方法统计医院临床各单元复用器械预处理执行率及对器械清洗质量及损伤的影响，医院感染科、护理部及消毒供应中心现场察看和发放复用器械使用后预处理情况的问卷调查，根据临床科室复用器械预处理中存在的问题进行针对性的指导和改进。结果整改后临床科室对复用器械的预处理执行率由整改前64．6％提高到99．4％，器械清洗质量合格率由整改前93．0％提高到99．7％，器械损伤率从整改前1.84％降低到0．74％，差异有统计学意义（r=9413．8、38160．6、2820．2，均P〈0．01）。结论复用器械得到正确及时的预处理，不仅保证了清洗质量，而且有效延长了器械的使用寿命，保证了器械的应用价值。Objective To discuss the reason of the problem, which are caused by pretreating reused medical instruments after usage in each hospital clinical departments; ensure the washing quality for the reused medical instruments and prolonging the working life of them. Methods The execution rate, washing quality, damage of which pretreating reused medical instruments in clinical departments were counted The Clinic of Infection, Nursing Department and Central Sterile Supply Department observed and adopted questionnaire for information, and then formulated targeted guidance and improvement according to the information. Results The execution rate of pretreating reused medical instrument after usage reached from 64.6% to 99.4%, the qualified rate of instrument washing had improved from 93.0% to 99.7%, the damage rate of instruments had decreased from 1.84% to 0.74%, and there were significant differences（X2=9 415.8, 38 160.6, 2 820.2, all P 〈0.05）. Conclusions Pretreating reused medical instrument after usage correctly and timely, can not only ensure the washing quality for the medical instruments, but also prolong the working life of them. It ensures the application value of the medical instruments.

关 键 词：复用器械 预处理执行 改进 效果 

分 类 号：R197.32[医药卫生—卫生事业管理]