河北省部分三级医院消毒供应中心PDCA应用效果  

Application effect of PDCA in central sterile supply department of some tertiary hospitals in Hebei province

作　　者：孙敬[1] 张玲玲[1] 陈彦丽[1] 刘燕[1] 宋亚茹[1] SUN Jing;ZHANG Ling-ling;CHEN Yan-li;LIU Yan;SONG Ya-ru(The Second Hospital of Hebei Medical University,Shijiazhuang,Hebei 050000,China)

机构地区：[1]河北医科大学第二医院东院消毒供应中心,河北石家庄050000

出　　处：《中华医院感染学杂志》2020年第12期1905-1909,共5页Chinese Journal of Nosocomiology

基　　金：河北省卫生厅科研基金资助项目(20190562)。

摘　　要：目的调查消毒供应中心的防护服务现状,针对主要问题采取PDCA循环方式,分析其效果并探究影响PDCA效果的因素。方法 2019年2月问卷调查河北省15所三级医院的消毒供应中心(Central sterile supply department,CSSD)的防护管理情况,根据调查结果筛选三个存在的关键问题。从调查的三级医院共选取消毒供应中心128名工作人员,随机分为对照组和研究组,每组64名,对照组采用常规护理,研究组在常规护理的基础上按照PDCA的原则推动工作,分析PDCA应用在调查存在的关键问题上的效果,并比较科室对两组工作的满意度。同时,分析影响PDCA效果的因素。结果调查结果显示,目前消毒供应中心的防护管理存在的三个关键问题分别为:复用手术器械清洗质量、器械包装的合格率和工作人员培训中的效果迫切需要提高;实行PDCA后,研究组复用手术器械清洗质量、器械包装的合格率依次为98.20%(2 455/2 500)、98.93%(1 484/1 500)高于对照组(P<0.05)。研究组工作人员培训的理论与实践操作成绩分别为(89.34±10.32)分、(95.62±5.33)分高于对照组(P<0.05)。研究组科室满意度为97.34%(805/827)高于对照组。同时,护理人员的性别、年龄、工龄、学历和培训次数等因素可影响PDCA的效果,其中护理人员的培训次数对于PDCA的效果影响最显著。结论河北省部分三级医院消毒供应中心实行PDCA的应用效果良好,能有效的解决目前消毒供应中心的防护服务存在的一些关键问题。同时,加强护理人员的培训能够显著提高CSSD的服务质量。OBJECTIVE To investigate the current status of protection service in the central sterile supply department(CSSD), adopt the PDCA method for the main problems, analyze its effect and explore the factors affecting the effect of PDCA. METHODS In Feb. 2019, a questionnaire survey was conducted on the protective management of the central sterile supply department(CSSD) of 15 tertiary hospitals in Hebei Province, and three key issues were screened based on the results of the survey. A total of 128 staff from the CSSD were selected from the surveyed third-level hospitals, and were randomly divided into a control group and a research group, with 64 in each group. The control group was given routine nursing, and the research group promoted the work according to the principle of PDCA on the basis of routine nursing. The effect of PDCA application in the investigation of key problems was analyzed, and the satisfaction of the department between the two groups was compared. At the same time, the factors affecting the effect of PDCA were analyzed. RESULTS The survey results showed that the three key problems in the current protection management of central sterile supply department were: the cleaning quality of reused surgical instruments, the qualified rate of instrument packaging and the effect of staff training urgently need to improve. After the implementation of PDCA, the cleaning quality of the reused surgical instruments and the pass rate of the instrument packaging in the research group were 98.20%(2 455/2 500) and 98.93%(1 484/1 500), respectively, significantly higher than those in the control group(P<0.05). The theoretical and practical operation scores of the staff training in the research group were(89.3±10.3) and(95.6±5.3) respectively, significantly higher than those in the control group(P<0.05). The satisfaction rate of the research group was 97.34%(805/827), higher than that of the control group. At the same time, the factors such as gender, age, length of service, educational background and training times of

关 键 词：消毒供应中心 防护管理 PDCA循环 培训 

分 类 号：R183[医药卫生—流行病学]