探讨PDCA管理循环模式对消毒供应中心压力蒸汽灭菌后湿包发生率的影响  

Discussion on the influence of PDCA management cycle mode on the incidence of wet bag after pressure steam sterilization in disinfection supply center

作　　者：王素芳[1] 崔兴芬[1] 肖海荣[1] Wang Sufang;Cui Xingfen;Xiao Hairong(Disinfection and supply center, Xinxiang central hospital, Xinxiang Henan 453000, China)

机构地区：[1]新乡市中心医院消毒供应中心,河南新乡453000

出　　处：《临床研究》2021年第4期194-195,I0001,共2页Clinical Research

摘　　要：目的探讨PDCA管理循环模式对消毒供应中心压力蒸汽灭菌后湿包发生率的影响。方法选取新乡市中心医院消毒供应中心2017年8月至2018年7月采用常规管理模式下进行灭菌消毒的器械包、敷料包2500个作为对照组,选取2018年8月至2019年7月采用PDCA循环管理模式下进行灭菌的器械包、敷料包2500个作为观察组。记录两组湿包发生率,并对其发生因素及各流程包装合格率、医疗工作人员满意度进行对比分析。结果观察组的湿包发生率(1.68%)显著低于对照组(11.72%),差异具有统计学意义(P<0.05);湿包原因主要包括待灭菌包过重、待灭菌包过大、包内器械堆叠、装载不正确、卸载不正确及干燥时间不足等;观察组在包装、装载、灭菌及卸载各流程上的合格率均显著高于对照组,差异具有统计学意义(P<0.05);两组医疗人员对消毒供应中心PDCA管理循环模式满意度分析结果显示,观察组满意度(95.00%)显著高于对照组(81.67%),差异具有统计学意义(P<0.05)。结论PDCA管理循环模式应用于消毒供应中心,可以降低压力蒸汽灭菌后湿包发生率,提高消毒供应中心的工作质量和效率。Objective To explore the influence of PDCA management cycle mode on the incidence of wet bag after sterilization by pressure steam in disinfection supply center. Methods From August 2017 to July 2018, 2 500 sets of instruments and auxiliary materials were selected as the control group, and 2 500 sets of instruments and auxiliary materials were selected as the observation group. The incidence of wet packing in the two groups was recorded, and the occurrence factors, qualified rate of each process packaging and satisfaction of medical staff were compared and analyzed. Results The incidence of wet bag in the observation group (1.68%) was significantly lower than that in the control group (11.72%), the difference was statistically significant (P < 0.05);the main causes of wet bag included the weight of the package to be sterilized, the size of the package to be sterilized, the stacking of devices to be protected, the incorrect loading, unloading and the insufficient drying time, etc;the qualification rate in the packaging, loading, sterilization and unloading processes in the observation group was significantly higher than that in the control group. In the control group, the difference was statistically significant (P < 0.05);the results of satisfaction analysis on PDCA management cycle mode of disinfection and supply center showed that the satisfaction of the observation group was 95.00%, and that of the control group was 81.67%, the difference was statistically significant (P < 0.05). Conclusion PDCA management cycle model applied to disinfection supply center can reduce the incidence of wet package after pressure steam sterilization, improve the quality and efficiency of disinfection supply center.

关 键 词：PDCA管理循环模式 消毒供应中心 压力蒸汽灭菌 湿包 

分 类 号：R197.32[医药卫生—卫生事业管理]