绝缘检测仪在电外科手术器械风险管理中的应用  

Application of insulation tester in risk management of electrosurgical instruments

作　　者：刘伟[1] LIU Wei(Disinfection Supply Center,Jiangxi Provincial People′s Hospital,Jiangxi Province,Nanchang330006,China)

机构地区：[1]江西省人民医院消毒供应中心,江西南昌330006

出　　处：《中国当代医药》2021年第36期176-179,共4页China Modern Medicine

摘　　要：目的探讨绝缘检测仪在电外科手术器械风险管理中的应用效果。方法采用回顾性分析,选取江西省人民医院消毒供应中心2020年4月至6月回收的2458件电外科手术器械作为对照组,其中操作钳1931件,电凝钩311件,电源连接线135件,其他81件,随机选取临床科室的60名工作人员进行考察。另外选取江西省人民医院消毒供应中心改进绝缘检测方法后2020年7月至9月回收的2510件电外科手术器械为观察组,其中操作钳1952件,电凝钩324件,电源连接线147件,其他87件,随机选取临床科室的60名工作人员进行考察。比较两组电外科手术器械的绝缘破损总检出率,比较两组临床科室工作人员的使用总满意度。结果观察组的电外科手术器械绝缘破损总检出率(16.53%)高于对照组(5.78%),差异有统计学意义(P<0.05)。观察组的临床科室使用总满意度(100.00%)高于对照组(91.67%),差异有统计学意义(P<0.05)。结论在电外科手术器械的风险管理中,应用绝缘检测仪能有效地提高绝缘破损检出率,减少电外科手术器械相关的绝缘安全事故的发生,降低安全隐患,提升使用科室满意度。Objective To explore the application effect of insulation tester in risk management of electrosurgical instruments.Methods A retrospective analysis was conducted to select 2458 pieces of electrosurgical instruments recovered from the Disinfection Supply Center of Jiangxi Provincial People′s Hospital from April to June 2020 as the control group,including 1931 pieces of operating pliers,311 pieces of electric coagulation hooks,135 pieces of power cables,and 81 pieces of other instruments,a total of 60 staff of clinical departments were randomly selected for investigation.In addition,2510 pieces of electrosurgical instruments recovered from the Disinfection Supply Center of Jiangxi Provincial People′s Hospital from July to September 2020 after the improvement of insulation detection methods were selected as the observation group,including 1952 pieces of operating pliers,324 pieces of electric coagulation hooks,147 pieces of power cables and 87 pieces of others,a total of 60 staff of clinical departments were randomly selected for investigation.The total detection rate of insulation damage of electrosurgical instruments was compared between the two groups,and the total satisfaction of the clinical staff was compared between the two groups.Results The total detection rate of electrical surgical instrument insulation damage in the observation group(16.53%)was higher than that in the control group(5.78%),the difference was statistically significant(P<0.05).The total satisfaction of clinical departments in the observation group(100.00%)was higher than that in the control group(91.67%),and the difference was statistically significant(P<0.05).Conclusion In the risk management of electrosurgical instruments,the insulation tester can effectively improve the detection rate of insulation damage,reduce the insulation safety accidents related to electrosurgical instruments,reduce the potential safety hazards,and improve the satisfaction of departments.

关 键 词：电外科手术器械 绝缘检测 绝缘检测仪 风险管理 

分 类 号：R192.6[医药卫生—卫生事业管理]