品管圈在提高消化内镜中心生物学监测合格率中的应用  

Application of Quality Control Circle in Improving the Qualification Rate of Biological Monitoring of Gastrointestinal Endoscopy

作　　者：石雪平[1] 蔡薇[1] 李雯[1] 丁希伟[1] SHI Xueping;CAI Wei;LI Wen;DING Xiwei(Department of Gastroenterology,The Affiliated Hospital of Nanjing University Medical School,Nanjing Drum Towel Hospital,Nanjing Jiangsu 210008,China)

机构地区：[1]南京大学医学院附属鼓楼医院消化内镜中心,江苏南京210008

出　　处：《中国医疗设备》2022年第3期103-106,137,共5页China Medical Devices

基　　金：国家自然科学基金项目(81602095)。

摘　　要：目的开展品管圈提高消化内镜中心生物学监测合格率,为全面提高内镜中心的清洗消毒质量提供参考。方法将2019年1—12月期间我院感染科生物学监测样本770例作为对照组,以2020年1—7月期间生物学监测样本共556例作为观察组,比较两组生物学监测合格率。结果通过品管圈活动,观察组的生物学监测合格率(99.28%)显著高于对照组(95.71%),差异有统计学意义(P=0.041);洗消人员的理论与操作考核以及护士的床侧预处理考核成绩均得到明显提高(P均<0.05)。结论应用品管圈手法可以显著提高消化内镜中心生物学监测合格率,规范洗消人员的床侧预处理和清洗消毒流程,提高工作人员手卫生执行力和团队合作能力,间接提高内镜的清洗消毒质量。Objective To explore quality control circle(QCC)to improve the qualified rate of biological monitoring in digestive endoscopy center,and provide reference for comprehensively improving the quality of cleaning and disinfection of endoscopy center.Methods A total of 770 biological monitoring samples between January to December 2019 were used as the control group,and a total of 556 biological monitoring samples from January to July 2020 were used as the observation group.The qualification rate of digestive endoscopy and biological monitoring of the two groups were compared.Results Through the activities of the QCC,the qualified rate of biological monitoring of the observation group(99.28%)was significantly higher than that of the control group(95.71%),and the difference was statistically significant(P=0.041).The examination results of theory and operation of cleaning and disinfection personnel and bedside pretreatment of nurses were significantly improved(P<0.05).Conclusion The application of QCC can significantly improve the qualified rate of biological monitoring in the center of gastrointestinal endoscope,standardize the bedside pretreatment and cleaning and disinfection process of cleaning and disinfection personnel,improve the executive ability of hand hygiene and teamwork ability of staff,and indirectly improve the quality of cleaning and disinfection of endoscope.

关 键 词：品管圈 消化内镜 生物学监测 清洗消毒质量 

分 类 号：R197.32[医药卫生—卫生事业管理]