泌尿外科手术设备感染控制中可靠性评估模型的构建与分析  

Practical analysis of reliability evaluation model in infection control of urological surgical equipment

作　　者：崔雅清[1] 周娇[1] 师正燕 李俊涛 CUI Ya-qing;ZHOU Jiao;SHI Zheng-yan(First Department of Operating Room,Shaanxi Provincial People's Hospital,Xi'an 710068,China;不详)

机构地区：[1]陕西省人民医院手术一部,陕西西安710068

出　　处：《中国医学装备》2023年第4期149-153,共5页China Medical Equipment

摘　　要：目的:构建感染控制管理的可靠性评估模型,探讨其在泌尿外科手术设备管理中的应用价值。方法:以感染控制管理内容、管理方法和过程管理质量的可靠性为评估指标,形成设备使用、清洗消毒和应急管理的规范化流程,构建感染控制可靠性评估模型。选取医院泌尿外科在用的49台手术设备,根据管理模式不同将其分为对照组(46台)和观察组(47台),包含对照组在用的44台和新增加的3台),对照组采用常规抽检管理模式,观察组采用可靠性评估管理模式,对两组设备的管理过程质量、目标达成度和有效性进行评价。结果:观察组泌尿外科手术设备使用操作、清洗消毒和应急处理的工作落实率分别为(94.12±4.08)%、(96.83±1.77)%和(94.63±3.44)%,均高于对照组,差异有统计学意义(Z=2.921,Z=3.542,Z=3.612;P<0.05);观察组泌尿外科手术设备使用规范度、清洗消毒有效性和应急管理认可度平均占比分别为(96.08±2.24)%、(97.54±1.31)%和(91.06±4.03)%,均高于对照组,差异有统计学意义(Z=3.268,Z=2.777,Z=2.457;P<0.05);观察组结石腔镜手术设备、腹腔微创手术设备、电切镜手术设备和输尿管软镜设备的患者使用感染率分别为2.04%、0.00%、4.05%和3.70%,均低于对照组,差异有统计学意义(χ^(2)=4.512,χ^(2)=5.488,χ^(2)=7.810,χ^(2)=4.866;P<0.05)。结论:可靠性评估模型能够改善泌尿外科手术设备管理工作的落实质量,提高感染控制目标达成比例,有效降低设备相关的患者感染比例。Objective:To establish a reliability evaluation model for infection control management and to explore its application value in the management of urological surgical equipment.Methods:Taking the reliability of infection control management content,management methods and process management quality as evaluation indexes,standardized processes of equipment use,cleaning and disinfection and emergency management were formed,and a reliability evaluation model of infection control was established.A total of 49 sets of surgical equipment in routine use of department of urology in the hospital were selected and divided into control group(46 sets)and observation group(47 sets,including 44 sets in use in the control group and 3 newly added sets)according to different management modes.The control group adopted the routine sampling management mode,the observation group adopted the reliability evaluation management mode.The management process quality,goal achievement degree and effectiveness evaluation of the two groups of equipment were compared.Results:The implementation rates of operation,cleaning and disinfection and emergency treatment of urological surgical equipment in the observation group were(94.12±4.08)%,(96.83±1.77)%and(94.63±3.44)%,respectively,which were higher than those in the control group,the difference between the groups was statistically significant(Z=2.921,Z=3.542,Z=3.612;P<0.05).The standard degree of use of urological surgical equipment,the effectiveness of cleaning and disinfection and the recognition degree of emergency management in the observation group were(96.08±2.24)%,(97.54±1.31)%and(91.06±4.03)%,respectively,which were better than those in the control group,the difference between the groups was statistically significant(Z=3.268,Z=2.777,Z=2.457;P<0.05).The infection rates of patients using laparoscopic calculus surgery equipment,minimally invasive abdominal surgery equipment,resectoscope surgery equipment and flexible ureteroscopy equipment of the observation group were 2.04%,0.00%,4.05%and 3

关 键 词：感染控制 可靠性评估 清洗消毒 应急管理 感染率 

分 类 号：R197.39[医药卫生—卫生事业管理]