HACCP在消毒供应中心环氧乙烷低温灭菌质量管理中的应用效果  

Application effect of HACCP in the quality management of ethylene oxide cryosterilisation in disinfection and supply centre

作　　者：朱洁 杨坤[1] ZHU Jie;YANG Kun(Shanghai Tongji Hospital,Shanghai,200065,China)

机构地区：[1]上海市同济医院消毒供应中心,200065

出　　处：《护理实践与研究》2023年第17期2674-2678,共5页Nursing Practice and Research

基　　金：吴阶平医学基金会临床科研专项资助基金(编号:320375018389)。

摘　　要：目的探讨危害分析与关键控制点(HACCP)在消毒供应中心环氧乙烷低温灭菌质量管理中的应用效果。方法选取医院消毒供应中心HACCP实施前(2020年7月—2021年6月)的环氧乙烷低温灭菌消毒器械150件作为对照组,将实施HACCP后(2021年7月—2022年6月)抽取的环氧乙烷低温灭菌消毒器械150件作为观察组,比较两组消毒器械清洗质量和消毒质量缺陷控制情况。选择临床科室工作人员100名对消毒供应中心实施HACCP前后服务态度、服务质量、应急供应和包装质量的满意度进行评价。结果观察组灭菌质量合格率明显高于对照组,差异有统计学意义(P<0.05);观察组器械与记录不符、回收器械件数不准确、标签不吻合、存储位置不当和灭菌后手污染发生率明显低于对照组,差异有统计学意义(P<0.05);实施前后临床科室工作人员消毒供应中心服务态度、服务质量、应急供应和包装质量评分明显高于实施前,差异有统计学意义(P<0.05)。结论HACCP在环氧乙烷低温灭菌质量管理上应用后,消毒器械灭菌质量得到明显的提高,灭菌质量缺陷控制明显下降,临床科室工作人员的满意度得到了明显的提高。Objective To explore the application effect of Hazard Analysis and Critical Control Points(HACCP)in the quality management of ethylene oxide cryosterilisation in disinfection and supply centre.Methods 150 pieces of ethylene oxide cryogenically sterilized disinfecting instruments in the hospital disinfection and supply centre before the implementation of HACCP(from July 2020 to June 2021)were selected as the control group,and 150 pieces of ethylene oxide cryogenically sterilized disinfecting instruments taken after the implementation of HACCP(from July 2021 to June 2022)were compared with those taken after the implementation of HACCP as the observation group.As an observation group,the two groups were compared in terms of cleaning quality of sterilised instruments and control of sterilisation quality defects.100 staff members of clinical departments were selected to evaluate the satisfaction of service attitude,service quality,emergency supply and packaging quality of the two groups.Results The qualifi ed rate of sterilisation quality of the observation group was significantly higher than that of the control group,the diff erence was statistically significant(P<0.05);the incidence of instruments not matching the records,inaccurate number of pieces of recovered instruments,inaccurate labels,inappropriate storage location and post-sterilisation hand contamination of the observation group was significantly lower than that of the control group,the diff erence was statistically significant(P<0.05);the service attitude of the staff of the clinical departments in the sterilisation supply centre before and after implementation,service quality,emergency supply and packaging quality scores were significantly higher than before implementation,the difference was statistically significant(P<0.05).Conclusion After the application of HACCP in the quality management of ethylene oxide cryosterilisation,the quality of sterilisation of disinfected instruments was significantly improved,the control of sterilisation quality defects wa

关 键 词：HACCP模式 环氧乙烷 低温灭菌 灭菌质量 包装质量 

分 类 号：R47[医药卫生—护理学]