品管圈持续质量改进方案在提高过氧化氢等离子灭菌器灭菌质量中的应用  

Application of quality control circle-based continuous quality improvement scheme in improving the sterilization quality of hydrogen peroxide plasma sterilizers

作　　者：傅蔚[1] 刘芳[1] 王鹏程 宋瑾[1] 洪霞[1] 马明宇 张翔[3] FU Wei;LIU Fang;WANG Peng-cheng;SONG Jin;HONG Xia;MA Ming-yu;ZHANG Xiang(Central Sterile Supply Department,Jiangsu Provincial Hospital,Nanjing 210029,China;Department of Bioinformatics,Nanjing Medical University,Nanjing 211166,China;Infection Management Department,Jiangsu Provincial Hospital,Nanjing 210029,China)

机构地区：[1]江苏省人民医院消毒供应中心,江苏南京210029 [2]南京医科大学生物信息学系,江苏南京211166 [3]江苏省人民医院感染管理处,江苏南京210029

出　　处：《中国感染控制杂志》2023年第11期1358-1363,共6页Chinese Journal of Infection Control

基　　金：卫生发展研究中心感控循证研究项目(2020-53);2020年江苏省科技厅重点研发计划(BE2020721)。

摘　　要：目的研究基于品管圈(QCC)的持续质量改进方案对提高过氧化氢等离子灭菌器灭菌质量的效果。方法分析某院2019年8月—2022年7月过氧化氢等离子灭菌器灭菌情况,其中2019年8—12月为QCC实施前,2020年1月开始实施基于QCC的持续质量改进方案,2020年1月—2022年7月为QCC实施后。比较不同时间段过氧化氢等离子灭菌器灭菌故障发生率及灭菌质量。结果2019年8—12月、2020年、2021年、2022年1—7月过氧化氢等离子灭菌器分别使用514、1245、2174、1289次。过氧化氢等离子灭菌器灭菌故障发生率2019年8—12月为7.78%,实施QCC活动后2020年为2.57%,2021年为1.47%,2022年1—7月为0.85%。不同年份过氧化氢等离子灭菌器灭菌故障发生率比较,差异有统计学意义(χ^(2)=121.656,P<0.001)。不同时间段过氧化氢等离子灭菌器清洁、消毒灭菌、包装合格率比较,差异均有统计学意义(χ^(2)值分别为33.740、66.558、84.675,均P<0.001)。实施QCC活动后的合格率均高于实施前,均有逐年增高趋势。结论基于QCC的持续质量改进方案能明显降低过氧化氢等离子灭菌器灭菌故障发生率,提高灭菌质量。Objective To study the effect of QCC(quality control circle)-based continuous quality improvement scheme on improving the sterilization quality of hydrogen peroxide plasma sterilizers.Methods Sterilization quality of hydrogen peroxide plasma sterilizers in a hospital from August 2019 to July 2022 was analyzed.Pre-implementation period of QCC was from August to December 2019.The implementation of QCC-based continuous quality improvement scheme was initiated since January 2020,and the post-implementation period of QCC was from January 2020 to July 2022.The incidence of sterilization failure and sterilization quality of hydrogen peroxide plasma sterilizers in different time periods were compared respectively.Results Hydrogen peroxide plasma sterilizers were used 514,1245,2174,and 1289 times in the periods from August to December 2019,2020,2021,and from January to July 2022,respectively.Sterilization failure rate of hydrogen peroxide plasma sterilizers was 7.78%in the period from August to December 2019,2.57%in 2020 after implementing QCC activities,1.47%in 2021,and 0.85%in the period from January to July 2022.There were significant differences in sterilization failure rates of hydrogen pe-roxide plasma sterilizers in different years(χ^(2)=121.656,P<0.001).The qualification rates of cleaning,disinfection and sterilization,and packaging of hydrogen peroxide plasma sterilizers in different time periods showed statistically significant differences(χ^(2)=33.740,66.558,84.675,respectively,all P<0.001).The qualification rate after implementing QCC activities was higher than before,and there was increasing trend year by year.Conclusion QCC-based continuous quality improvement scheme can effectively reduce the sterilization failure rate of hydrogen peroxide plasma sterilizers,and improve sterilization quality.

关 键 词：品管圈 持续质量改进 过氧化氢等离子灭菌 灭菌质量 QCC 

分 类 号：R197.323.4[医药卫生—卫生事业管理]