8S管理模式在消毒供应中心呼吸机管路全流程管理中的应用  

Application of 8S management mode in the whole process management of ventilator pipeline in disinfection supply center

作　　者：张红梅 程娟娟 Zhang Hongmei;Cheng Juanjuan(Disinfection Supply Center,Wuxi Second People's Hospital,Jiangnan University Medical Center,Wuxi 214002,China)

机构地区：[1]江南大学附属中心医院,无锡市第二人民医院消毒供应中心,无锡214002

出　　处：《国际医药卫生导报》2023年第23期3387-3391,共5页International Medicine and Health Guidance News

基　　金：江苏省基础研究计划(自然科学基金)面上项目(BK20191118)。

摘　　要：目的分析8S管理模式在消毒供应中心呼吸机管路全流程管理中的应用效果。方法回顾性分析2021年1月至12月无锡市第二人民医院消毒供应中心实行常规管理的108套呼吸机管路纳入对照组,另将2022年1月至12月行8S管理模式的135套呼吸机管路纳入观察组。对比两组呼吸机管路清洗时间、返洗率、清洗合格率、损坏率、更换频次、使用寿命,另采用本院自制质量管理量表对比34名工作人员在8S管理模式实施前后的工作质量水平。工作人员中男18名、女16名,年龄(28.36±2.15)岁。采用χ^(2)检验、t检验。结果观察组呼吸机管路的器械清洗时间[(64.31±10.76)min]短于对照组[(67.44±11.25)min],返洗率[2.22%(3/135)]、损坏率[1.48%(2/135)]均低于对照组[8.33%(9/108)、6.48%(7/108)],清洗合格率[99.26%(134/135)]高于对照组[94.44%(102/108)],差异均有统计学意义(t=2.208,χ^(2)=4.773、4.206、4.972;均P<0.05)。观察组呼吸机管路的更换频次[(4.42±0.71)次/年]低于对照组[(4.69±0.85)次/年],使用寿命[(7.33±1.25)个月]高于对照组[(6.95±1.65)个月],差异均有统计学意义(t=2.698、2.042,均P<0.05)。8S管理模式实施后,工作人员器械功能检查[(22.34±1.01)分]、安全识别[(20.49±1.30)分]、器械清洗消毒[(22.35±0.76)分]、风险防范评分[(22.34±1.85)分]及总分[(96.01±1.78)分]均高于实施前[(21.65±1.65)分、(19.36±2.32)分、(21.88±0.98)分、(20.35±1.25)分、(93.42±2.01)分],差异均有统计学意义(t=2.080、2.478、2.209、5.197、5.625,均P<0.05)。结论8S管理模式能够明显缩短呼吸机管路的器械清洗时间,提高工作效率,同时降低返洗率、损坏率以及更换频次,提高其使用寿命,在此基础上大幅度改善消毒供应中心工作人员的质量管理水平。Objective To analyze the application effect of 8S management mode in the whole process management of ventilator pipeline in disinfection supply center.Methods In the retrospective analysis,108 sets of ventilator pipelines under routine management in Disinfection Supply Center,Wuxi Second People's Hospital from January to December 2021 were included in the control group,and 135 sets of ventilator pipelines under 8S management mode from January to December 2022 were included in the observation group.The cleaning time,re-washing rate,cleaning qualified rate,damage rate,replacement frequency,and service life of the two groups of ventilator pipeline were compared.The work quality levels of 34 staff before and after the implementation of 8S management mode were compared with a self-made quality management scale.There were 18 men and 16 women,aged(28.36±2.15)years.χ^(2) test and t test were used.Results The instrument cleaning time of ventilator pipeline cleaning in the observation group[(64.31±10.76)min]was shorter than that in the control group[(67.44±11.25)min],the re-washing rate[2.22%(3/135)]and damage rate[1.48%(2/135)]were lower than those in the control group[8.33%(9/108)and 6.48%(7/108)],and the cleaning qualified rate[99.26%(134/135)]was higher than that in the control group[94.44%(102/108)],with statistically significant differences(t=2.208,χ^(2)=4.773,4.206,and 4.972;all P<0.05).The frequency of ventilator pipeline replacement[(4.42±0.71)times/year]in the observation group was lower than that in the control group[(4.69±0.85)times/year],and the service life[(7.33±1.25)months]was higher than that in the control group[(6.95±1.65)months],with statistically significant differences(t=2.698 and 2.042,both P<0.05).After the implementation of 8S management mode,the scores of device function examination[(22.34±1.01)points],safety identification[(20.49±1.30)points],device cleaning and disinfection[(22.35±0.76)points],and risk prevention[(22.34±1.85)points]and total score[(96.01±1.78)points]were all higher

关 键 词：质量管理 8S管理 消毒供应中心 呼吸机管路 

分 类 号：R187[医药卫生—流行病学]