基于HACCP的6S管理在精神病专科医院保洁管理中的应用  

The Application of 6S Management Based on HACCP in the Cleaning Management in Psychiatric Hospital

作　　者：周海英[1] 康佩佩 赵慧慧 徐金诺 卢庆华[1] ZHOU Haiying;KANG Peipei;ZHAO Huihui(Shandong Mental Health Center,Jinan,Shandong,250014,China)

机构地区：[1]山东省精神卫生中心,山东济南250014

出　　处：《中国卫生质量管理》2024年第1期70-74,共5页Chinese Health Quality Management

基　　金：山东省医药卫生科技发展计划基金资助项目(编号:202112070860)。

摘　　要：目的探讨危害分析及关键控制点(HACCP)联合6S管理法在精神病专科医院保洁管理中的应用效果。方法采用方便抽样方法,于2023年3月-6月,选取山东省某三级甲等精神病专科医院的30名病区保洁人员作为研究对象,采用基于HACCP的6S管理进行干预,并进行自身前后对照比较分析。结果基于HACCP的6S管理的实施,使保洁人员的医院感染基础知识、个人防护与职业暴露知晓率有所提升(P均<0.05),明显改善了保洁人员的手卫生正确性和依从性(P均<0.05),环境清洁消毒情况得到改善(P均<0.05),住院患者护理满意度和护理人员对保洁人员的满意度均得到提升。结论通过6S管理的标准化模式识别危险因素,将关键环节的评估、预防和控制工作融入保洁管理中,并进行同质化干预,能够提高保洁管理水平,对提升医患双方满意度有一定促进作用。Objective To explore the effect of Hazard Analysis and Critical Control Point(HACCP)combined with 6S management in cleaning management in psychiatric hospital.Methods From March to June 2023,30 cleaners in a tertiary psychiatric hospital in Shandong Province were included by convenient sampling method.6S management based on HACCP was adopted for intervention,and self before and after control study was conducted.Results After intervention of 6S management based on HACCP,awareness rate of the basic knowledge of nosocomial infection,personal protection and occupational exposure of cleaning staff were improved(all P<0.05),the accuracy and compliance of hand hygiene of cleaning staff were significantly improved(all P<0.05),environmental cleaning and disinfection were improved(all P<0.05),and the satisfaction of hospitalized patients and nursing staff on cleaning work were improved.Conclusion The standardized mode of 6S management could identify risk factors through integrate the evaluation,prevention and control of key aspects into cleaning management,and carry out homogenization intervention,which can improve the level of cleaning management and improve the satisfaction of both doctors and patients.

关 键 词：危害分析及关键控制点 6S管理 精神病专科医院 保洁人员 保洁管理 

分 类 号：R197.5[医药卫生—卫生事业管理] R187[医药卫生—公共卫生与预防医学]