社会化消毒供应心胸外科手术器械管理实践  

Management Practice of Socialized Disinfection and Supply of Cardiothoracic Surgical Instruments

作　　者：苏鑫桐 SU Xintong(Operating Room,Tianjin Chest Hospital,Tianjin 300222,China)

机构地区：[1]天津市胸科医院手术室,天津300222

出　　处：《继续医学教育》2024年第1期171-174,共4页Continuing Medical Education

摘　　要：目的分析社会化消毒供应中心消毒心胸外科手术器械中的问题,探究优质护理干预措施对改进相应问题的价值。方法对天津市胸科医院手术室实施社会化消毒供应改良前后的消毒器械包的报损率进行回顾性分析。将2016年9月至2019年9月未加培训的各项社会消毒供应中心资料作为对照组,将2019年9月至2022年9月经过培训及沟通后收集的各项消毒供应中心资料作为干预组。比较2组医疗器械洗涤合格率、包装合格率、消毒合格率、回收发放及时率,并调查相关临床科室对消毒灭菌工作服务的满意度。结果干预组的医疗器械洗涤合格率、包装合格率、消毒合格率、回收发放及时率均明显高于对照组,差异有统计学意义(P<0.05)。此外,器械中心工作人员进行专业培训后,手术室医护人员对器械消毒感到满意。结论通过医院与社会消毒中心之间的持续沟通以及加强对消毒中心工作人员的培训,可以有效提升社会消毒中心的工作效能,并进一步提高医护人员的满意度。Objective To analyze the problems in disinfecting cardiothoracic surgical instruments in socialized disinfection supply center and explore the value of high-quality nursing intervention measures to improve the corresponding problems.Methods A retrospective analysis was conducted to compare the loss rates of sterilized instrument sets in the operating room of Tianjin Chest Hospital before and after improvements were made to the socialized disinfection supply process.The data of various social disinfection supply centers without training from September 2016 to September 2019 were taken as the control group,and the data of various disinfection supply centers collected after training and communication from September 2019 to September 2022 were taken as the intervention group.The qualified rate of washing,packaging,disinfection and the timeliness of recycling and distribution of medical devices in the two groups were compared,and the satisfaction of relevant clinical departments on disinfection supply service was investigated.Results The qualified rate of washing,packaging,disinfection and recovery and distribution of medical devices in the intervention group were significantly higher than those in the control group,and the difference was statistically significant(P<0.05).Additionally,after professional training of the equipment center staff,the medical staff in the operating room were satisfied with the disinfection of the instruments.Conclusion The repeated communication between the hospital and the social disinfection center and the strengthening of the training of the disinfection center can improve the working effect of the social disinfection center and the satisfaction of the medical staff.

关 键 词：社会化 消毒供应中心 心胸外科 手术器械 质量控制 医疗效率 

分 类 号：R197[医药卫生—卫生事业管理]