网格化集中管理在公立医院区域化消毒供应中心的应用效果  

Effect of Grid-based Centralized Management on Regional Sterilization Supply Centers in Public Hospitals

作　　者：张亚楠 何书静[1] 孟泉辛[2] ZHANG Yanan;HE Shujing;MENG Quanxin(Sterilization Supply Center,First Affiliated Hospital of Nanyang Medical College,Nanyang Henan 473000,China;Sterilization Supply Center,First People’s Hospital of Nanyang,Nanyang Henan 473000,China)

机构地区：[1]南阳医学高等专科学校第一附属医院消毒供应中心,河南南阳473000 [2]南阳市第一人民医院消毒供应中心,河南南阳473000

出　　处：《临床研究》2024年第12期192-195,共4页Clinical Research

基　　金：河南省南阳市科技发展计划项目(23RKX109)。

摘　　要：目的探讨公立医院区域化消毒供应中心应用网格化集中管理的临床效果。方法2023年6月至2024年2月开展区域化消毒供应中心建立局域性网络系统,抽取辖区内10家医疗机构(南阳市高新区医院,南阳市第八人民医院,南阳宛城创伤显微外科医院,南阳万和医院,南阳文和骨科医院,南阳卧龙医院,南阳卧龙元和医院,南阳眼视光医院,南阳医专第二附属医院,南阳医专第三附属医院)开展网格化集中管理,实施前后使用抽样法调查360件可复用器械及物品,消毒包220个,比较分析实施全流程器械处理合格率、各岗位工作人员工作总量及医务人员满意度。结果实施网格化集中管理后消毒流程各环节合格率均高于实施前,差异有统计学意义(P<0.05);实施网格化集中管理后满意度(96.67%)高于实施前(84.17%),差异有统计学意义(P<0.05);实施网格化集中管理后工作效率各项指标均高于实施前,差异有统计学意义(P<0.05);实施网格化集中管理后成本低于实施前,差异有统计学意义(P<0.05)。结论通过在区域化消毒供应中心采用网格化集中式管理模式,能够有效提升医院消毒物品的质量,提高工作效率,减少成本,实现资源共享及质量追溯目标。Objective To investigate the clinical effects of grid-based centralized management in regional sterilization supply centers of public hospitals.Methods From June 2023 to February 2024,a localized network system was established for regional sterilization supply centers,involving 10 medical institutions within the jurisdiction(Nanyang High-tech Zone Hospital,Eighth People's Hospital of Nanyang,Nanyang Wancheng Traumatology and Microsurgery Hospital,Nanyang Wanhua Hospital,Nanyang Wenhe Orthopedic Hospital,Nanyang Wolong Hospital,Nanyang Wolong Yuanhe Hospital,Nanyang Eye and Vision Hospital,Second Affiliated Hospital of Nanyang Medical College,and Third Affiliated Hospital of Nanyang Medical College).A sampling method was employed to investigate 360 reusable instruments and items,and 220 sterilization packs before and after the implementation.The qualified rates of the entire process of instrument handling,total workload of staff at various positions,and satisfaction of medical staff were analyzed and compared.Results After implementing grid-based centralized management,the qualified rates of various stages in the disinfection process were significantly higher than before(P<0.05).The satisfaction rate post-implementation(96.67%)was higher than that before(84.17%),with statistically significant differences(P<0.05).Work efficiency indicators were also significantly higher after implementation compared to before(P<0.05).Additionally,costs were lower after implementing centralized management compared to before,which was statistically significant(P<0.05).Conclusion The adoption of a grid-based centralized management model in regional sterilization supply centers can effectively enhance the quality of disinfected supplies,improve work efficiency,reduce costs,and achieve resource sharing and quality traceability objectives.

关 键 词：网格化集中管理 公立医院区域化 消毒供应中心 

分 类 号：R197[医药卫生—卫生事业管理]