DMAIC管理结合约束理论在消毒供应中心职业暴露中的应用价值分析  

Analysis of the Application Value of DMAIC Management Combined with Constraint Theory in Occupational Exposure in Disinfection Supply Centers

作　　者：徐宇霞 邹时林 徐雪霞 XU Yuxia;ZOU Shilin;XU Xuexia(Disinfection Supply Center,Jiujiang University Affiliated Hospital,Jiujiang 332000,China;不详)

机构地区：[1]九江学院附属医院消毒供应中心,江西九江332000

出　　处：《中国医学创新》2025年第5期73-76,共4页Medical Innovation of China

基　　金：江西省卫生健康委科技计划项目(202211984)。

摘　　要：目的:探讨DMAIC管理结合约束理论在消毒供应中心职业暴露中的应用价值。方法:于2023年1月在九江学院附属医院消毒供应中心管理工作中应用DMAIC管理结合约束理论,以2023年1月-2024年1月为实施后,2022年1-12月为实施前,对比DMAIC管理结合约束理论实施前后消毒供应中心质量改善效果、工作人员职业暴露发生情况。结果:DMAIC管理结合约束理论实施后,消毒供应中心器械管理中器械回收、分类清点、清洗消毒、包装灭菌合格率均高于实施前(P<0.05)。DMAIC管理结合约束理论实施后,消毒供应中心工作人员物理暴露、化学暴露及生物暴露发生率均低于实施前(P<0.05)。DMAIC管理结合约束理论实施后,消毒供应中心工作人员服务总满意率高于实施前(P<0.05)。结论:消毒供应中心应用DMAIC管理结合约束理论能优化医疗器械管理质量,降低工作人员职业暴露风险,且能提高临床服务水平。Objective:To explore the application value of DMAIC management combined with constraint theory in occupational exposure of disinfection supply center.Method:In January 2023,DMAIC management combined with constraint theory will be applied in the management of Disinfection Supply Center of Jiujiang University Affiliated Hospital.After the implementation from January 2023 to January 2024,and before the implementation from January to December 2022,the quality improvement effect of disinfection supply center and the occupational exposure of staff before and after the implementation of DMAIC management combined with constraint theory were compared.Result:After the implementation of DMAIC management combined with the constraint theory,the qualified rate of device recovery,classification and inventory,cleaning and disinfection,packaging and sterilization in the device management of the disinfection supply center was higher than that before the implementation(P<0.05).After the implementation of DMAIC management combined with the constraint theory,the incidence of physical exposure,chemical exposure and biological exposure of the staff in the disinfection supply center was lower than that before the implementation(P<0.05).After the implementation of DMAIC management combined with the constraint theory,the total satisfaction rate of the staff in the disinfection supply center was higher than that before the implementation(P<0.05).Conclusion:The application of DMAIC management and constraint theory in disinfection supply center can optimize the quality of medical device management,reduce the occupational exposure risk of staff,and improve the level of clinical service.

关 键 词：消毒供应中心 DMAIC管理 约束理论 职业暴露 

分 类 号：R197.32[医药卫生—卫生事业管理]