消毒供应中心与医院感控科联合质控督导模式对医院感染的影响  

Impact of the Joint Quality Control and Supervision Model by the Sterilization Supply Center and Hospital Infection Department on Hospital Infections

作　　者：宋杰 SONG Jie(Disinfection Supply Center,Zhoukou Yongshan Hospital,Zhoukou Henan 461300,China)

机构地区：[1]周口永善医院消毒供应中心,河南周口461300

出　　处：《临床研究》2025年第4期187-189,共3页Clinical Research

摘　　要：目的探究消毒供应中心与医院感控科联合质控督导模式对医院感染的影响。方法选择2022年3月1日至2023年2月28日于消毒供应中心每月随机抽取的100份复用医疗器械共1200套作为研究对象,将2022年3月1日至2022年8月30日所抽取的600套复用医疗器械纳入对照组,期间采用常规质量管控模式;将2022年9月1日至2023年2月28日所抽取的600套复用医疗器械纳入观察组,期间采用消毒供应中心与医院感控科联合质控督导模式进行管理。对比两组的管理有效性、医疗器械管理质量、医院感染发生情况差异。结果观察组的生物监测合格率及Bowie-Dick(B-D)试验合格率均高于对照组,差异有统计学意义(P<0.05);观察组灭菌合格率、器械回收合格率、包装合格率、器械满意度、器械洗涤合格率、物品发放准确率均高于对照组,器械损害率低于对照组,差异有统计学意义(P<0.05);观察组的呼吸系统感染、手术部位/切口感染、泌尿系统感染及其他部位感染等情况的发生率比较,差异无统计学意义(P>0.05),观察组的医院感染发生率低于对照组,差异有统计学意义(P<0.05)。结论消毒供应中心与医院感控科联合质控督导模式可有效提高复用医疗器械管理质量,并一定程度降低医院感染风险。Objective To explore the impact of a joint quality control and supervision model by the sterilization supply center and the hospital infection department on hospital infections.Methods A total of 1,200 reusable medical device sets were randomly sampled monthly from the disinfection supply room From March 1,2022 to February 28,2023 for the study.The 600 sets sampled From March 1,2022,to August 30,2022,a total of 6 months were included in the control group,where a conventional quality control model was used.The 600 sets sampled From September 1,2022 to February 28,2023,a total of 6 months were included in the observation group,where a joint quality control and supervision model by the sterilization supply center and the hospital infection department was implemented.The effectiveness of management,quality of medical device management,and hospital infection incidences were compared between the two groups.Results The observation group had higher pass rates in biological monitoring and Bowie-Dick(B-D)tests compared to the control group,with statistically significant differences(P<0.05).The observation group also had higher sterilization pass rates,instrument recovery pass rates,instrument pass rates,packaging satisfaction rates,instrument cleaning pass rates,and item distribution accuracy rates,while the instrument damage rate was lower compared to the control group,with statistical significance(P<0.05).Although there were no statistically significant differences in the incidence rates of respiratory infections,surgical site/incision infections,urinary system infections,and other infections between the two groups(P>0.05),the overall hospital infection rate in the observation group was lower than that in the control group,showing statistical significance(P<0.05).Conclusion The joint quality control and supervision model by the sterilization supply center and hospital infection department can effectively improve the management quality of reusable medical devices and reduce the risk of hospital infections to some extent.

关 键 词：消毒供应中心 感控科 复用医疗器械 质控督导模式 管理效果 

分 类 号：R473[医药卫生—护理学]