摘要
目的探讨信息护士在消毒供应中心新增手术器械接收中的管理效果,为提高消毒供应中心器械管理质量提供参考。方法采用类实验研究方法,便利抽样选取郑州大学第一附属医院消毒供应中心2021年1—7月接收的45包227件新增手术器械为对照组,采用常规模式接收新增手术器械,选取2021年11月至2022年6月接收的51包259件新增手术器械为观察组,采用设立信息护士专岗负责制接收新增手术器械。比较2组新增手术器械在消毒供应中心完成接收时间、操作流程中出现的不良事件发生率以及医护人员对新增手术器械管理的满意度。结果观察组新增手术器械接收时间为6.00(5.00,8.00)h,对照组为28.00(20.00,42.50)h,2组比较差异有统计学意义(Z=-8.26,P<0.01);观察组新增手术器械不良事件发生率为0.4%(1/259),对照组为6.2%(14/227),2组比较差异有统计学意义(χ^(2)=13.52,P<0.01);观察组医护人员满意度为100%(50/50),对照组为72%(36/50),2组比较差异有统计学意义(χ^(2)=16.28,P<0.01)。结论将信息护士岗位落实到新增手术器械管理中的专岗负责制,减少了新增手术器械的接收时间及不良事件的发生率,提高了医护人员满意度。
Objective To explore the management effect of information nurses in the reception of new surgical instruments and to provide a reference for improving the quality of instrument management in central sterile supply department.Methods This was a quasi-experimental study.A total of 45 packages of 227 pieces received from January to July 2021 in central sterile supply department of the First Affiliated Hospital of Zhengzhou University were selected as the control group by convenience sampling method,and the conventional mode was used to receive new surgical instruments.Another 51 packages of 259 pieces received from November 2021 to June 2022 were selected as the observation group,and the information nurse management system was set up to receive new surgical instruments.The observation and comparison of the time to complete the receipt of new surgical instruments in central sterile supply department,the incidence of adverse events in the operation process and the satisfaction of medical and nursing staff with the management of new surgical instruments were conducted.Results The receiving time for newly added surgical instruments of the observation group was 6.00(5.00,8.00)hours and that of the control group was 28.00(20.00,42.50)hours,with a statistically significant difference between the two groups(Z=-8.26,P<0.01).The incidence of adverse events of new surgical instruments was 0.4%(1/259)in the observation group and 6.2%(14/227)in the control group,there was significant difference between the two groups(χ^(2)=13.52,P<0.01).The satisfaction degree of medical staff in the observation group was 100%(50/50),higher than 72%(36/50)in the control group,and the difference between the two groups was statistically significant(χ^(2)=16.28,P<0.01).Conclusions The implementation of the post of information nurse in the special post responsibility system in the management of new surgical instruments can effectively manage the specifications of surgical instruments,reduce the receiving time and the occurrence of adverse events,improve the satisfaction of medical staff.
作者
花瑞芳
刘颖
杜春丽
裴斐斐
李晓莉
苏毅
Hua Ruifang;Liu Ying;Du Chunli;Pei Feifei;Li Xiaoli;Su Yi(Central Sterile Supply Department,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China)
出处
《中国实用护理杂志》
2023年第26期2001-2006,共6页
Chinese Journal of Practical Nursing
基金
河南省医学科技攻关计划项目(RKX202202025)。
关键词
消毒供应中心
信息护士
新增手术器械管理
Disinfection supply center
Information nurse
New surgical instruments
