摘要
目的评价消毒供应中心(central sterile supply department,CSSD)运用危害分析与关键控制点(hazard analysis critical control point,HACCP)管理措施在器械缺陷控制、器械清洗质量控制方面的效果。方法选取2022年6月—2023年6月大连市中心医院供应室26名工作人员为研究对象,300件进行CSSD清洗、消毒等处理的医疗器械为观察主体,根据管理方案不同划分常规组(13名工作人员、150件医疗器械,予以常规方案)、HACCP组(13名工作人员、150件医疗器械,予以HACCP管理方案)。对比两组消毒及清洗质量、器械管理缺陷情况、防护行为情况。结果HACCP组器械清洗质量优于常规组,差异有统计学意义(P均<0.05)。HACCP组总器械管理缺陷率为2.00%(3/150),低于常规组的8.00%(12/150),差异有统计学意义(χ^(2)=5.684,P<0.05)。HACCP组工作人员的防护行为优于常规组,差异有统计学意义(P均<0.05)。结论HACCP管理方案应用于医疗器械消毒与管理之中,可提高CSSD清洗质量,有效控制标签不一致、器械记录问题,改善工作人员的防护行为。
Objective To evaluate the effectiveness of hazard analysis critical control point(HACCP)management measures in the central sterile supply department(CSSD)in device defect control and device cleaning quality control.Methods From June 2022 to June 2023,26 staff members of the Supply department of Dalian Central Hospital were selected as the study subjects,and 300 medical devices treated with CSSD cleaning and disinfection were selected as the subjects of observation.According to different management plans,the patients were divided into routine group(13 staff,150 pieces of medical equipment,treated with routine plan)and HACCP group(13 staff,150 pieces of medical equipment,treated with routine plan).The quality of disinfection and cleaning,defects of equipment management and protective behavior were compared between the two groups.Results The cleaning quality of HACCP group were better than those of conventional group,and the differences were statistically significant(all P<0.05).The total device management defect rate in HACCP group 2.00%(3/150)was lower than that in conventional group 8.00%(12/150),and the difference was statistically significant(χ^(2)=5.684,P<0.05).The protective behavior of staff in HACCP group were better than those in conventional group,and the differences were statistically significant(all P<0.05).Conclusion The application of HACCP in the disinfection and management of medical devices can improve the cleaning quality of CSSD,effectively control the label inconsistency and device record problems,and improve the protective behavior of staff.
作者
田甜
王玉珏
TIAN Tian;WANG Yujue(Dalian Central Hospital supply room,Dalian 116000,Liaoning,China)
出处
《中国卫生产业》
2024年第8期78-80,84,共4页
China Health Industry
关键词
消毒供应中心
危害分析
关键控制点
器械清洗质量
缺陷控制
Disinfection supply center
Hazard analysis
Critical control points
Equipment cleaning quality
Defect control
