摘要
目的:探讨质量敏感指标优化流程管理联合信息追溯系统对消毒供应中心(CSSD)外来医疗器械管理质量的影响,实现外来医疗器械管理的全面、精准和高效。方法:确定外来医疗器械管理质量敏感指标,应用信息追溯系统记录器械信息,从回收、清洗、包装、灭菌和发放逐环节优化管理措施进行器械管理。选取2022年1月至2024年1月首都医科大学附属北京友谊医院CSSD清洗消毒处理的400件外来器械,将2022年1月至2023年1月的200件外来医疗器械采用传统管理模式,2023年2月至2024年1月的200件外来医疗器械采用基于质量敏感指标优化流程管理联合信息追溯系统管理模式(联合管理模式)。比较两种管理模式外来医疗器械的管理质量评分、管理效果、不良事件发生率和院内感染发生率,以及清洗灭菌各环节中的CSSD工作人员理论和操作考核成绩。结果:采用联合管理模式的外来医疗器械清洗、灭菌、包装、存储和发放环节管理质量评分分别为(18.05±1.05)、(18.23±0.62)、(17.13±1.01)、(16.30±1.15)和(17.08±1.02)分,均高于传统管理模式,差异均有统计学意义(t=11.454、3.738、5.517、4.094、7.375,P<0.05);器械清洗合格率、拆卸合格率、组装合格率和器械送达时间合格率均高于传统管理模式,包装差错率低于传统管理模式,差异均有统计学意义(x^(2)=11.308、21.711、23.236、18.254、8.688,P<0.05);CSSD工作人员的理论和操作考核成绩均高于传统管理模式的CSSD工作人员,差异均有统计学意义(t=4.132、4.363,P<0.05);不良事件总发生率和院内感染发生率均低于传统管理模式,差异均有统计学意义(x^(2)=13.474、4.544,P<0.05)。结论:质量敏感指标优化流程管理联合信息追溯系统管理模式能显著提升CSSD外来医疗器械管理质量和管理效率,降低不良事件发生风险,提高CSSD工作人员业务知识水平和操作技能。
Objective:To explore the influence of quality sensitive indicator optimization process management combined with information traceability system on management quality for external medical apparatuses in central sterile supply department(CSSD),so as to realize comprehensive,accurate and efficient management for external medical apparatuses.Methods:The quality sensitive indicators of management for external medical apparatuses were determined,and information traceability system was applied to record the information of apparatuses,and the management measures were optimized from retrieving,cleaning,packaging,sterilization and distribution one by one to manage apparatuses.A total of 400 external apparatuses that were cleaned and sterilized at CSSD of Beijing Friendship Hospital,Capital Medical University from January 2022 to January 2024 were selected.The 200 external medical apparatuses from January 2022 to January 2023 were managed by conventional management mode,and other 200 external medical apparatuses from February 2023 to January 2024 were managed by quality sensitive indicator optimization process management combined with information traceability system(combined management mode).The two management modes were compared in terms of management quality scores,management effects,incidence rates of adverse events and incidence rates of nosocomial infection for external medical apparatuses,as well as the theoretical and operational achievement results of CSSD staffs in each link.Results:The management quality scores of combined management mode for external medical apparatuses in the links of cleaning,sterilization,packaging,storage and distribution were respectively(18.05±1.05)points,(18.23±0.62)points,(17.13±1.01)points,(16.30±1.15)points and(17.08±1.02)points,which were higher than those of conventional management mode(t=11.454,3.738,5.517,4.094,7.375,P<0.05).The qualified rates of cleaning,disassembly,assembly,and the time of delivering apparatuses were higher than those of conventional management mode,while the error rate of packaging was lower than that of conventional management mode(x^(2)=11.308,21.711,23.236,18.254,8.688,P<0.05).Both of theoretical and operational achievement results of CSSD staffs were higher than those of conventional management mode,and the differences were significant(t=4.132,4.363,P<0.05).The total incidence rate of adverse events and incidence rate of nosocomial infection were lower than those of conventional management mode,and the differences were significant(x^(2)=13.474,4.230,P<0.05).Conclusion:The quality sensitive indicator optimization process management combined with information traceability system can significantly improve the management quality and management efficiency of CSSD for external medical apparatuses,and reduce the risk of occurring adverse events,and enhance business knowledge level and operational skills of CSSD staff.
作者
高静
许媛媛
夏月
梁秀娟
Gao Jing;Xu Yuanyuan;Xia Yue;Liang Xiujuan(Department of Central Sterile Supply,Beijing Friendship Hospital,Capital Medical University,Beijing 101100,China)
出处
《中国医学装备》
2025年第9期114-120,共7页
China Medical Equipment
基金
北京市属医院科研培育计划项目(PG2020003)。
关键词
质量敏感指标
优化流程
信息追溯系统
消毒供应中心(CSSD)
管理质量
Quality sensitive indicator
Optimization process
Information traceability system
Central sterile supply department(CSSD)
Management quality
