李玉梅++++++彭付妮++++++刘春霞

[摘要] 目的 探讨持续质量管理在医院消毒供应室管理中的效果。 方法 2013年1月成立持续质量管理团队，在原卫生部制订的消毒供应室行业标准上，制订更为适宜本院的标准进行质量管理，每月定期对消毒供应流程工作质量进行1次抽查，全年进行不定期的抽查次数≥8次。对比分析管理前（2012年）、管理后（2013年）的消毒供应工作流程质量情况。 结果 实施持续质量管理1年后，医疗供需物品的回收、分类、清洗消毒、检查与包装、灭菌、储存、发放工作质量情况有所提高，不合格数下降，与管理前比较，差异有统计学意义（P<0.05）。 结论 对医院消毒供应室开展持续质量管理后，增强了医院的管理水平，提高了工作效率和医疗器械物品的无菌质量，保障了医疗护理工作质量。建立科学持续质量管理方法有助于提高消毒供应室的工作质量。

[关键词] 持续质量管理；消毒供应室；医院感染

[中图分类号] R197.32[文献标识码] B[文章编号] 1674-4721（2014）06（b）-0172-03

Effect of continuous quality management on the management of disinfection supply rooms

LI Yu-mei PENG Fu-ni LIU Chun-xia

Hospital Supply Room,Tangxia Hospital of Dongguan City in Guangdong Province,Dongguan 523721,China

[Abstract] Objective To explore the effect of continuous quality management on the management of disinfection supply rooms. Methods A team of continuous quality management was established in January 2013.A more adaptable criterion was initiated for the quality management in our hospital on the basis of the industrial standard for disinfection supply room initiated by the Ministry of Health.A selective examination was carried out to evaluate the quality of disinfection supply workflow in a monthly basis,and such examinations were carried out no less than 8 times annually.Conditions before and after management were compared and analyzed. Results One year after the continuous quality management,working quality regarding recycle,classification,cleaning and disinfection,examination and package,sterilization,storage and distribution of medical supplies all improved.The number of disqualified items decreased.Compared with before management,the difference was significant (P<0.05). Conclusion The continuous quality management implemented in hospital disinfection supply rooms enhances hospital management level,improves working efficiency and bacteria-free quality of medical instruments and supplies,and ensures the working quality of treatment and nursing.A scientific continuous quality management is helpful to improve the working quality of disinfection supply rooms.

[Key words] Continuous quality management;Disinfection supply room;Hospital infection

在如今医患关系紧张的情况下，要提高医疗服务质量，不仅仅医疗技术要过关，医疗后勤保障工作同样尤为重要，医院消毒供应室便是保障科室之一。医院消毒供应室是向全院提供各种无菌器材、敷料和其他无菌物品的后勤保障供应科室[1]。供应室的工作质量与医院感染、热原反应的发生、微粒的危害密切相关，直接影响医疗护理效果，甚至关系到患者的生命安全[2]。对此，本院2013年1月开始对医院消毒供应室开展持续质量管理，本研究探讨持续质量管理在医院消毒供应室管理中的效果。

1 对象与方法

1.1 研究对象

考察2012年1月～2013年12月本院消毒供应室的工作流程质量，包括回收、分类、清洗消毒、检查与包装、灭菌、储存、发放，其中2012年为管理前，2013年为管理后。……