刘建文

[摘要] 目的 分析醫院消毒供应室管理中介入持续质量管理的效果与价值。方法 从我院供应室工作者中选取10名组成持续质量管理小组，参照卫生部2009版《消毒供应中心管理规范》，并根据本院实际情况合理制定质量管理规范，严格按照规范强化消毒供应各项流程，定期开展抽查工作。对比消毒供应室实施持续质量管理前、后无菌物品合格率及不良事件报告处理合格率变化情况。结果 持续质量管理后无菌物品合格率（96.13%）高于实施前（88.00%），差异具有统计学意义（P<0.05）。我院实施持续质量管理前、后消毒供应室日常各项工作质量存在明显差异，其中实施后包装、回收及清洗消毒合格率高于实施前，包装满意率与灭菌合格率明显上升；实施后发放差错率低于实施前，差错率明显降低，差异有统计学意义（P<0.05）。结论 消毒供应室管理中介入持续质量管理可健全完善各工作人员及医疗设备的优化配置及管理，提升工作效率、器械无菌品质，可增强供应室整体管理水平。

[关键词] 消毒供应室；持续质量管理；灭菌合格率；无菌品质

[中图分类号] R197.3 [文献标识码] C [文章编号] 1673-9701（2017）19-0131-04

[Abstract] Objective To analyze the effect and value of intervention in continuous quality management in hospital disinfection supply room management. Methods Ten workers in our hospital supply room were chosen to form a continuous quality management team. Referring to the 2009 version of Disinfection Supply Center Management Regulations issued by the Ministry of Health， and according to the actual situation of the hospital， the quality management practices were developed. The process of disinfection and supply was strengthened in strict accordance with the norms， and random checks were regularly carried out. The pass rates of sterile goods and adverse event reporting process before and after the implement of continuous quality management in disinfection supply room were compared. Results The pass rate of sterile goods（96.13%） after continuous quality management was higher than that before implementation （88.00%）， and the difference was statistically significant （P<0.05）. There was significant difference in the quality of the daily work of the disinfection and supply room before and after the implementation of continuous quality management. The pass rates of packaging， recycling， cleaning and disinfection after the implementation were higher than those before the implementation. The packaging satisfaction rate and sterilization pass rate increased significantly. The rate of payment errors after the implementation was lower than that before the implementation， and the error probability was significantly decreased. There was statistically significant difference in the data （P<0.05）. Conclusion The implementation of continuous quality management in the management of disinfection supply room， can improve and perfect the optimal allocation and management of the staff and medical equipment， and improve the working efficiency and the sterile quality of the equipment， and can enhance the overall management level of the supply room.

[Key words] Disinfection supply room； Continuous quality management； Sterilization pass rate； Sterile quality

近年来随着患者对医疗及护理要求的深化、细化，而部分医院尚未迎合患者意志进行优化创新管理，医患、护患紧张关系以持续发酵态势进展。为此，重视提升医疗质量、细化护理干预质量的重任显得尤其突出。其中，作为全院后勤保障各敷料、无菌器材及物品的供应科室，消毒供应室作为感染预防与监控的源头[1]，其日常各项工作的有序及质量直接关系到整个医院院内的微粒危害、热原反应及感染[2]。再者，近年来外科手术增多，各外科器械、显微器械、电击装置及呼吸装置等使用频率越来越高，给消毒供应室安全管理带来一定挑战，因而强化消毒供应室管理成为医院工作的重中之重。持续质量管理是以质量管理各环节及全过程监控为内核的全新管理理论[3]，主张通过有目的性、有方向性制定并加以落实监督与管理方案这一行为，切实提升整体管理质量。……