摘要
目的探讨3C管理模式在消毒供应中心(CSSD)控制骨科外来手术器械院感中的效果。方法选取聊城市东昌府区中医院CSSD 2017-01-01-2017-12-31收集的500件外来医疗器械作为对照组,选取同院2018-03-11-2019-01-23收集的500件外来医疗器械作为观察组,对照组采用常规管理模式,观察组采用3C管理模式,比较不同管理模式的消毒效果、质量管理情况、手术逾期率的发生率。结果采用3C管理模式后,观察组医疗器械清洗消毒优、良、差分别为74.20%(371/500)、16.20%(81/500)、9.60%(48/500),优于对照组的67.00%(335/500)、18.20%(91/500)、14.20%(71/500),Z=6.563,P<0.001;观察组质量管理总不合格率为6.00%(30/500),低于对照组的11.40%(57/500),χ^(2)=9.178,P=0.002;观察组手术逾期率为1.4%(7/500),低于对照组的4.00%(20/500),χ^(2)=6.433,P=0.011。结论3C管理模式应用于骨科外来手术器械中,通过责任链、服务链及无菌链的建立,使消毒效果和质量管理合格率均得到提高,同时降低手术逾期率。
Objective To investigate the effect of 3C management mode in central sterile supply department(CSSD)to control the nosocomial infection of external surgical instruments in orthopedic department.Methods Totally 500 pieces of external medical devices collected by CSSD in our hospital on January 1,2017 solstice on December 31,2017 were selected as the control group(using conventional management mode),and another 500 pieces of external medical devices from March 11,2018 to January 23,2019 were selected as the observation group(using 3C management mode).The disinfection effect,quality management situation and the incidence of nosocomial infection of different management modes were compared.Results After adopting 3C management mode,the excellent,good and poor status for cleaning and disinfection effects of medical instruments in the observation group were 74.20%(371/500),16.20%(81/500)and 9.60%(48/500),respectively.They were in better condition over the control group 67.00%(335/500),18.20%(91/500),14.20%(71/500),Z=6.563,P<0.001.The total unqualified rate of quality control in the observation group was 6.00%(30/500),significantly lower than that in the control group(11.40%,57/500)(χ^(2)=9.178,P=0.002).The overdue rate of operation in the observation group was 1.4%(7/500),significantly lower than that in the control group(4.00%,20/500)(χ^(2)=6.433,P=0.011).Conclusion The application of 3C management mode in orthopedic external surgical instruments,through the establishment of responsibility chain,service chain and aseptic chain,can improve the disinfection effect and the qualified rate of quality control,and reduce the overdue rate of surgery.
作者
潘玉云
侯娜
朱琳
PAN Yu-yun;HOU Na;ZHU Lin(Storage and Supply Room,Hospital of Traditional Chinese Medicine of Dongchangfu District,Liaocheng 252000,China)
出处
《社区医学杂志》
CAS
2022年第6期334-337,共4页
Journal Of Community Medicine
关键词
3C管理模式
消毒供应中心
器械消毒
消毒效果
手术逾期率
3C management mode
disinfection supply center
instrument disinfection
disinfection effect
surgical overdue rate
