摘要
目的探讨外来医疗器械精细化闭环管理在骨科手术医院感染控制中的应用效果。方法分别选取某三级甲等医院消毒供应中心2017年3月—2018年2月(实施前)和2018年3月—2019年2月(实施后)两个时间段数据,对骨科外来器械精细化闭环管理实施前后外来器械的清洗消毒灭菌合格率以及骨科手术切口感染率进行观察和比较。结果在实施外来医疗器械精细化闭环管理后,外来医疗器械的合格率(96.4%)与实施之前(90.8%)有所升高,差异有统计学意义(P<0.05);实施后医院感染事件的发生率(0.67%)低于实施前(1.33%),差异无统计学意义(P>0.05)。结论实施骨科外来医疗器械精细化闭环管理,提高外来医疗器械清洗消毒灭菌合格率,有效降低骨科手术一类切口感染率。
Objective To explore the application effect of refined closed-loop management of foreign medical devices in hospital infection control of orthopedic surgery.Methods Select a three-level hospital for disinfection supply center from March 2017 to February 2018(before implementation)and from March 2018 to February 2019(after implementation)data for two orthopedic instruments;the qualified rate of cleaning and disinfection of foreign instruments before and after the implementation of refined closed-loop management and the infection rate of orthopedic surgery were observed and compared.Results After implementing the closed-loop management of foreign medical devices,the qualified rate of foreign medical devices(96.4%)was higher than that before implementation(90.8%),the difference was statistically significant(P<0.05);the occurrence of hospital infection after implementation rate(0.67%)was lower than that before the implementation(1.33%),and the difference was not statistically significant(P>0.05).Conclusion The implementation of detailed closed-loop management of external medical equipment for orthopedics,improve the qualified rate of cleaning and disinfection of foreign medical devices,and effectively reduce the infection rate of orthopedic surgery.
作者
高元芝
范小艳
张明霞
王颖
GAO Yuan-zhi;FAN Xiao-yan;ZHANG Ming-xia;WANG Ying(The First Hospital of Changsha,Changsha,Hunan Province,410005 China)
出处
《中国卫生产业》
2019年第32期41-42,45,共3页
China Health Industry
关键词
外来医疗器械
精细化闭环管理
医疗器械
合格率
医院感染控制
Refined closed-loop
Management of foreign medical devices
Medical devices
Qualified rate
Hospital infection control
