摘要
目的探讨以危害分析与关键控制点理论(HACCP)为基础的工作流程在内镜器械交接和清洗中的应用效果。方法选择2022年1月至8月安徽省阜阳市人民医院消毒供应中心接收和清洗的内镜器械200批次,共6989件。根据交接和清洗方法不同分为两组,对照组3638件,观察组3351件。对照组采用常规方法进行交接和清洗,观察组在常规方法的基础上根据HACCP理论对工作进行改进,对器械进行交接和清洗。比较两组器械清洗质量[三磷酸腺苷(ATP)检测、返洗率、工作质量(回收器械数目不符、器械有损坏、未进行双方交接)]、手术室满意度、工作人员消毒管理知识掌握情况以及主观幸福感。结果观察组5倍放大镜检测不合格率、ATP检测不合格率、返洗率、回收器械数目不符率、器械损坏率、未进行双方交接率、急用器械供应不及时率及手术室不满意率低于对照组,且观察组工作人员对知识掌握情况和主观幸福感均高于对照组,差异有统计学意义(P<0.05)。结论HACCP制定的交接方式及清洗工作流程在内镜器械交接和清洗应用效果良好,提高内镜器械清洗质量、提高工作质量、提高手术室的满意度。
Objective To explore the application effect of workflow based on hazard analysis and critical control points(HACCP)theory in the handling and cleaning of endoscopic instruments.Methods The study sample consisted of 200 batches of endoscopic instruments,totaling 6989 items,received and cleaned by the Central Sterile Supply Department of Fuyang People’s Hospital,Anhui Province from January to August 2022.They were divided into two groups based on different handling and cleaning procedures:the control group comprised 3638 instruments,the observation group comprised 3351 instruments,the control group was handled and cleaned using conventional methods,and the observation group was incorporated improvements based on the HACCP theory into the standard handling and cleaning procedures.The quality of instrument cleaning(adenosine triphosphate[ATP]detection,return-to-wash rate,work quality[the number of recovered instruments is inconsistent,the instruments are damaged,and the two parties are not handed over]),operating room satisfaction,staff disinfection management knowledge,and subjective well-being were compared between the two groups.Results In the observation group,the failure rate of 5x magnification test,the failure rate of ATP test,the rate of return-to-wash,the number of recovered instruments did not match,the instruments were damaged,there was no handover between the two sides,the supply of emergency instruments was untimely and the rate of dissatisfaction in the operating room were lower than those of the control group,and the knowledge acquisition of staff and subjective well-being of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).Conclusion The handover methods and cleaning workflows established by HACCP have shown good applicability and effectiveness in the handling and cleaning of endoscopic instruments,enhancing the quality of instrument cleaning,improving work quality,and increasing operating room satisfaction.
作者
陈静静
王荣荣
王森森
范利
CHEN Jingjing;WANG Rongrong;WANG Sensen;FAN Li(Central Sterile Supply Department,Fuyang People’s Hospital,Anhui Province,Fuyang236000,China;Operating Room,Fuyang People’s Hospital,Anhui Province,Fuyang236000,China)
出处
《中国医药导报》
CAS
2024年第18期38-40,共3页
China Medical Herald
关键词
危害分析与关键控制点理论
消毒供应中心
腔镜
手术器械
工作质量
Hazard analysis and critical program points
Central sterile supply department
Endoscopy
Surgical instruments
Work quality
