摘要
目的探讨消毒供应室应用一体化护理管理模式的效果及对护理管理质量评分的影响。方法回顾性分析聊城市中医医院消毒供应中心在2022年3月—2023年8月回收的144件骨科外来手术器械及植入物的资料。2022年3—10月未对消毒供应中心内管理流程进行优化,设为优化前组(n=74);2022年11月—2023年8月对消毒供应中心内管理流程进行优化,设为优化后组(n=70)。优化前组采取常规护理管理,优化后组采取一体化护理管理。对比2组骨科外来手术器械及植入物不合格的情况,同时对其中不合格的原因进行分析;对比2组护理质量评分以及物品供应质量。结果优化后组骨科外来手术器械及植入物不合格率分别为2.00%、5.00%,低于优化前组9.46%、34.48%,差异有统计学意义(P<0.05)。2组骨科外来手术器械及植入物不合格原因所占比例比较,差异无统计学意义(P>0.05)。优化后组安全识别能力、风险防范意识、服务意识以及护理质量评分高于优化前组,差异有统计学意义(P<0.05)。优化后组物品准备完善率高于优化前组,取物时间、物品补充时间短于优化前组,差异有统计学意义(P<0.05)。结论一体化护理管理模式在消毒供应中心骨科外来手术器械及植入物管理工作中的应用可降低其不合格率,提高了消毒供应中心的护理管理以及供应质量。
Objective To explore the effect of integrated nursing management mode in disinfection supply room and its influence on nursing management quality score.Methods A retrospective analysis was conducted on data from 144 orthopedic external surgical instruments and implants collected by the disinfection supply center of the Liaocheng Traditional Chinese Medicine Hospital from March 2022 to August 2023.The management process in the disinfection supply center was not optimized from March to October 2022,and was divided into the preoptimization group(n=74).From November 2022 to August 2023,the management process in the disinfection supply center was optimized and divided into the post-optimization group(n=70).Conventional nursing management was adopted in the pre-optimization group,while integrated care management was implemented in the post-optimization group.The unqualified conditions of orthopedic external surgical instruments and implants in the two groups were compared,and the causes of the unqualified were analyzed.Nursing quality scores and supply quality were compared between the two groups.Results The non-conformance rates of orthopedic external surgical instruments and implants in the post-optimization group were 2.00%and 5.00%,respectively,lower than 9.46%and 34.48%in the pre-optimization group,and the difference was statistically significant(P<0.05).There was no significant difference in the proportion of unqualified orthopedic external surgical instruments and implants between the two groups(P>0.05).Safety identification ability,risk prevention awareness,service awareness and nursing quality scores of the postoptimization group were higher than those of the pre-optimization group,and the differences were statistically significant(P<0.05).The item preparation perfection rate of the post-optimization group was higher than that of the pre-optimization group,and the pickup time and item replenishment time were shorter than that of the pre-optimization group,the difference was statistically significant(P<0.05).Conclusion The application of the integrated nursing management model in the management of orthopedic external surgical instruments and implants in the disinfection supply center can reduce the unqualified rate and improve the nursing management and supply quality of the disinfection supply center.
作者
许宏兰
吴杰
XU Honglan;WU Jie(Disinfection Supply Center,Liaocheng Traditional Chinese Medicine Hospital,Liaocheng Shandong 252000,China)
出处
《中国卫生标准管理》
2024年第16期154-157,共4页
China Health Standard Management
关键词
消毒供应中心
手术器械
植入物
一体化护理管理
护理管理质量
供应质量
disinfection supply center.
surgical instruments
implants
integrated care management
nursing management quality
supply quality
