五常法在预防和控制手术室院感中应用效果.docVIP

五常法在预防和控制手术室院感中应用效果 　　[摘要] 目的 探讨“五常法”在预防和控制手术室院感中的应用效果。 方法 针对手术室医院感染潜在的高危因素，采用“五常法”加强管理，以预防和控制手术室医院感染，比较实施“五常法”前后手术室检查结果及术后切口感染情况。 结果 实施“五常法”管理后，手术室空气、手卫生、使用消毒液、以及整个检测合格率（97.78%、100.00%、93.75%、97.80%）明显高于实施前；切口感染率（1.71%）明显低于实施前（P0.05）；实施前后物体表面、无菌物品、灭菌器、紫外线灯辐照明强度等检测合格率比较差异无显著性。 结论 在手术室管理中实施“五常法”，可有效预防和控制手术室院感，降低术后切口感染，提升医疗安全。 　　[关键词] 五常法；预防和控制；手术室；管理；医院感染 　　[中图分类号] R197.3 [文献标识码] B [文章编号] 2095-0616（2015）11-180-03 　　[Abstract] Objective To explore the application effect of 5s Method in prevention and control of hospital infection in operation room. Methods 5s Method was taken to strengthen management to prevent and control hospital infection in operation room， against potential high risk factors of hospital infection in operation room. Test results and incision infection in operation room before and after “5s Method” were compared. Results Qualified rate of operation room air， hand hygiene， using disinfection and total test after managed with 5s Method were 97.78%， 100.00%， 93.75% and 97.80%， which was significantly higher than those before being managed with “5s Method”. Rate of incision infection was 1.71%， which was significantly lower than that before implementation （P0.05）. The test-qualified rates of object surface， aseptic materials， sterilizer and illumination intensity of ultraviolet radiator before and after implementation had no significant difference. Conclusion The implementation of 5s Method in the operation room management can effectively prevent and control hospital infection in operation room and decrease the rate of post-operative incision infection to improve medical safety. 　　[Key words] 5s Method； Prevention and control； Operation room； Management； Hospital infection 　　“五常法”又称5s法，最初用来维持环境品质，是一种技术方法，源自日本企业中的5s管理活动。“五常法”的内容包括常组织、常整顿、常清洁、常规范、常自律[1]。近年来，不断有手术室医院感染的报道，其问题核心就是手术室管理中存在漏洞，增加了患者术后切口感染的机会[2]。本院为健全医院感染管理体系，减少手术室医院感染的发生，在手术室管理中实施“五常法”，取得了满意的效果，现将经验与结果总结报道如下。 　　1 资料与方法 　　1.1 一般资料 　　1.1.1 手术室人员资料 本院是一所县市级“二甲”医院，手术科室住院床位160张，手术量台数约1360