PDCA模式下消毒供应中心灭菌器灭菌影响因素与灭菌效果.PDFVIP

传染病信息  2018年6月30日  第31卷  第3期  Infect Dis Info, Vol. 31, No. 3, June 30, 2018  ·271· PDCA 模式下消毒供应中心 灭菌器灭菌影响因素与灭菌效果的研究 苏　勇，刘叔敏，苏　彬，马　滢，于　燕，娄丽华 　　[摘要]　目的　研究PDCA 循环管理模式下消毒供应中心灭菌器灭菌影响因素与灭菌效果的关联性。方法　 回顾分 2016 1 6 2016 7 12 析 年 — 月消毒供应中心手术器械与手术敷料在灭菌过程中存在的问题及原因，针对存在的情况于 年 — 月开展PDCA 循环管理，进而比较两阶段手术器械与手术敷料的灭菌合格率及湿包发生情况。结果　采用PDCA 循环管 理模式可有效提高消毒供应中心灭菌器的灭菌合格率，研究可见灭菌合格率由87.85%提高到97.52%；灭菌后的湿包发 生率由 13.93%降低到0.76%。结论　采用PDCA 循环管理模式可促进各项工作规范化，实施科学化管理可提高灭菌器 灭菌合格率，降低消毒供应中心的灭菌物品湿包率，获取高质量的灭菌效果，降低医院院内感染事件的发生，提高临 床满意度。　　 　　[关键词]　PDCA管理模式；消毒供应中心；灭菌效果 　　[中国图书资料分类号]　R312；R197.323　　　[文献标志码]  A　　　[文章编号]　1007-8134(2018)03-0271-03 　　DOI: 10.3969/j.issn.1007-8134.2018.03.018 Sterilization influencing factors and effects of sterilizer in sterilizing supply center under PDCA mode * SU Yong , LIU Shu-min, SU Bin, MA Ying, YU Yan, LOU Li-hua Disinfection Supply Room of Affiliated Hospital of Chengde Medical College, 067000, China *Corresponding author, E-mail: 814245345@ 　　[Abstract]　Objective　To study the relationship of sterilization influencing factors of sterilizer with sterilizing effect under PDCA management mode in sterilizing supply center. Methods　The existing problems and reasons in the sterilization process of surgical instruments and surgical dressings in the sterilizing supply center from January to June in 2016 were retrospectively analyzed. The existing problems were subject to the PDCA management mode during July to December in 2016. The eligible sterilization rate of surgical instruments and surgical dressings and the incidence of wet packs were compared before and after PDCA