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| 敏感指标在消毒供应中心医疗器械灭菌质量管控中的作用 |
| Significance of sensitive index to sterilization quality control of medical devices in disinfection supply center |
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| DOI：10.3969/j.issn.1007-8134.2019.05.013 |
| 中文关键词: 消毒供应中心 灭菌质量 敏感指标 |
| 英文关键词: disinfection supply center sterilization quality sensitive indicators |
| 基金项目: |
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| 摘要点击次数: 350 |
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| 中文摘要: |
| 目的 探究消毒供应中心按照敏感指标要求进行质量控制对医疗器械灭菌质量管控的意义。方法 将南京医科大学附属南京医院（南京市第一医院）消毒供应中心2017年1—12月间处理的医疗器械随机抽取500件作为对照组，此期间采用常规质量管理方法对医疗器械的清洗、灭菌质量进行控制；将2018年1—12月间处理的医疗器械随机抽取500件作为研究组，此期间按照敏感指标的要求对医疗器械的清洗、灭菌质量进行控制。应用SPSS软件，对2组间的清洗质量合格率、湿包发生率、包装质量合格率进行比较。结果 对照组的清洗、包装合格率分别为87.8%（439/500）、89.2%（446/500），研究组的清洗、包装合格率均为95.0%（475/500）。与对照组相比，研究组的清洗、包装合格率均明显提高（P均＜0.05）。研究组的湿包发生率为1.0%明显低于对照组的8.0%（P＜0.05）。结论 消毒供应中心按照敏感指标的要求对医疗器械灭菌质量进行管控，可有效提高医疗器械清洗消毒质量和包装质量的合格率，是实现医疗器械灭菌质量的重要保障，对降低院内感染，保证患者安全有重要意义。 |
| 英文摘要: |
| Objective To explore the significance of quality control by using sensitive indexes in disinfection supply center to control the sterilization quality of medical devices. Methods Medical devices handled by the disinfection supply room of Nanjing Hospital affiliated to Nanjing Medical University (Nanjing No. 1 Hospital) from January to December in 2017 were taken as the control group, and the conventional quality management method was used to control the cleaning and sterilization quality of medical devices; medical devices handled by the disinfection supply room of Nanjing Hospital affiliated to Nanjing Medical University (Nanjing No. 1 Hospital) from January to December in 2018 were taken as the study group, and sensitive indicators were used to control the quality of cleaning and sterilization of medical devices. Using SPSS software, the qualification rate of cleaning quality, the incidence of wet packets and the qualification rate of packaging quality were compared between 2 groups. Results The pass rates of cleaning and packing in the control group were 87.8% (439/500) and 89.2% (446/500) respectively, and those in the study group were both 95.0% (475/500). Compared with the control group, the pass rate of cleaning and packing in the study group was obviously improved (P＜0.05). The incidence of wet packets in the study group (1.0%) was significantly lower than that in the control group (8.0%) (P＜0.05). Conclusions The application of sensitive indexes in disinfection supply room to control the sterilization quality of medical devices can effectively improve the pass rate of medical device cleaning and disinfection quality and packaging quality. It is an important guarantee to realize the quality of medical device sterilization, and is of great significance for reducing nosocomial infection and ensuring patient safety. |
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