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Objective To discuss the effect of PDCA quality control circle on the integrated management of the operating room and supply room.Methods An integration group was formed with 50 medical staffs related to the integrated management in some hospital as well as randomly sampled 200 surgical instruments and 200 sets of surgical instrument kits from October 2014 to September 2015,and No.1 management group was built with the same approach from October 2015 to September 2016.PDCA quality control circle was applied in No.1 management group.Statistical analysis was carried out on surgical instrument management and medical staff satisfaction in the operating room.Results No.1 management group behaved better than the integration group in cleanness of surgical instruments,qualification rate in instrument kit sterility testing and medical staff satisfaction,and the former had significantly lower incidence rates of infected incision and adverse events as well as shorter package time than the latter (P＜0.05).Logistic analysis showed that the independent factors for medical staff satisfaction included cleanness of surgical instruments,qualification rate in instrument kit sterility testing and adverse events of instruments (P＜0.05).Condusion PDCA quality control circle contributes to enhancing surgical instrument management,decreasing adverse events and improving medical staff satisfaction in the operating room.
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Objective To observe the application of alkaline cleaning agent in disinfection and supply room cleaning of medical devices, to evaluate the cleaning quality. Methods The 800 contaminated medical instruments collected from February 2016 to February 2017 in municipal maternal and child health hospital were divided into control group (February 2016 to August 2016) and study group (September 2016 to March 2017 ) according to different time periods,with 400 pieces in each group.In the reference group, the instrument was washed with multienzyme detergent, and the study group was cleaned with alkaline detergent. The cleaning of 2 groups of instruments was observed and compared. Results The total excellent and good rate of instrument cleaning in the study group was 97.25％ (389/400), in the reference group was 89.50％(358/400), the difference between the two groups was statistically significant (P<0.05); the cleaning safety, practicality, economy, comprehensive score difference of the study group was significantly better than the reference group (P<0.05). Conclusion The effect of alkaline cleaning agent used in disinfection supply room cleaning medical instruments is remarkable, and the equipment residue and microorganism can be effectively eliminated, and the utility model has the advantages of high safety and low economic cost, and has the important practical value.
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Objective To summarize the previous work experience and loss of function in the development process of hospital modernization of sterile supply room,and discuss the model of centralized treatment and unified supply.Methods Through investigation in the clinical departments,various roles and regulations of sterile supply room were established,especially the various job responsibilities,operating procedures,disinfection and isolation system,the quality management system,testing system,equipment and apparatus management systems,traceability systems,continuous quality improvement process and goods recall system.The system had performance appraisal,workilow management and other methods to enhance the staff's self-discipline,to strengthen humanities education for sterile supply room staff,strict execution of the standards and norms of Health Ministry,to enhance the legal awareness,establish and improve the sterile supply room management systems and service system.Results Implementation of centralized treatment can effectively prevent nosocomial infection,reduce the spread of pollution to ensure medical safety,reduce staff input that help ensure the professional quality and reduce the economic costs,and promote the professional development of sterile supply.Conclusions Centralized treatment of multiplexing medical apparatus and instruments promotes the all-dimensional development of sterile supply room,which is worthy of wide application.
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Objective To explore using evidence-based medicine to establish infection control process of hospital supply room. Methods We determined problems in the practice through collecting relevant materials on infection control of hospital supply room. Then we searched the related literatures from the evidencebased medicine(EBM) websites(MEDLINE database, ere) and undertook comprehensive evaluation, established all the infection control processes of hospital supply department by applying a systematic method. Results All the monitoring indexes were compared between the control group and the observation group :disinfection and sterilization of instruments (P<0.01), management of aseptic materials (P<0.05), environmental hygiene monitoring (P<0.05) and handwashing compliance of medical staff met standard requirements(P<0.05).All the items were statistically different between the two groups. Conclusions The method of EBM applied in establishing of infection control process of hospital supply room provides scientific and systematic working method.
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Objective To control the nosocomial infection and avoid the second pollution of thereclaimed medical apparatus to the washing area of supply room. Methods Count, classification and place of the reclaimed medical apparatus went along at the same self-designed categorizing pedestal of the muhi-function apparatus.No absorbing cloth was needed on the table-board, the dirty water flew into the outfall of the sewer directly and automatically, the discreteness could be unpicked, washed and lis-terized after work. Results It avoided the collision of the apparatuses, shortened the time of counting effectively and reduced the chance of pollution.It also avoided the waste of the manpower, the material resources, the time and the second environmental pollution. The effects of the two table-boards after disinfection had statistical difference (P＜0.01). Conclusions The categorizing pedestal of the mul-ti-function apparatus makes the reclaim and handling of the polluted apparatus more standard and to re-move the pollution more thoroughly.
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Objective To control the incidence of infection during transportation process of supply room,reinforce the management of collecting and sending carts in supply room and ensure the effect of disinfection and safety of use.Methods Available chlorine of 500 mg/L was used to disinfect thein ner face of the clean carts,available chlorine of 1000 mg/L for the outer face,irradiation for 1 hour by ultraviolet lamp before use.The inner and outer faces of the dirty carts were disinfected by available chlorine of 1000 mg/L and irradiation for l hour by ultraviolet lamp.The wheels were flushed by clean water and then sterilized by available chlorine of 1000 mg/L"Clean"or"dirty"was indicated on the carts and they were strictly used and stored.The carts were covered with water-proof cloth,also indicated with"clean"or"dirty".Results The bacteriaJ colony was ≤5 cfu/m2 after disinfection on the clean carts and≤15 cfu/m2 on the dirty carts.Conclusions Disinfection by available chlorine and irradia- tion by ultraviolet lamp can reach the standard of sterile area,clean area and contamination area set by the Ministry of Health.This method is an effective measure in the control of transportation process of supply room with simple,feasible,economical and effective characteristics.
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OBJECTIVE To reduce the career′s risk factors against the physical damage in supply room.METHODS The risk factors in the supply room were analyzed,and the corresponding preventive measures were develop.RESULTS Strengthening education on occupational safety protection and strictly implementing measures could reduce occupational hazards.CONCLUSIONS For different risk factors in the supply room job,appropriate occupational protection measures can effectively reduce occupational hazards.
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OBJECTIVE To survey the current situation of disinfection and supply rooms in 34 hospitals of Hubei Province under the Committee of Hubei Distinfection.METHODS On the basis of certain references,an questionaire was designed to survey on site.RESULTS All 34 hospitals were taken disperse control mode of disinfection;the education was not good enough;most of the disinfection and supply rooms covered limited space,without meeting the standards of Ministry of Health.The rate of equipement usage was low;the working spheres were narrow.CONCLUSIONS There is not any control mode of disinfection and supply rooms in these 34 hospitals;if working staff and equipment are improved,the working spheres can be broaden.it should be transferred to the centralized control mode of disinfection.
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OBJECTIVE To investigate the procedures and advantages of whole range quality control of disposable sterile medical appliance. METHODS By analyzing the data concerning whole range quality control of disposable sterile medical appliance from Oct 2002 to Oct 2005 in our hospital to summarize the experiences in this field. RESULTS During the last 3 years, the supply room in our hospital had administrated disposable sterile medical appliance 30 069 000 articles altogether, with the qualification ratio of 100%, and no adverse reaction was found; furthermore, the waste was reduced for no massed articles occurred; the cost accounting was raised and the error ratio during delivery was reduced too, the annual error ratio dropped form 0.003% to 0.00066%. CONCLUSIONS The whole range quality control of disposable sterile medical appliance can raise the administration quality, reduce the waste during delivery, and guarantee the disposable sterile medical appliance being used safely and effectively, also, it can provide accurate and useful data of cost accounting to concerned departments.
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OBJECTIVE To analyze the difficulties which existing in the supply room and draw up the improving countermeasure.METHODS Through compiling to the existed questions,to propose the improving measure separately.RESULTS The average degree of satisfaction to service quality of supply room was from original 85.5% up to 92.64%.CONCLUSIONS Through using the statistical and analytical methods,the standardized operation process,improving our service etc,we can solve the problems which exist in the clinical service.
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OBJECTIVE To analyze the causes of unqualified medical appliance packs before sterilization and to find countermeasures in order to assure their quality,and to avoid emergence of hospital infection and medical tangles. METHODS Totally 320 packs were checked before sterilization from supply room and clinical departments from Jun 1,2004 to Mar 30,2005. RESULTS The rate of unqualified packs checked before sterilization was 14.12% including 460 medical apparatuses unqualified(21.70%). CONCLUSIONS To avoid the emergence of hospital infection and medical tangles,we should strengthen the work of supply room to realize the centralization of sterilization and supply,and make much of personnel′s professional training,normalize job′s process and quality criterion,and intensify professional and systematizing management of medical appliance purged and packed.