中央无菌供应部门不良事件的发生率:单中心回顾性研究
Hui Chen1,2, Jiawei Liu1,2, Mengmeng Zhang1,2
1Central Sterile Supply Department, West China Hospital Sichuan University, Chengdu, Sichuan, People's Republic of China.
Risk management and healthcare policy
|August 24, 2023
概括
中央无菌供应部门的不良事件很常见,主要是由于清洁和组装问题. 实施更严格的质量控制和员工培训可以提高患者安全和医院效率.
科学领域:
- 医疗保健管理的管理
- 患者安全 患者安全
- 无菌加工 无菌加工
背景情况:
- 医疗保健机构的不良事件带来了重大风险,包括长时间住院和伤害患者.
- 有效地识别和管理不良事件对于患者安全至关重要.
- 关于中国大陆中央无菌供应部门 (CSSD) 的不良事件的研究有限.
研究的目的:
- 在中央无菌供应部门调查不良事件的发生率.
- 确定与这些事件相关的常见原因和风险因素.
- 为提高CSSD的质量管理提供建议.
主要方法:
- 在三级医院进行了为期三年的回顾性研究 (2020年1月至2022年12月).
- 收集了关于不良事件的数据,包括事件细节和负责人员信息.
- 用描述性统计和奇二次测试进行数据分析.
主要成果:
- 报告共有101次不良事件,其中不合格的清洁质量 (33.66%) 和错误的仪器组装 (24.75%) 是最常见的原因.
- 检查/包装 (48.51%) 和设备清洁 (31.68%) 是最高的风险点.
- 工作人员教育,工作经验和仪表组件特征等因素与不良事件发生有显著的相关性 (P < 0.05).
结论:
- 在CSSD中,不良事件经常发生,这突显了严格清洁和包装监督的必要性.
- 应特别关注经验较少和教育程度较低的员工.
- 建议实施对不良事件的标准化分级系统,以协调管理和服务质量.
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