对湿包管理的最佳证据的总结
Liangying Yi1,2, Yanhua Chen1,2, Ruixue Hu1,2
1Department of Sterile Processing Nursing, West China Second University Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, Sichuan, People's Republic of China.
Risk management and healthcare policy
|January 13, 2025
概括
在蒸汽杀菌后防止湿包在医疗保健中至关重要. 本研究综合了关于管理医疗器械湿包的最佳实践的证据,旨在减少它们的发生.
科学领域:
- 医疗保健感染控制 医疗保健感染控制
- 灭菌和消毒技术 灭菌和消毒技术
- 医疗器械再加工 医疗器械再加工
背景情况:
- 湿袋,定义为受损的无菌屏障,在医疗保健机构是不可接受的.
- 它们在蒸汽灭菌后出现,对患者的安全构成重大风险.
- 有效的管理策略对于防止医疗器械污染至关重要.
研究的目的:
- 系统地检索,评估和整合有关湿包管理的最佳可用证据.
- 为减少湿包的发生提供基于证据的建议.
- 为了告知消毒供应中心的做法.
主要方法:
- 在多个数据库 (JBI,PubMed,Cochrane等) 中进行全面的文献搜索. 使用"6S"金字塔模型.
- 包括从数据库创建到2024年1月的指导方针,系统审查,RCT和专家共识.
- 使用AGREE II,Cochrane偏差风险和JBI工具进行严格的质量评估,随后进行证据提取和合成.
主要成果:
- 选择了七项高质量的研究:三个指导方针,三个RCT和一个专家共识.
- 获取了20个不同的证据,包括包装,装载,杀菌,冷却,分发,评估和培训.
- 主要发现涉及无菌加工工作流程的多个阶段.
结论:
- 本研究综合了在医疗保健中有效的湿包管理的最佳证据.
- 这些发现为消毒供应中心工作人员提供了实际参考.
- 预计这些基于证据的实践的实施将大大减少湿包的发生率.
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