使用以任务为导向的质量控制圈来构建中央无菌供应部对在无菌包装中留下的异物质量控制系统
Shunyu Yao1,2, Liangying Yi1,2, Ruixue Hu1,2
1Department of Sterile Processing Nursing, West China Second University Hospital, Sichuan University, Chengdu, Sichuan, People's Republic of China.
Risk management and healthcare policy
|May 5, 2025
概括
实施面向任务的质量控制循环 (QCC) 显著减少了无菌包装中的异物. 这种质量控制系统提高了工作人员的满意度,并减少了手术延误.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 医疗器械灭菌 医疗器械灭菌
- 医院运营管理 医院运营管理
背景情况:
- 无菌包装中的异物构成风险,可能延迟手术并危及患者护理.
- 无菌供应的有效质量控制对于维持处理标准至关重要.
- 防止无菌包装中的污染是医疗保健机构的一个关键挑战.
研究的目的:
- 在中央无菌供应部 (CSSD) 开发和实施质量控制系统,用于检测无菌包装中的异物.
- 利用以任务为导向的质量控制圈 (QCC) 方法来系统地解决和减少异物污染.
- 提高无菌医疗用品的整体质量和安全性.
主要方法:
- 在CSSD领导下建立了一个以任务为导向的质量控制圈 (QCC).
- 调查和准的重点领域:织品中的异物 (分类/折叠,受污染,干净),仪器包装和员工投诉.
- 设定具体目标,制定策略,并确定最佳解决方案,以减少异物事件.
主要成果:
- 在受污染的织品中减少了异物,从7.1%降至0.96%.
- 污染的仪器包装中的外来物减少了0.27%至0.04%.
- 清洁织品中的异物从2.91%降至0.21%,投诉从41.69%降至0%.
- 改善了CSSD和手术室工作人员的满意度,从53.7%提高到100%.
结论:
- 面向任务的QCC有效地减少了无菌包装中的异物.
- 实施这种质量控制系统可以显著降低仪器包装的缺陷率.
- QCC方法提高了产品质量和员工对CSSD操作的满意度.
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