Department of Central Sterile Supply, Affiliated Hangzhou First People's Hospital, Zhejiang University School of Medicine, 310006 Hangzhou, China.
Comput Math Methods Med. 2022 Feb 15;2022:6916212. doi: 10.1155/2022/6916212. eCollection 2022.
In daily inspection, the nonstandard management of sterile articles in clinical departments of hospitals often leads to the destruction of the sterilization effectiveness of sterile articles. Therefore, it is necessary to strengthen governance and improve this phenomenon. This study intends to investigate the mode in which the disinfection supply center participates in the supervision and management of the management of sterile items in clinical departments. It played a role in improving the standardization of the management of sterile articles in clinical departments and ensured the closed-loop management of the sterilization effectiveness of sterile articles.
Every quarter, the disinfection supply center of our hospital will inspect the standardized management of sterile articles in all clinical departments of the hospital, mainly including the storage environment and facilities of sterile articles, the cleanliness of storage cabinets, placement principles, whether they are stored by category, and the quality and validity management of sterile articles. The quarterly inspection results were summarized and analyzed to find the existing problems and the causes. The disinfection supply center shall supervise the improvement. After the disinfection supply center inspected the standardized management of sterile articles in all clinical departments of the hospital for the first time according to the inspection contents, under the guidance and assistance of the nursing department and the hospital infection department, it improved the sterile article management system, conducted knowledge training for the whole hospital, and incorporated the standardized management of clinical sterile articles into the quality control inspection of the nursing department. In the later stage, the disinfection supply center is responsible for conducting routine inspection and supervision on the standardized management of sterile articles in all clinical departments of the hospital every quarter according to the inspection contents, including summarizing, analyzing, and urging the clinical departments to achieve the improvement of the management of sterile articles in clinical departments.
The standardization of aseptic articles after improvement was significantly higher than before and during improvement, and the qualified rate was significantly different (99.4% vs 97.9% vs 89.5%, < 0.05). The average number of lost packages caused by nonstandard management in the department was significantly reduced. The average rate of lost sterile packages during and after the improvement was significantly lower than that before the improvement (10.5% vs 97.9% vs 89.5%, < 0.05). It also effectively reduced the cost caused by the loss of sterile packages.
The disinfection supply center participates in the quality control and management of sterile articles in the nursing department and regularly inspects and supervises the management of sterile articles in clinical departments. It can effectively improve the standardized management of sterile articles in clinical departments, ensure the safety of sterile articles, and form a closed loop of sterilization effectiveness.
在日常检查中，医院临床科室无菌物品管理不规范，往往导致无菌物品灭菌效果的破坏。因此，有必要加强治理，改善这一现象。本研究旨在探讨消毒供应中心参与临床科室无菌物品管理监督管理的模式，对提高临床科室无菌物品管理规范化程度，确保无菌物品灭菌效果的闭合式管理起到了作用。
我院消毒供应中心每季度对全院各临床科室无菌物品规范化管理进行检查，主要包括无菌物品的储存环境与设施、储存柜的清洁度、放置原则、是否分类存放、无菌物品的质量与有效期管理等。对季度检查结果进行总结分析，找出存在的问题及原因，由消毒供应中心监督改进。消毒供应中心首次按照检查内容对全院各临床科室无菌物品规范化管理检查后，在护理部和医院感染管理科的指导和协助下，完善无菌物品管理制度，对全院进行知识培训，并将临床无菌物品规范化管理纳入护理部质量控制检查中。后期，消毒供应中心按照检查内容每季度对全院各临床科室无菌物品规范化管理进行常规检查和监督，包括总结、分析、督促临床科室达到临床无菌物品管理的改进。
改进后无菌物品的规范化程度明显高于改进前和改进中，合格率差异有统计学意义（99.4%比 97.9%比 89.5%，<0.05）。科室因管理不规范导致的包丢失数量明显减少，改进中、改进后无菌包丢失率平均明显低于改进前（10.5%比 97.9%比 89.5%，<0.05）。也有效降低了无菌包丢失造成的成本。
消毒供应中心参与护理部无菌物品的质量控制和管理，定期检查和监督临床科室无菌物品管理，能有效提高临床科室无菌物品管理规范化程度，确保无菌物品安全，形成灭菌效果的闭合环。
