无缝隙管理模式在消毒供应中心外来器械和植入物管理中的应用

Application of seamless management mode in management of loaner devices and implants in central sterile supply department

摘要:

目的 探讨无缝隙管理模式在消毒供应中心（CSSD）外来器械和植入物管理中的应用价值。方法 选取某院2017年1月1日-12月31日采用传统管理方法接收的2762件外来器械和植入物作为对照组，2018年1月1日-6月30日实施无缝隙管理模式后接收的1349件外来器械和植入物作为干预组，比较两组护士加班时间、器械返洗率、丢失率等。结果 干预组护士的加班时间短于对照组[（125.7±36.8）min vs（29.5±43.2）min，t=28.116，P<0.001]。对照组手术后外来器械和植入物放置时间较长，管理力度不够，清洗后护士未及时清点打包，导致出现个别器械包混淆、丢失。干预组规范流程后，所有外来器械和植入物均能在规定时间送达CSSD完成交接，并全部采用全自动喷淋清洗机进行清洗。干预组器械返洗率、丢失率（分别为0.74%、0.30%）均低于对照组（分别为1.74%、0.91%）。结论 无缝隙管理模式应用于CSSD外来器械和植入物的管理，可以提高外来器械和植入物的管理和清洗质量，提高护士的工作效率。

Abstract:

Objective To explore the application value of seamless management mode in the management of loaner devices and implants in central sterile supply department (CSSD). Methods 2 762 loaner devices and implants received with conventional method by a hospital from January 1 to December 31, 2017 were selected as control group, 1 349 loaner devices and implants received after the implementation of seamless management mode from January 1 to June 30, 2018 were as intervention group, nurses' overtime, backwash rate and loss rate of devices were compared between two groups. Results The overtime time of nurses in intervention group was shorter than that of control group ([125.7±36.8]min vs[29.5±43.2]min, t=28.116, P<0.001). In the control group, loaner devices and implants were placed for a long time after operation, management was not enough, nurses didn't check and pack in time after cleaning, which resulted in confusion and loss of devices. In intervention group, after standardized the process, all loaner devices and implants could be delivered to CSSD and handed over the prescriptive time, and all were cleaned by automatic spray cleaner. Backwash rate and loss rate of devices were both lower than those in control group (0.74% vs 1.74%; 0.30% vs 0.91% respectively). Conclusion Seamless management mode applied to the management of loaner devices and implants in CSSD can improve the management and cleaning quality of loaner devices and implants, and improve the work efficiency of nurses.