Application of quality control circle to improve the removal rate of contaminants on object surface in operating room
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1.Office of Healthcare-associated Infection Management, The Tenth Affiliated Hospital of Southern Medical University, Dongguan People's Hospital, Dongguan 523000, China;2.Department of Medical Statistics, School of Public Health, Sun Yat-sen University, Guangzhou 510080, China

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R197.323.4

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    Abstract:

    Objective To explore the effect of quality control circle (QCC) on improving the removal rate of contaminants on object surface in the operating room and reducing the incidence of surgical site infection (SSI). Methods The QCC management mode was applied to supervise and manage the cleaning and disinfection quality of object surface in the operating room. The period of pre-improvement was from October to November 2020, and that of post-improvement was from December 2020 to March 2021, and monitoring continued until September 2021. Fluorescence labeling and microbiological culture were adopted to identify the causes for low removal rate of contaminants on object surface in the operating room. Through 3 strategies including improving equipments, refining procedural protocols, and enhancing training methods, differences in the removal rate of contaminants on object surface in the operating room as well as the incidence of SSI before and after the improvement were compared. Results The removal rate of contaminants on object surface in the operating room increased from 52.26% before improvement to 88.02% after improvement. The passing rate of staff's knowledge assessment increased from 46.82% to 90.29%. Incidence of SSI decreased from 0.18% to 0.07%. Differences were all statistically significant (all P < 0.05). From April to September 2021, incidence of SSI was 0.06%, removal rates of contaminants on object surface in the ope-rating room were 89.24%, 90.80%, 91.67%, 92.53%, 93.40%, and 94.10%, respectively, maintaining a good improvement trend. Conclusion The application of QCC for continuous quality improvement can effectively improve the removal rate of contaminants on object surface in the operating room and the passing rate of environmental clea-ning and disinfection knowledge among staff with different occupations. Ensuring the cleaning quality of the operating room can help reducing the incidence of SSI, meanwhile, the abilities of QCC members are improved, making it a valuable approach for widespread application.

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刘厚荣,杜志成,郭碧淇.应用品管圈提高手术室物体表面污染物清除率[J].中国感染控制杂志英文版,2023,(9):1086-1092. DOI:10.12138/j. issn.1671-9638.20233808.
Hou-rong LIU, Zhi-cheng DU, Bi-qi GUO. Application of quality control circle to improve the removal rate of contaminants on object surface in operating room[J]. Chin J Infect Control, 2023,(9):1086-1092. DOI:10.12138/j. issn.1671-9638.20233808.

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History
  • Received:July 10,2023
  • Revised:
  • Adopted:
  • Online: April 28,2024
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