The effect of quality management in the distribution process of sterile items in hospital disinfection supply centers on reducing hospital infection rates
医院消毒供应中心无菌物品发放环节质量管理对降低医院感染率的效果

摘要

目的 探究医院消毒供应中心采取有效措施加大无菌物品发放环节质量管理对降低医院感染率的效果。方法 针对我院2020年医院消毒供应中心无菌物品发放环节质量管理前后实际情况进行分析，了解各环节质量评分，分析满意度，计算医院感染率，结合数据对比。结果 消毒供应中心实施质量管理前无菌器械清洁度评分、无菌物品包装评分、消毒灭菌评分、无菌物品发放质量评分与实施质量管理后个性评分对比，差异显著，具有统计学意义（p<0.05）；消毒供应中心实施质量管理前满意度情况显著低于实施质量管理后，对比差异显著，具有统计学意义；消毒供应中心无菌物品发放质量管理前科室出现感染的为8个，占总科室数量的25.00%。消毒供应中心无菌物品发放质量管理后科室出现感染的为1个，占总科室数量的3.125%，差异显著，具有统计学意义。结论 医院消毒供应中心无菌物品发放环节加大管理力度，积极实施各项管理措施，提升各环节质量，提升满意度，有效避免院内感染，应用价值显著，可以在临床应用。

Abstract

Objective: To explore the effectiveness of effective measures taken by hospital disinfection supply centers to increase quality management in the distribution of sterile items in reducing hospital infection rates. Method: Analyze the actual situation before and after the quality management of sterile item distribution in our hospital's disinfection supply center in 2020, understand the quality scores of each link, analyze satisfaction, calculate hospital infection rate, and compare data. Result: There was a significant difference in the cleanliness score of sterile instruments, packaging score of sterile items, disinfection and sterilization score, and distribution quality score of sterile items between the disinfection supply center before implementing quality management and the personality score after implementing quality management (p<0.05); The satisfaction level of the disinfection supply center before the implementation of quality management was significantly lower than that after the implementation of quality management, and the difference was statistically significant; Before the quality management of sterile item distribution in the disinfection supply center, 8 departments had infections, accounting for 25.00% of the total number of departments. After the quality management of sterile items distribution in the disinfection supply center, one department experienced infection, accounting for 3.125% of the total number of departments, with a significant difference and statistical significance.
Conclusion  : The hospital disinfection supply center has increased its management efforts in the distribution of sterile items, actively implemented various management measures, improved the quality of each link, increased satisfaction, effectively avoided hospital infections, and has significant application value, which can be applied in clinical practice.