Analysis of the collaborative effect of disinfection supply center and surgical room instrument management based on MDT model
基于MDT模式的消毒供应中心与手术室器械管理协同效果分析

摘要

目的 分析在消毒供应中心手术室器械管理中开展基于多学科团队（MDT）模式的协同效应。方法随机选取我院消毒供应中心接收的手术器械100件和护士6名作为分析对象,通过随机数字表法将入选的器械和护士分为观察组与对照组，每组各有50件器械与3名护士,对照组采取常规护理管理,观察组采取基于MDT管理模式,将两种管理模式取得的效果进行对比分析。结果 观察组的护理管理质量与护士工作综合能力评分均高于对照组，器械灭菌消毒合格率以及清洗合格率均显著高于对照组，最终器械管理差错率以及器械反洗率均显著低于对照组（P<0.05）。结论 在消毒供应中心的手术室器械管理中开展基于MDT模式，可有效提升器械管理质量以及消毒清洗合格率，确保手术室器械使用的效果及安全性，提高临床手术的工作效率。

Abstract

Objective To analyze the collaborative effect of implementing the MDT model in the surgical room instrument management of the disinfection supply center.
Methods 100 surgical instruments received by the disinfection supply center of our hospital and 6 nurses were randomly selected as the analysis objects. Using the random number table method, the selected instruments and nurses were divided into the observation group and the control group, with 50 instruments and 3 nurses in each group. The control group adopted routine nursing management, while the observation group adopted the MDT management model. The effects obtained by the two management models were compared and analyzed.
Results The quality of nursing management and the comprehensive ability score of nurses in the observation group were higher than those in the control group. The qualified rate of instrument sterilization and disinfection and the qualified rate of cleaning were significantly higher than those in the control group. Finally, the error rate of instrument management and the re-washing rate of instruments were significantly lower than those in the control group (P < 0.05).
Conclusion   Implementing the MDT model in the surgical room instrument management of the disinfection supply center can effectively improve the quality of instrument management and the qualified rate of sterilization and cleaning, ensure the effect and safety of surgical room instruments, and improve the work efficiency of clinical surgeries.