前沿管理干预流程图在硬式内镜管理中的应用

    Application of frontier management intervention flow chart in rigid endoscope management

    • 摘要:
      目的探讨前沿管理干预流程图在硬式内镜管理中的应用效果。
      方法通过现状分析,制定硬式内镜清洗消毒的前沿管理干预流程图。选取2020年6-8月前沿管理干预流程图实施前相关硬式内镜1 100件作为对照组,2020年10-12月前沿管理干预流程图实施后相关硬式内镜800件为干预组。比较2组硬式内镜管理合格情况、护理管理情况和医生满意度。
      结果干预组内镜在清洗、灭菌、包装、存放和发放合格率上均明显高于对照组(P<0.01)。前沿管理干预流程图实施后护士内镜知识、手卫生知识得分及总分均明显高于实施前(P<0.01)。前沿管理干预流程图实施后手卫生依从率和规范率均明显高于实施前(P<0.01)。前沿管理干预流程图实施后医生在发放、包装和清洁消毒满意度均优于前沿管理干预流程图实施前(P<0.05~P<0.01)。
      结论前沿管理干预流程图的实施有效提高了硬式内镜管理效果。

       

      Abstract:
      ObjectiveTo explore the application effect of frontier management intervention flow chart in rigid endoscope management.
      MethodsThrough the analysis of the current situation, the frontier management intervention flow chart for the cleaning and disinfection of rigid endoscope was formulated.A total of 1 100 rigid endoscopes before the implementation of the frontier management intervention flow chart from June to August 2020 were selected as the control group, and 800 rigid endoscopes after the implementation of the frontier management intervention flow chart from October to December 2020 were set as the intervention group.The qualification status of rigid endoscope management, nursing management status and doctor's satisfaction in the two groups were compared.
      ResultsThe qualification rate of cleaning, sterilization, packaging, storage and distribution of endoscopes in intervention group was significantly higher than that in control group(P<0.01).The scores and total scores of nurse's endoscope knowledge and hand hygiene knowledge after the implementation of the frontier management intervention flow chart were significantly higher than those before the implementation(P<0.01).The hand hygiene compliance rate and standardization rate after the implementation of the frontier management intervention flow chart were significantly higher than those before the implementation(P<0.01).After the implementation of the frontier management intervention flow chart, the doctor's satisfaction with distribution, packaging, cleaning and disinfection was better than that before the implementation(P<0.05 to P<0.01).
      ConclusionsThe implementation of the frontier management intervention flow chart effectively improves the management effect of rigid endoscope.

       

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