消毒供应中心流程优化?看华西医院三点巧思杰作

2018-02-12 陈慧 黄浩 中国医院建筑与装备

建立和实施无菌物品追溯管理系统是国家的强制标准和需求,是科学化管理的重要体现。

四川大学华西医院是国内一家大型综合性教学医院,其消毒供应中心是一个非常重要和特殊的部门,承担了各科室所有重复使用诊疗器械、器具和物品的清洗、消毒、灭菌及无菌物品供应,它与临床科室关系密切且关乎医院的感染控制。物品要实现重回收、再利用,就要经过由污到洁的过程,对于环境布局的要求较高。要确保无菌物品的质量安全,过程监控必不可少。

医院消毒供应中心有护理人员近30人,主要负责护理管理并进行流程优化。优化流程可以促使操作规范化、标准化、制度化,员工操作有方法、有技巧。流程优化满足了工作需要,得到了临床科室较高的评价。


概况

四川大学华西医院日均门诊量上万人次,手术量日均400台。消毒供应中心是2008年按照国家标准进行改建的,面积为2000m2。区域严格划分,配置了先进的清洗、消毒及灭菌设备,包括长龙清洗机3台、单舱清洗机1台、高压蒸汽灭菌器7台、环氧乙烷灭菌器4台、低温等离子灭菌器2台。人员配置合理,检查包装区有工作人员20人,其中护士7名,普通技术工人13名。岗位包括:作业组长1人、辅料制作1人、临床台包装3人、低温台包装3人、对外服务台包装5人、手术器械包装7人,平均年龄34岁。

流程优化

建立和应用手术器械信息追溯管理系统

建立追溯系统之前,科室有条码生成系统,能制作规范的条码外标签,具备工作量统计和器械去向查询,但不能对无菌物品进行全程跟踪,无法电子查询物品动态,功能比较局限。为了满足消毒供应中心行业标准,由医院信息中心与软件公司共同开发了适合华西医院特色的追溯管理系统,并于2015年7月正式使用。手术器械信息追溯管理系统是通过对手术器械进行信息管理,逐步建立并完善手术器械质量跟踪管理体系,通过对每一包手术器械的信息采集实现的。

各工作区域安装的硬件包括电脑显示屏、主机、扫描枪、打印机及代表手术信息的二维码不锈钢标牌;软件系统包括回收、清洗、包装、灭菌、发放的工作模块、报表查询模块和基础数据维护模块,还延伸了满足未来发展的一次性物品及辅料管理模块。

手术器械追溯管理系统具体的使用方法是:登陆手术器械追溯管理系统回收模块,员工清点无误后选择回收的来源地信息,扫描二维码标牌及工牌号,确认回收;清洗时,依次录入清洗方式、清洗机代码、清洗架编号及工牌号信息;检查包装区人员清洗质量验收合格后进行查对和整理,录入操作人工牌号,质检者再次审核,整理装入器械盒,扫描工牌号,生成外标签,第三人进行封包并摆放在制定车架上。消毒员录入手术器械灭菌的锅号,批次自动生成,灭菌的过程记录与追溯管理系统相绑定,也能同步贮存及查阅。发放物品时,先确认配送地点,扫描工牌号后单包扫描每包器械即可,当器械发放扫描有错误时会有错报提示音。科室护士长可以在办公室查询各区工作情况,动态了解科室状态,见图1。


图1

改变器械下筐方法

手术器械经过标准洗涤到达检查包装区,以前的方法是将器械倒在棉质包帕上,包帕四角对齐、缠绕封口等待包装,清洗筐传入去污区备用。优化后的方法是增加去污区清洗筐基数,取消器械倾倒,将清洗筐整筐有序摆放在下载区的桌面上,不挤压、不重叠。工作高峰期,下载台面位置不足时,清洗筐摆放在长龙清洗机旁边的搁物架上。


改进器械包装方法

器械包装是医疗器械组成的一部分。没有合理的包装就没有合格的无菌物品。《医院消毒供应中心第2部分:清洗消毒及灭菌技术操作规范》5.7.8中指出:“手术器械采用闭合式包装方法,应由2层包装材料分2次包装”。以前,科室采用2次包装均为信封式包装,常有单层包装或破包现象发生。优化改进后,第一层采用对折式包装,第二层采用信封式包装。在科室内进行包装方法培训,介绍正确包装的重要性,具体包装操作的方法及要求,从意识和行为上培养员工。

优化效果

建立信息追溯管理系统,实现了无纸化操作,减少了纸质清单的传递和污染。3人一组的流水线操作流程,增强了核查,减少了差错。每包器械操作完成后生成外标签,取消了以前专人打印外标签的工作,节约了人力(4h/天)。采用签名印章制,偶尔会出现印章改错,新近人员无印章时手工签名很不规范,灭菌后偶有墨迹不清、重新返工的现象。优化流程之后,标签清晰规范,工作人员信息达到100%真实无偏差。2016年7~12月,处理手术器械49530包,与2016年1~7月处理的47800包做比较,标签没有发生差错。下筐方法改进后,器械得到较好的保护,器械毁损从22件下降为0,减少了报废增基。包装方法改进后,单层包装差错率从0.15%下降到0.02%。


启示

消毒供应中心承担了对无菌物品的贮存和发放工作。无菌物品的管理要求很高,不仅要保证物品的安全有效,还要实现可追溯,即对影响灭菌过程和结果的关键要素进行记录,保存备查,实现可追踪。建立和实施无菌物品追溯管理系统是国家的强制标准和需求,是科学化管理的重要体现。

消毒供应中心的物品处理过程是一个动态的变化过程,由于手术器械供需的特殊性和紧急性,了解手术器械处于哪个环节是很重要的工作内容。传统的处理模式对于器械的追溯有一定的局限性,新研发的信息追溯管理系统,对于物品的状态和流向非常清楚,能为手术室需求提供准确的信息。发放的错误提示功能,可起到积极的作用,其过期预警提示功能也能为正确发放起到指导作用。

目前,信息追溯管理系统正处于全面开发和使用的阶段,医院采取自行研发和实践可满足医院规模大、个性化需求的现状。经过反复实践,运行良好,实现了无纸化管理,减少了清单的传递和污染的扩散,是医院管理的得力助手,促进了操作的规范性和准确性。

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    2018-02-14 fengyqf
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    2018-02-14 huperzia
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    2018-02-12 龙胆草

    学习谢谢分享

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