摘要
目的 观察探讨消毒供应室护理中外来器械的存储和追踪管理策略以及应用价值。方法 采用回顾性研究方法，选择消毒供应室内的160件外来器械（样本纳入件数：160件；样本纳入时间：2023年6月-2024年6月），以随机数字法为基础分组方式，分为对照、实验两个小组，观察件数高度一致，每组8位护理人员。分别实施常规外来器械存储和追踪管理，全面质量管理策略。收集分析护理效果。结果 与对照组（常规外来器械存储和追踪管理）相比，实验组（全面质量管理策略）护理人员管理能力评分（管理器械能力/风险识别能力/风险防范意识/环境管理能力）更高，外来器械管理质量评分（清洗质量评分/包装规范评分/包外标识信息齐全评分/灭菌后湿包评分/包内五类化学指示卡评分/生物监测评分）更高，外来器械差错发生率更低，差异具有统计学意义（P<0.05）。结论 在消毒供应室护理中实施全面质量管理策略可以有效促进护理人员管理能力提升，改善外来器械管理质量，降低外来器械差错发生率，有较高应用价值。
关键词： 消毒供应室；外来器械；存储；追踪管理
Abstract
Objective Observation and exploration of storage and tracking management strategies for external instruments in disinfection supply room nursing, as well as their application value. Methods A retrospective study was conducted to select 160 external instruments from the disinfection supply room (sample included: 160 pieces; sample included time: June 2023 June 2024). The random number method was used as the basis for grouping, and the instruments were divided into two groups: control group and experimental group. The observation number was highly consistent, with 8 nursing staff in each group. Implement regular external instrument storage and tracking management, as well as comprehensive quality management strategies. Collect and analyze nursing outcomes. Results Compared with the control group (conventional external instrument storage and tracking management), the experimental group (comprehensive quality management strategy) had higher scores in nursing staff management ability (instrument management ability/risk identification ability/risk prevention awareness/environmental management ability), higher scores in external instrument management quality (cleaning quality score/packaging specification score/complete package labeling information score/wet package score after sterilization/five class chemical indicator card score inside the package/biological monitoring score), and lower rates of external instrument errors, with statistical significance (P<0.05). Conclusion Implementing a comprehensive quality management strategy in disinfection supply room nursing can effectively promote the improvement of nursing staff's management ability, improve the quality of external instrument management, reduce the incidence of external instrument errors, and has high practical value.
Key words： Disinfection supply room; Foreign instruments; Storage; Tracking management
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