Influence of Fine Management Combined With PDCA Cycle Method on Disinfection Qualified Rate and Performance Grade of Ophthalmic Precision Instruments

Fanli Zeng,Yan Gao,Xiuling Wang,Ling Hu

doi:10.3389/fsurg.2022.856312

Abstract

ObjectiveThe aim of this study is to explore the influence of fine management combined with the plan-do-check-action (PDCA) cycle method on the management of ophthalmic precision instruments.MethodsThe ophthalmic precision instruments centralized in the disinfection supply room of our hospital were selected as the research objects and divided into groups A and B. Traditional instrument management method was adopted in group A, and fine management combined with the PDCA cycle method based on the group A was adopted in group B. The instrument management risk scores, the qualified rate of disinfection, instrument performance grade, and incidence of toxic anterior segment syndrome (TASS) of the two groups were compared.ResultsThe risk scores of instrument management and incidence of TASS in group B were lower than those in group A (p < 0.05). The qualified rate of disinfection and instrument performance grades in group B were higher than those in group A (p < 0.05).ConclusionFine management combined with the PDCA cycle method can improve the qualified rate of disinfection of ophthalmic precision instruments, optimize the performance of instruments, reduce the risk of instrument management, and reduce the incidence of TASS.

Highlights

IntroductionWith the continuous development of medical technology, the skill of ophthalmic surgery is gradually improved, and fine ophthalmic instruments are the prerequisite for the successful completion of ophthalmic surgery
Disinfection supply room is a special department of hospital, and its work quality can directly affect nursing work and medical safety, which is closely related to nosocomial infection rate, and makes the clinical nursing management of disinfection supply room have higher requirements
80 sets of ophthalmic instrument packages centralized from the disinfection supply rooms of two hospitals were selected as the research objects

Summary

Introduction

With the continuous development of medical technology, the skill of ophthalmic surgery is gradually improved, and fine ophthalmic instruments are the prerequisite for the successful completion of ophthalmic surgery. If the ophthalmic precision instruments are not handled in time and maintained properly in the cleaning and disinfection process, it is easy to cause the corrosion and damage of the instruments and destroy the performance, which will affect the operator’s operation process, and possibly lead to the phenomenon of intraocular infection, which will adversely affect the surgical effect [3, 4]. The research shows that infections caused by incomplete sterilization of surgical instruments account for about 20% of patients with infections after ophthalmic surgery [5]. Strengthening the cleaning and disinfection of ophthalmic instruments plays an important role in improving the safety of surgery

Methods

Results

Discussion

Conclusion