Abstract
Objective: The study aims to prevent rusting of clinical instruments by using PDCA circulation. Methods: The routine recovery and cleaning rusty instruments management for clinical diagnosis and treatment instruments from October to December in 2018 are chosen as before implementation. And after the PDCA continuous quality improvement measures from January to September in 2019, the implementation of recovery and cleaning rusty instruments management for clinical diagnosis and treatment instruments from October to December in 2019 are chosen as post-experiment. And the rust situation before and after the implementation of clinical diagnosis and treatment instruments will be compared. And the study investigates the satisfaction of clinical departments with the improvement measures of Central sterile supply department before and after the implementation. Results: After implementing PDCA continuous quality improvement measures, the rust rate of clinical diagnosis and treatment instruments was significantly lower than before implementation (P<0.05), and the difference was statistically significant. After implementation, the satisfaction of 58 clinical departments was 100%, significantly higher than that before (100.00% vs 81.03%, P<0.05). Conclusion: PDCA continuous quality improvement measures can effectively prevent the rust of medical devices, improve the quality of instruments of cleaning and sterilization, reduce hospital sense risk and medical cost, improve the satisfaction of clinical departments, and the application value is remarkable.
Highlights
IntroductionAfter clinical use of reusable diagnosis and treatment instrument, timely pretreatment is required; improper pretreatment leads to corrosion and rust of instrument [2],proper pretreatment can improve the cleaning and sterilization effect of the instruments[3].The focus of clinical departments is on nursing patients, and less attention is paid to the pretreatment of instruments after use
The central sterile supply department (CSSD) is the department which is responsible for the cleaning, disinfection, sterilization and supply of sterile items for all reused diagnostic and therapeutic instruments, appliances and articles in all departments of the hospital [1]
After clinical use of reusable diagnosis and treatment instrument, timely pretreatment is required; improper pretreatment leads to corrosion and rust of instrument [2],proper pretreatment can improve the cleaning and sterilization effect of the instruments[3].The focus of clinical departments is on nursing patients, and less attention is paid to the pretreatment of instruments after use
Summary
After clinical use of reusable diagnosis and treatment instrument, timely pretreatment is required; improper pretreatment leads to corrosion and rust of instrument [2],proper pretreatment can improve the cleaning and sterilization effect of the instruments[3].The focus of clinical departments is on nursing patients, and less attention is paid to the pretreatment of instruments after use. CSSD analyzed that the recovery quality of the apparatus, and found that the clinical department repeatedly appeared the rust caused by the apparatus pretreatment not in place. In 2019, CSSD used PDCA cycle to strengthen the pretreatment of clinical departments and improve the management of the reprocessing process of CSSD, and achieved good results in the prevention of apparatus rust.
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