社区健康服务中心医疗器材消毒管理模式探讨(1)
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[摘要] 目的：加强社区健康服务中心医疗器材消毒管理，有效预防和控制医院感染。方法：对我院下设的39个社区健康服务中心循环使用的医疗器材采用统一下收下送、集中清洗、包装、灭菌的规范化集中式管理模式。结果：社区健康服务中心医疗器材消毒管理模式减少了医院对社区健康服务中心消毒设备的重复投资，节省了人力，缓解了社区健康服务中心护理人员不足的情况，提高了器械的清洁度和使用性能，精密器械也得到了良好的维护，消毒灭菌合格率为100%。结论：社区健康服务中心的医疗器械统一规范化集中式消毒管理模式切实可行，可节省人力，减少消毒资源的重复投资，也是预防和控制医院感染的重要手段之一。
[关键词] 社区健康服务中心；医疗器材；消毒；管理
[中图分类号] R187 [文献标识码] B [文章编号] 1673-7210(2011)11(b)-161-02
Discuss on management patterns of sterilization for medical instruments and equipments in community health care centres
ZHONG Biqin, LI Guoqiang, JIANG Qunying
The Center of Sterilization Supply, Shenzhen Xixiang People's Hospital in Bao'an District of Guangdong Province, Shenzhen 518102, China
[Abstract] Objective: To enhance management of sterilization for medical instruments and equipments in community health care centres and to prevent and control medical infections. Methods: Integrated and standardized management patterns on allocating, collecting, cleaning, packaging and sterilizing of the medical instruments and equipments to the 39 community health care centres subordinated to the hospital were adopted. Results: Re-investment on the sterilizing equipment to the health care centres had been decreased, labour was saved and the situation of labour lack had been remitted, sanitation level and utilization of the medical instruments and equipments had been improved and a good status was maintained with the sterilization qualification rate of 100%. Conclusion: It is absolutely feasible to adopt integrated and standardized management patterns of sterilization for the medical instruments and equipments in community health care centres, which saves labour and decreases re-investment, and it also is one of the most important means to prevent and control medical infections.
[Key words] Community health care centre; Medical instruments and equipments; Sterilization; Management
我院是一家二级甲等医院，通过院办院管模式[1]，建立了39个社区健康服务中心(简称社康中心)，达到社区全覆盖，医疗资源大幅增长，居民就医看病问题得到基本解决，但重复使用的医疗器械、用品消毒管理仍存在不少问题，如器械清洁不达标、器械陈旧使用性能差、社康中心自行灭菌的设备陈旧、灭菌效果监测系统不完善等问题。针对这些问题，我院对下设的39个社康中心循环使用的医疗器材，采用统一下收下送、集中清洗、包装、灭菌的规范化集中式管理模式，效果满意。现将结果报道如下：
1 资料与方法
1.1 一般资料
从2009年3月开始利用我院消毒供应中心现有资源 ......
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