主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
中国科技核心期刊(中国科技论文统计源期刊)
中国科学引文数据库(CSCD)核心库期刊
《中文核心期刊要目总览》核心期刊

中国护理管理 ›› 2023, Vol. 23 ›› Issue (1): 113-116.doi: 10.3969/j.issn.1672-1756.2023.01.022

• 护理质量 • 上一篇    下一篇

消毒供应中心检查包装灭菌区手术器械组护理中断事件的现状调查

李静 王艳 徐氚 王大莉   

  1. 中部战区总医院消毒供应中心,430070 武汉市
  • 出版日期:2023-01-15 发布日期:2023-01-15
  • 通讯作者: 徐氚,本科,主管护师,E-mail:14411217@qq.com
  • 作者简介:李静,本科,护师

Survey of the nursing interruption in inspection package sterilization of surgical instrument group for Central Sterile Supply Department

LI Jing, WANG Yan, XU Chuan, WANG Dali   

  1. Central Sterile Supply Department, General Hospital of Central Theater Command, Wuhan, 430070, China
  • Online:2023-01-15 Published:2023-01-15
  • Contact: E-mail:14411217@qq.com

摘要: 目的:分析消毒供应中心检查包装灭菌区手术器械组工作人员在器械检查装配操作过程中护理中断事件的发生特征。方法:通过对科室操作间及操作台面的监控进行实时画面回放、记录,回顾2021年11月发生的护理中断事件,并分析来源、类型及结局等。结果:共观察到886次护理中断事件,发生中断事件总时长为14.91?h,主要来源于器械器皿因素227次(25.6%)、环境因素225次(25.4%)、同事因素149次(16.8%)。中断事件类型分布主要为侵扰型498次(56.2%)和分心型257次(29.0%)。结局为消极型的共759次(85.7%)、积极型127次(14.3%)。结论:检查包装灭菌区手术器械组工作人员在操作中护理中断事件发生频次较高,管理者应根据中断事件发生的特征,完善区域工作流程,以减少中断事件的发生。

关键词: 监控系统;手术器械组;检查装配;护理中断事件;护理安全

Abstract: Objective: To analyze the characteristics of nursing interruption during the device inspection and assembly operations. Methods: Through the monitoring records of the operation room and table, the interruption incidents occurred in November 2021 were reviewed, and the frequency, source, type and outcome of the interruption events were analyzed. Results: A total of 886 nursing interruption events were observed, with a total time of 14.91 hours. Mainly came from apparatus and utensils (n=227, 25.6%), environment (n=225, 25.4%) and colleagues (n=149, 16.8%). Meanwhile, the interruption events were mainly distributed as intrusiveness (n=498, 56.2%) and distraction (n=257, 29.0%). There were 759 negative results (85.7%) and 127 positive results (14.3%). Conclusion: The interrupt incident of nursing staff of surgical instrument group in inspection package sterilization area of Central Sterile Supply Department is high. Nursing managers need to figure out the characteristics of interruption events and improve the regional workflow to reduce the occurrence of the interruption events.

Key words: monitoring system; surgical instrument group; check assembly; nursing interruption; nursing safety

中图分类号:  R47;R197