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运用以任务为导向的质量控制圈构建中心消毒供应室无菌包内异物残留质量控制体系
Authors Yao S, Yi L , Hu R, Chen Y, Pan W, Zhang J, Zhao X
Received 26 December 2024
Accepted for publication 2 April 2025
Published 27 April 2025 Volume 2025:18 Pages 1441—1454
DOI http://doi.org/10.2147/RMHP.S514458
Checked for plagiarism Yes
Review by Single anonymous peer review
Peer reviewer comments 3
Editor who approved publication: Dr Jongwha Chang
Shunyu Yao,1,2 Liangying Yi,1,2 Ruixue Hu,1,2 Yanhua Chen,1,2 Wei Pan,1,2 Jinhui Zhang,1,2 Xiaochun Zhao1,2
1Department of Sterile Processing Nursing, West China Second University Hospital, Sichuan University, Chengdu, Sichuan, People’s Republic of China; 2Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, Chengdu, Sichuan, People’s Republic of China
Correspondence: Liangying Yi, Department of Sterile Processing Nursing, West China Second University Hospital, Sichuan University, No. 20 section 3, South Renmin Road, Chengdu, Sichuan, 610041, People’s Republic of China, Email yiliangying88@163.com
Background: The occurrence of foreign objects in sterile packages may delay surgeries and affect the quality of medical treatment.
Purpose: This study aimed to use the task-oriented quality control circle (QCC) to build the central sterile supply department (CSSD) quality control system for foreign objects remaining in sterile packages.
Methods: A task-oriented QCC was created under the leadership of the CSSD within our hospital. The following were investigated by determining a topic and a task, setting targets, formulating strategies and determining optimal strategies: incidence of foreign objects remaining in sorted and folded textiles; incidence of foreign objects remaining in contaminated instrument packages; incidence of foreign objects remaining in clean textiles; incidence of complaints for foreign objects remaining in sterile packages; and satisfaction among the CSSD and operating room staff.
Results: The incidence of foreign objects remaining in contaminated textiles decreased from 7.1% to 0.96%. The incidence of foreign objects remaining in contaminated instrument packages decreased from 0.27% to 0.04%. The incidence of foreign objects remaining in clean textiles decreased from 2.91% to 0.21%. The incidence of complaints received from operating room staff for foreign objects remaining in sterile packages decreased from 41.69% to 0. Satisfaction among the operating room and CSSD staff was improved from 53.7% to 100%.
Conclusion: The task-oriented QCC could reduce the incidence of foreign objects remaining in sterile packages, thereby reducing the quality defect rates in instrument packaging.
Keywords: task oriented, quality control circle, sterile packages, foreign objects, central sterile supply department