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談內視鏡之再處理及管理機制

Discussion on Endoscopy Reprocessing Process and Management

摘要


內視鏡為近年檢查診斷常用之工具,隨著科技的進步,內視鏡的設計日愈複雜,也增添後續再處理的困難度。而影響內視鏡再處理品質的因素相當多,從清潔步驟、高層次消毒劑的使用、儲存、感染管制監控到人員教育訓練,當中任何一個環節若有疏漏都將導致病人面臨感染的風險。這也是內視鏡中心工作人員目前所面臨的巨大挑戰,希望透過此篇文章探討各項影響內視鏡再處理品質的因素,及提供某醫學中心改善管理機制之經驗分享,做為未來各院建立內視鏡再處理標準化流程的參考,以維護病人安全。

關鍵字

內視鏡 感染 改善方式 品質

並列摘要


Endoscopy is a popular technique for performing medical examination and diagnosis. However, it is also difficult to reprocess because of its complex design. Several factors that can cause defects, in the procedure are deficiencies related to cleaning, high-level disinfection usage, storage, infection control monitoring, and staff education programs. Such deficiencies could engender patients facing the risk of infection. Therefore, endoscopy room staff face a substantial challenge. This article analyzes reprocessing quality and shares the experience of medical center management. The author hopes that this research is useful for hospitals that want to improve standards in the future.

並列關鍵字

endoscopy infection improvement program quality

參考文獻


陳星宇、孫俊仁(2011).非結核分枝桿菌感染與臨床檢驗. 感染控制雜誌.21(2).101-110。
顏旭亨、陳淑慧、黃美麗、林麗珍(2012).內視鏡高層次消毒液之使用及管理.感染控制雜誌,22(4),163-169。
ECRI Institute (2015). Top 10 Health Technology Hazards for 2016. Retrieved from https://www.ecri.org/Pages/2016-Hazards.aspx
Pajkos, A., Vickery, K. & Cossart, Y. (2004). Is biofilm accumulation on endoscope tubing a contributor to the failure of cleaning and decontamination? Journal of Hospital Infection, 58(3), 224-229.
Petersen, B. T., Chennat, J., Cohen, J., Cotton, P. B., Greenwald, D. A., Kowalski, T. E., ... Rutala, W. A. (2011). Multisociety guideline on reprocessing flexible gastrointestinal endoscopes: 2011. Gastrointestinal Endoscopy, 73(6), 1075-1084.

被引用紀錄


鄭佩茹、蘇芝庭、袁秋榮(2022)。照顧一位行唾液腺內視鏡手術病人之即日手術全期護理經驗榮總護理39(4),377-382。https://doi.org/10.6142/VGHN.202212_39(4).0006
陳慧琪、張素玲、賴芊孝(2020)。智慧醫療於護理應用-以內視鏡清洗消毒作業為例領導護理21(3),16-23。https://doi.org/10.29494/LN.202009_21(3).0002
林麗華、楊雅如(2020)。手術器械清潔再處理流程之改善專案嘉基護理20(1),13-23。https://www.airitilibrary.com/Article/Detail?DocID=1816661x-202006-202006050012-202006050012-13-23

延伸閱讀


  • 葉繼煌(2003)。淺談內視鏡切片健康世界(214),39-41。https://doi.org/10.6454/HW.200310.0039
  • 蘇美云(2014)。內視鏡影像模糊偵測與修補之研究〔碩士論文,義守大學〕。華藝線上圖書館。https://www.airitilibrary.com/Article/Detail?DocID=U0074-2108201417002600
  • 許元聰(2008)。內視鏡手術擬真力回饋雛型系統之開發〔碩士論文,國立中央大學〕。華藝線上圖書館。https://www.airitilibrary.com/Article/Detail?DocID=U0031-0207200917355332
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