降低病房器械包盤到期重新滅菌率專案

A Project for Reducing the Re-Sterilization Rate of Expired Instrument Sets in Hospital

邱月琴(Yueh-Chyn Chiou) ； 張瓊櫻(Chiung-Ying Chang) ； 吳鈴珠(Ling-Chu Wu)

《高雄護理雜誌》 29卷3期 (2012/12) Pp. 18-28

https://doi.org/10.6692/KJN-2012-29-3-3

摘要

供應室在常規工作中回收各病房包盤時，常有未使用包盤滅菌效期到期（簡稱到期包盤）情況，回收的包盤不但需重新拆包、再消毒滅菌處理流程，造成人力與滅菌成本浪費。在降低成本與維持服務品質前提下，本專案以降低病房未使用而到期包盤之重新滅菌率為目的。於2009年4月至7月記錄各病房到期包盤數量，發現到期重新滅菌率高達20.0%，主要問題包括：病房包盤備用數量過多及特殊單位包盤使用率偏低。故成立專案改善小組，擬訂改善措施，包括：宣導包盤彈性運用、以「減量、調撥」方式調整各病房備用量、全院包盤流用及改變包盤包裝方式以延長效期。經改善後，到期包盤重新滅菌率由20.0%下降為11.5%；每日花費處理時間由2.8小時降至1.3小時；重新滅菌成本由30,356元/月減少為14,658元。本專案實施後成效良好，有效解決未使用包盤到期情形，減少人力之無效耗用和成本支出。

關鍵字

到期包盤 ； 重新滅菌

並列摘要

The project began with the discovery that a number of unused instrument sets which were upon expiration of disinfection validity (hereafter abbreviated as expired instrument sets) in each hospital ward were recycled by the Central Supply Department (CSD). The unwrapping and reprocessing of unused, expired instrument sets resulted in additional cost of workload and sterilization. The aim of the project was to reduce the re-sterilization rate of unused, expired instrument sets on the premise of decreasing cost and maintaining high quality services. By recording the numbers of expired instrument sets in each ward from April to July in 2009, we found that the re-sterilization rate of expired instrument sets was up to 20.0% and that major problems included too many backup instrument sets in wards, low utility rate for instrument sets in special wards. Therefore, the project team decided the improvement strategy which included promoting flexible application of instruments sets, adjusting the amount of backup instrument sets for each ward with the ”reduction and transshipment” method, circulating instrument sets through hospital, and changing packing method to extend the validity period. After the intervention, the re-sterilization rate of expired instrument sets declined from 20.0% to 11.5%; the daily working hours reduced from 2.8 hours to 1.3 hours; the cost of re-sterilization decreased from NTD 30,356 to 14,658 per month. The project effectively not only improved the situation of unused, expired instrument sets but also cut down the cost of workload and re-sterilization without sacrificing quality.

並列關鍵字

expired instrument set ； re-sterilization