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  • 期刊

提升醫療儀器清潔消毒品質改善專案

Improve the Quality of Medical Equipment Cleaning and Disinfection

摘要


醫療儀器設備環境清潔為預防醫療照護相關感染的重要關鍵。本專案主旨在提升醫療儀器清潔消毒品質。感管小組檢測單位醫療儀器高接觸表面合格率僅28%,分析原因有護理人員缺乏醫療儀器清潔消毒認知、缺乏醫療儀器清潔消毒標準化流程、缺乏明確醫療儀器清潔消毒工作細則及方法。專案期間制定醫療儀器清潔消毒標準作業規範、運用創新教學舉辦在職教育、持續稽核落實醫療儀器清潔消毒正確性之措施,結果醫療儀器高接觸表面合格率提升至94%的成效。期望藉此專案推動經驗,提升護理人員對醫療儀器清潔消毒於預防感染的認知,並提供日後感染管制執行的參考,以營造安全醫療環境。

關鍵字

醫療儀器 清潔消毒

並列摘要


Environmental cleanliness of medical equipment is an important key to preventing infections related to medical care. The main purpose of this project is to improve the quality of medical equipment cleaning and disinfection. The high-contact surface qualification rate of medical instruments in the detection unit of the sensory management team was only 28%. The analysis reasons were that the nursing staff lacked the awareness of the cleaning and disinfection of medical instruments, the lack of standardized procedures for the cleaning and disinfection of medical instruments, and the lack of clear working rules and methods for cleaning and disinfecting medical instruments. During the project period, the standard operation specifications for medical equipment cleaning and disinfection were formulated, innovative teaching was used to hold on-the-job education, and measures to continuously audit and implement the correctness of medical equipment cleaning and disinfection. As a result, the high-contact surface pass rate of medical equipment increased to 94%. It is hoped that this project will promote experience, enhance nurses' awareness of the cleaning and disinfection of medical equipment in preventing infection, and provide reference for the implementation of infection control in the future to create a safe medical environment.

參考文獻


洪儀珍、陳安琪、丁菱、陳宜君、盛望徽(2018)‧醫院環境清潔確效方法之介紹與運用‧感染控制雜誌,28(6),264-273。 https://doi.org /10.6526/ICJ.201812_28(6).0002
孫吟蓁、簡伶育、許佳晴、謝珮琦、康豑云、許瀚仁、曾雯琦(2015)‧運用組合式環境清潔消毒作業降低加護病房感染密度‧源遠護理,9(1),45-55。 https://doi.org/10.6530/YYN/2015.3.02
陳瀅淳、黃佩萱、黃惠美、施智源、劉美芳(2017)‧ATP生物冷光反應法和傳統微生物採檢法在醫院環境清潔確效之比較‧感染控制雜誌,27(2),45-52。 https://doi.org/10.6526/ICJ.2017.201
盧進德、莊依如、李怡頡、林欣樺、官惠貞、紀嘉君、胡嘉華(2019)‧運用多面向感染管制策略提升醫院環境清潔成效‧感染控制雜誌,29(1),11-22。 https://doi.org/10.6526/ICJ.201902_29(1).0002
Donskey, C. J. (2019). Beyond high-touch surfaces: Portable equipment and floors as potential sources of transmission of health care-associated pathogens. American Journal of Infection Control, 47S, A90-A95. https://doi.org/10.1016/j.ajic.2019.03.017

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