目的 改进工作模式,减少物耗,降低医用除锈剂使用成本,确保器械清洗质量.方法 针对引起医用除锈剂成本增高的关键因素,合理调整工作模式.通过认识问题设定目标;确定问题测量数据;分析问题识别"关键少数";制定对策纠正错误;制定控制措施确保有效落实.加强组织管理,采取集中定期定量定员分批进行器械除锈.结果 医用除锈剂成本大幅度下降.锈蚀器械清洗质量明显提高,器械损耗数量明显减少,与改进前比较,差异均有统计学意义(P<0.01).结论 消毒供应室改进不合理工作模式,能确保锈蚀器械清洗质量,有效控制器械清洗维护成本.%Objective To reduce the material consuming, save the medical rust remover's cost, and ensure the cleaning quality of the instruments by improving the work model. Methods According to the key factors of increasing the cost of medical rust remover, the work model was adjusted properly, including setting up the target by knowing about the problems, confirming the problems to obtain the measurement data, analyzing the problems and figuring out the key minority, making the strategy to correct the mistakes, and making the controlling measures to ensure the effective implementation. In addition, the organization management was enforced, and the rust was removed collectively, at fixed period and quantity, group by group, and by fixed number of persons. Results The cost of medical rust remover had been saved greatly, the cleaning quality had been improved distinctly, and the number of scrapped medical instruments had been reduced. Compared with the period before the improvement, it had statistic meaning (P<0.01). Conclusions Through changing the improper work model applied by the sterilization and supply center, the cleaning quality of the rusted medical instruments can be ensured, and the cleaning and maintenance cost of the medical instruments can be controlled effectively.
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