Objective To improve the cleaning quality of bivalve specula and reduce cleaning reject ratio. Methods A quality management group was set up, a data base of statistics in cleaning work load and quality evaluation indexes was established, then root cause analysis(RCA) was applied for managing and controlling these quality indexes. Results Before RCA, among 2352 bivalve specula cleaned from January to March, 2012, 326 was rejected, the reject ratio was 13.86%, after the application of RCA, among 2831bivalve specula cleaned from May to July, 2012, the cleaning reject ratio dropped to 1.98%(χ2=265.69, P<0.01). Conclusion RCA is a scientific method for problem solving, it can improve cleaning quality in CSSD and reduce work load of the staff.% 目的加强消毒供应中心妇科窥阴器的清洗质量管理,降低清洗不合格率.方法成立质量管理小组,统计清洗工作量及各项清洗工作质量评价指标,建立本底数据,运用根本原因方法对各项指标进行科学管理和控制.结果运用根本原因分析法管理前2012年1-3月清洗的2352个妇科窥阴器中,清洗不合格326个,不合率为13.86%,管理后2012年5-7月清洗的2831个妇科窥阴器中,清洗不合格率降至19.78%(χ2=265.69,P<0.01).结论根本原因分析法是科学解决问题的管理方法,可以提高的消毒供应中心清洗工作质量并降低工作人员的劳动强度.
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