8S管理在手术室医院感染控制中的应用

摘要

目的：：探讨通过实施8S精益管理提高手术室医院感染控制水平的有效管理方法。方法：选择2012年1月~2013年12月我院手术室环境卫生学及消毒灭菌监测资料，将2012年1~12月医院感染控制主要实施规范化管理措施分为对照组；2013年1~12月在规范化管理的基础上引入8S管理理念(即整理、整顿、清扫、清洁、素养、安全、学习、节约)分为观察组。查阅同期产科、普外科、骨科手术出院病人病历，分析比较两组手术室环境卫生学和消毒灭菌监测资料数据，以及不同科室手术患者的手术部位感染数据。结果：两组手术室环境卫生学及消毒灭菌合格率比较手术间空气与医务人员手监测数据差异有统计学意义(P<0.05)；不同科室手术患者的手术部位感染数据有统计学意义(P<0.05)。结论：手术室实施8S精益管理，可以促进医务人员形成良好的行为习惯，提高专业文化素养，提高手卫生依从性，有效降低手术患者手术部位感染率。%Objective:To investigate the effctive method of improving the control level of operating room hospital infection through the application of 8S man-agement. Methods:In 2012,standardized management measures were mainy applied in the control of operating room management,whose monioring data were classified as the control group. In the year of 2013,on the base of standardized management,8S management ( sort,straighten,sweep,sanitary,sentiment, safety,study and save) were introduced,whose data were classified as the observation group. Applying method of retrospective survey,by inspecting the re-cords of obstetric,general surgery and orthopedic patients who had been discharged in 2012 and 2013,analyzed and compared the data of sterilization and environmental hygiene and the data of surgical site infection of patients of various departments. Results:Comparing the passing rate of sterilization and envi-ronmental hygiene:the monitoring data of air condition of the operating room and the hand hygiene of madical personnel has statistical significance ( P<0. 05),the data of surgical site infection of patients of various departments has statistical significance (P<0. 05). Conclusion:The application of 8S man-agement in operating room can promote the formation of operating habits of medical personnels,improve the sentiment of medical profession and the compli-ance of hand hygiene,can also improve the working environment of the operating room and the control level of operating room hospital infection and effective-ly reduce the rate of surgical site infection.