目的 探讨多部门联合在降低全自动清洗机清消毒器械后锈迹发生率的改进措施。方法 多部门联合通过统计得出锈迹器械的类别柏拉图,找出影响全自动清洗机消毒器械后锈迹产生的关键环节、关键因素; 针对主要原因制订对策并实施,再将实施后的统计数据与实施前的指标进行总结评价。结果 制订实施6项改进措施,改进后进行观察,全自动清洗机消毒器械的锈迹发生率由34.7%下降到12.9%,目标达成率110.66%,进步率62.82%,确认改进项目切实有效。结论 通过多部门联合查改模式,原因分析面更具体,落实各方面实施改进到位,成效明显。

Objective To explore the improvement measures of joint supervision by multiple sectors for reducing the incidence of rust of apparatus after disinfection by automatic washing machines.Method Multiple sectors worked together to obtain Pareto diagram of rust locations through statistics,and found out the key links and key factors that affected the rust after disinfection by automatic washing machines.Countermeasures were made and implemented according to the main causes of rust,and then the indicators before and after the implementation were evaluated.Results Six improvement measures were formulated and implemented.After improvement,the rust incidence of medical instrument after disinfection by automatic washing machines was reduced from 34.7% to 12.9%.The target achievement rate was 110.66%,and the improvement rate was 62.82%,confirming that the improvement work was effective.Conclusion Multi-sector joint supervision allows a more detailed cause analysis,more feasible improvement measures,and a more notable result.