Objective: To investigate the effectiveness of continuous quality improvement in the management of surgical reuse instrument cleaning.
Methods: A total of 1000 surgical instruments that were cleaned and disinfected in the hospital disinfection supply center of our hospital from January 2020 to January 2022 were selected and randomly divided into Observation Group (OG) and Control Group (CG), with 500 instruments in each group. The CG was under routine management, while the OG was implemented with detailed interventions. The quality of nursing management, cleaning effect, satisfaction of instrument cleaning and disinfection effect, instrument consumption and adverse events of surgical instrument packaging were compared between the two groups.
Results: The occurrence of surgical instrument injury in the OG was reduced compared to the CG (P<0.05). The total incidence of adverse events of surgical instrument packaging in the OG was declined relative to the CG (P<0.05). The qualified rate of instrument microscopy, simulated pollutant cleaning and Kjeldahl test in the OG were increased compared to the CG, and the bacterial residue rate was decreased compared to the CG (P<0.05). The satisfaction of instrument use in OG was elevated in comparison with CG (P<0.05). The scores of cleaning process, classification packaging, inventory storage and environmental management quality in OG were increased compared to CG (P<0.05). The scores of safety awareness, risk awareness, service awareness and timely supply of equipment in the OG were increased compared to the CG (P<0.05).
Conclusion: The use of continuous quality improvement management can significantly improve the quality of surgical mechanical cleaning, decline the occurrence of adverse events as well as instrument damage, and help to improve the quality of instrument management and physician satisfaction, which is worthy of clinical reference.