标题：“6S”管理在软式内镜管理中的应用

      作者：刘芳，刘秋慧，李巍，莫红秀    暨南大学东莞常平医院消毒供应中心，广东 东莞 523573

      卷次： 2019年30卷13期

      【摘要】 目的 探究“6S”管理在软式内镜管理中的应用效果。方法 回顾性分析2016年11月至2018年11月间暨南大学东莞常平医院内镜中心12条软式内镜的管理情况，其中2016年11月至2017年11月间采取常规管理措施管理内镜，2017年11月至2018年11月间采取“6S”管理模式管理内镜。分析采用“6S”管理模式前后的管理效果、消毒质量以及医护人员中午加班时间、取物时间，医护满意度评分。结果 实施“6S”管理模式后，内镜维修率为0、故障发生率为8.3%，明显低于管理前的16.7%、25.0%，3 s内内镜找出率为100.0%、抽检合格率为100.0%，明显高于管理前的58.3%、83.3%，两组比较差异均有统计学意义(P<0.05)；实施“6S”管理模式后，内镜表面黄斑为0块，纱布耗损为103块/月，明显少于管理前的22块、2 105块/月，洗涤剂更换频率为28次/月，清洗刷更换频率为23条/月，明显高于管理前的12次/月、6条/月，两组比较差异均有统计学意义(P<0.05)；实施“6S”管理模式后，医护人员中午加班时间为(5.7±15.2) min，取物时间为(51.8±23.2) s，明显短于管理前的(25.3±21.8) min、(153.1±79.5) s，医护满意度评分为(9.6±1.2)分，明显高于管理前的(6.1±1.4)分，两组比较差异均有统计学意义(P<0.05)。结论 “6S”管理模式在软式内镜的管理中能够有效控制内镜清洗消毒的质量，保证内镜的清洁，同时能为患者的治疗提供了快速、有效的保障。
      【关键词】“6S”管理模式；软式内镜；应用效果；消毒质量；感染率
      【中图分类号】 R472.9 【文献标识码】 A 【文章编号】 1003—6350（2019）13—1766—03

Application and effect of“6S”management in soft endoscopy management.
LIU Fang, LIU Qiu-hui, LI Wei, MOHong-xiu. Disinfection Supply Center, Changping Hospital of Jinan University, Dongguan 523573, Guangdong, CHINA
【Abstract】 Objective To explore the application effect of“6S”management in soft endoscopy management.Methods A retrospective analysis was made on the management of 12 soft endoscopes in the Endoscopy Center,Changping Hospital of Jinan University from November 2016 to November 2018. From November 2016 to November2017, conventional management measures were adopted to manage endoscopes, and from November 2017 to November2018,“6S”management mode was adopted to manage endoscopes. The management effect, disinfection quality, over-time at noon, the time of taking things, and satisfaction score of medical staff before and after“6S”management modewere analyzed. Results After the implementation of“6S”management mode, the maintenance rate of endoscopy was 0and the failure rate was 8.3%, which were significantly lower than 16.7% and 25.0% before management; the detectionrate of endoscopy in 3 seconds was 100.0% and the qualified rate of sampling was 100.0%, which were significantlyhigher than 58.3% and 83.3% before management (P<0.05); the macula on the endoscope surface was 0, gauze wastagewas 103 pieces/month, which were significantly less than 22 pieces/month and 2 105 pieces/month before management (P<0.05); the detergent replacement frequency was 28 times/month, cleaning brush replacement frequency was 23 pieces/month,which were significantly higher than 12 pieces/month and 6 pieces/month before management (P<0.05); the overtime atnoon was (5.7±15.2) min, the time of taking things was (51.8±23.2) s, which were significantly shorter than corresponding(25.3±21.8) min and (153.1±79.5) s before management (P<0.05); and the score of medical and nursing satisfaction was·护理·doi:10.3969/j.issn.1003-6350.2019.13.038