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目的研究持续质量改进措施在医院医疗废物处置管理中的应用效果。方法通过对医院医疗废物处置管理情况的定期监督检查,设计调查表格,对比医院实施持续质量改进理论前后医疗废物管理情况和和能规范处置医疗废物的工作人员的分布情况。结果实施质量改进措施之前,医疗废物未进行分类,各类医疗废物混放率为60%,实施质量改进措施后,混放率降为5%。实施持续质量改进之前,医疗废物未进行分类,各类医疗废物混放的人员分布为:清洁员有16例,门诊抽血室护士有32例,输液治疗室护士有52例,检验科工作人员有8例,手术医生有12例。实施持续质量改进之后,医疗废物未进行分类,各类医疗废物混放的人员分布为:清洁员有2例,门诊抽血室护士有2例,输液治疗室护士有3例,检验室人员有1例,手术医生有2例。实施前和实施后垃圾混放人员的分布情况对比差别存在统计学意义(P<0.05)结论在医疗机构医疗废物管理中采取持续质量改进措施,制定奖罚的目标考核体系,有利于提高相关人员规范处置医疗废物的依从性,使医务人员免受感染,同时避免了锐器对人的伤害,因此值得推广应用。
Objective To study the application of continuous quality improvement measures in hospital medical waste disposal management. Methods Through regular supervision and inspection on the management and disposal of medical waste in hospitals, a questionnaire was designed to compare the distribution of medical waste before and after the implementation of the continuous quality improvement theory in hospitals and the distribution of staff who could regulate the disposal of medical waste. Results Before the implementation of quality improvement measures, medical waste was not categorized. The rate of all kinds of medical waste was 60%. After the quality improvement measures were implemented, the rate of mixed waste was reduced to 5%. Prior to the implementation of continuous quality improvement, medical waste was not classified. The distribution of various types of medical waste was distributed as follows: 16 cleaning staff, 32 outpatient blood drawing room nurses, 52 infusion room nurses, and laboratory staff There are 8 cases, surgeons in 12 cases. After the implementation of continuous quality improvement, medical waste was not categorized. The distribution of various types of medical waste was distributed as follows: 2 for the cleaning staff, 2 for the outpatient blood drawing room nurse, 3 for the infusion room nurse, and the laboratory staff 1 case, surgeon in 2 cases. (P <0.05) Conclusions The continuous quality improvement measures in the medical waste management of medical institutions and the establishment of the target assessment system of rewards and punishments will be helpful to improve the quality of relevant personnel Regulate the compliance of medical waste so that medical staff from infection, while avoiding the sharp human injuries, it is worth promoting the application.