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目的:探讨在内镜室感染控制中开展风险管理的措施和成效。方法:选取风险管理实施前的2015年与风险管理实施后的2016年1~9月内镜诊治的420例患者作为研究对象,统计和比较风险管理实施前后医院内镜生物监测结果及医护人员职业暴露情况。结果:与风险管理实施前相比,风险管理实施后内镜的内腔、表面、附件、水槽等部位监测合格率均明显提高(P<0.05);与风险管理实施前相比,风险管理实施后医护人员暴露于化学性污染、生物性污染、锐器伤的发生率显著降低(P<0.05)。结论:内镜室实施风险管理,能够有效控制内镜室的感染,实现内镜诊疗的安全性。
Objective: To explore the measures and effectiveness of risk management in the control of endoscopic infection. METHODS: A total of 420 patients undergoing endoscopic diagnosis and treatment from January to September 2016 after the implementation of risk management before implementation of risk management were selected as the research object, and the results of hospital endoscopic biomonitoring and medical staff occupation before and after the implementation of risk management Exposure situation. Results: Compared with that before the implementation of risk management, the qualified rate of endoscope monitoring of lumen, surface, appendix and sink was significantly increased after the implementation of risk management (P <0.05). Compared with that before the implementation of risk management, the implementation of risk management After the medical staff exposed to chemical pollution, biological contamination, sharp injuries were significantly reduced (P <0.05). Conclusion: The endoscopic management of risk management can effectively control the infection of the endoscopy room and achieve the safety of endoscopic diagnosis and treatment.