摘要
目的 分析精细化管理在口腔种植工具盒清洗消毒质量控制中的应用效果。方法 选择消毒供应中心在2024年1月至2024年12月需要清洗消毒的300件口腔种植工具盒进行研究，依据是否开展精细化管理分成对照组和研究组，每组150件器械，对照组为常规管理，研究组为精细化管理，对比器械损坏率、器械摆放出错率、清洗合格率以及预处理合格率。结果 通过建立不同的管理模式后，研究组器械损坏率、摆放出错率、清洗合格率、预处理合格率优于对照组，p<0.05。结论 在口腔种植工具盒清洗消毒质量控制过程中使用精细化管理措施，可以提升清洗质量，降低器械摆放错误率、减少器械损伤率，同时提升器械清洗以及预处理合格率，值得提倡。
关键词： 精细化管理；口腔种植工具；清洗消毒质量；控制
Abstract
Objective To evaluate the effectiveness of refined management in quality control for cleaning and disinfection of dental implant toolboxes. Methods A study was conducted on 300 dental implant toolboxes requiring cleaning and disinfection at a sterilization center from January to December 2024. The toolboxes were divided into a control group (150 units) and an experimental group (150 units) based on whether refined management was implemented. The experimental group adopted refined management, while the control group followed standard procedures. Key outcomes included comparing equipment damage rates, placement error rates, cleaning compliance rates, and pre-treatment compliance rates. Results The experimental group demonstrated significantly better performance in all metrics—equipment damage rate, placement error rate, cleaning compliance rate, and pre-treatment compliance rate—compared to the control group, with p<0.05. Conclusion Implementing refined management measures in quality control for dental implant toolboxes enhances cleaning efficacy, reduces equipment placement errors and damage rates, while improving overall compliance rates for cleaning and pre-treatment procedures. These measures are recommended as a practical improvement strategy.
Key words： Refined management; Dental implant tools; Cleaning and disinfection quality; Quality control
参考文献 References
[1] 徐慧玲,梁怡青.基于因果图分析法的口腔种植手术相关感染综合管理措施探讨[J].中国卫生标准管理,2023, 14(14):165-169.
[2] 范小兰,王慧敏,张和平,陈茜茜.消毒供应中心系列器械清洗装载架在临床口腔器械清洗中的效果观察[J].中国消毒学杂志,2020,37(11):863-865.
[3] 刘翠平,柳婷婷,彭燕.消毒供应室口腔小器械全流程质量管理的创新与应用[J].国际护理学杂志,2025,44(15): 2852-2856.
[4] 范小兰,王慧敏,张和平,陈茜茜.消毒供应中心系列器械清洗装载架在临床口腔器械清洗中的效果观察[J].中国消毒学杂志,2020,37(11):863-865.
[5] 王贝贝,郝静,秦冰,李茹,王世越.戴明循环管理法的品管圈活动对消毒供应中心口腔器械清洗质量合格率的影响分析[J].每周文摘·养老周刊,2023(10):284-286.
[6] 王慧敏,范小兰.超声震荡联合多酶液在口腔专科医院器械集中清洗中的应用效果[J].温州医科大学学报,2023, 53(4):319-321.
[7] 李晓茹,柯丽娜,张琰君,周晓培,覃诗淇,林晓芳.运用德尔菲法和层次分析法构建口腔种植体植入术护理质量评价指标体系[J].当代护士（上旬刊）,2023,30(12):131-134.
[8] Man J ,Guifang X .Exploration of cleaning and disinfection mode of dental instruments based on multienzyme detergent.[J].Minerva pediatrics,2023,75(3):
[9] Aiqin C ,Ze Y ,Hanyan C , et al.Investigation into the current status of cleaning, disinfection, and sterilization of da Vinci surgical instruments-a cross-sectional survey.[J]. Gland surgery,2023,12(4):487-491.
[10] Lingyun Y ,Qin X ,Jie X , et al.Application of the defect management improvement mode under Joint Commission International standard to improve the instrument cleaning and disinfection effect and management quality in the central sterile supply department: a randomized trial.[J]. Annals of translational medicine,2022,10(3):137-137.