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丹麦医院清洗消毒机的验证-清洁效率和标准化(英文版).pdf

上传人: 芦苇 编号:1146360 2026-02-14 21页 2.39MB

1、Validation of Washer-Disinfectors in a Danish Hospital Setting-Cleaning Efficacy and StandardizationPeter Rubak,Assistant ProfessorClinical Nursing Research UnitAalborg University Hospital,DenmarkWhere I come fromDistance:Denmark Hong Kong:8746 kmNew CSSDWhere to start the validation processWhat the

2、y doWhat they bringQuality Control Specialist Hands-on experienceProcess EngineerProcess flow overviewResearchersKnowledge of evidenceWhat to test before the validation process?ORMachinecleaningCSSDRinsingLoadingManuel cleaningUltrasonic cleaningClean areaWhat to test before the validation process?O

3、RCSSDClean areaRinsing+ultrasonic cleaningWhat to test before the validation process?ORCSSDClean areaLoadingVSWagnerAiconAesculap(JG222R)What to test before the validation process?ORCSSDClean areaMachine cleaningPre-rinseWashingInt-rinse 1Int-rinse 2Pre-rinseWashingInt-rinseMediClean-AdvancedProzyme

4、Alka-XStandardization-Choosing instrumentsFor example:Scissors Tweezer Forceps NeedleholdersReal-life instruments used at ORDiscarded instruments from basic traysStandardization Placing the instrumentsDCBAEDCAEWhat to test and how?AcceptableAlertNot acceptableQuality limitsg/Instrument 200Test seque

5、nceTwo baskets per shelfThree baskets per shelfAdvanced washing protocolTwo baskets per shelfThree baskets per shelfAlka-X washing protocolTwo baskets per shelfThree baskets per shelfAdvanced wash+SonicationTwo baskets per shelfThree baskets per shelfAlka-X wash+SonicationTest resultsWagner Aicon Ae

6、sculapInstrument 1-A2 06Instrument 1-C197 012Instrument 1-D85242262Instrument 1-E15829171Instrument 3-A 0 04Instrument 3-BInstrument 3-C7612895Instrument 3-D15722062Instrument 3-E53186222Instrument 5-A1083136Instrument 5-BInstrument 5-C38296Instrument 5-D8668Instrument 5-E434927OP 126OP 262OP 349Two

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1. **研究目的**:验证丹麦医院清洗消毒器(WD)的清洁效果,标准化流程。 2. **测试方法**:使用真实手术器械(如剪刀、镊子),对比不同WD(Wagner、Aicon、Aesculap)、装载方式(2/3篮/架)、清洗协议(Advanced/Alka-X±超声)的蛋白质残留量。 3. **核心数据**: - 95%器械残留<100μg(合格),3%为100-200μg(警报),2%>200μg(不合格)。 - 中位残留量0μg(范围0-511μg),不合格器械中位残留158-270μg。 4. **关键影响因素**:WD型号、器械架类型、器械摆放位置、器械类型。 5. **结论**:CSSD与研究团队协作可加速验证,需逐一分析参数,首次验证后流程更可靠。
**清洗效果如何?** **验证流程关键?** **标准化怎么做?**
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