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Samuel Law:“刚性容器密封性能测试” (英文版).pdf

上传人: 芦苇 编号:1146369 2026-02-14 45页 2.64MB

1、1Performance Test for Sealing Capability of Rigid ContainerMr.Samuel LAW,RN,BN,FSERAA Fellow of Social Enterprise Research AcademyChairman of Hong Kong Sterile Services Management AssociationHKSSMA-“Outstanding Social Caring Organization Award 2023&2024”Case Study:CSSDs of Tuen Mun Hospital&Pok Oi H

2、ospital,Hong Kong 2ContentA.Background B.Study OverviewC.Result&Discussion D.Conclusion and Recommendation E.Key TakeawaysF.ReferenceG.Acknowledgement 3A.Background Hospital Authority(HA)a statutory body established in 1990.HA manages all 43 public hospitals.HA is fully funded by Hong Kong Governmen

3、tHA divided Hong Kong hospital services into 7 clusters illustrated in different colors in the mapI am the ex-Cluster Operation Manager of the New Territories West Cluster and managed 3 CSSDs of Tuen Mun Hospital(TMH),Pok Oi Hospitals(POH)and Tin Shui Wai Hospital(TSWH)4Hong Kong Sterile Services Pr

4、actice before 2012No governance in disinfection and sterilization services,no guidelinesSatellite reprocessing centers in clinical areas by respective specialty nursesChemical disinfectants are widely used for disinfectionCSSDs managed by Sterile Supply nursesFibric linen widely use as wrapper and d

5、rapes4A.BackgroundTraditional CSSD5Theatre Sterile Supply Services managed by Operating Theatre nurses inadequate knowledge in sterilization sciencesImmediate-use sterilization without air removal pulsing process is widely used as routine sterilization in operating theatreSingle door washer disinfec

6、tor cross contamination riskNo Surgical Tracking and Tracing System-CreutzfeldtJakob Disease(CJD)infection control riskRely on biological indicator and chemical indicator to assure sterility 5A.BackgroundHong Kong Sterile Services Practice before 20126Hospital Accreditation Exercise Assure patient S

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1. **研究背景**:香港屯门医院及博爱医院CSSD改革,提升灭菌服务质量,评估刚性密封容器的密封能力。 2. **测试方法**:对1,826个在用容器(65%使用≤7年,35%>11年)进行烟雾、纸张、漏水测试,30个新容器作对照。 3. **核心数据**: - 烟雾测试通过率96.06%(新容器100%),漏水测试仅47.26%通过,纸张测试80.71%通过。 - 使用>11年的容器失败率显著更高(漏水测试59.69% vs ≤7年47.39%)。 4. **结论**:目视检查不可靠,烟雾测试最有效;建议强制每5年更换密封圈,以降低污染风险。
**容器密封测试可靠吗?** **旧容器风险有多大?** **如何避免感染风险?**
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