運用團隊合作提升手術室環境清潔度

Application of Team Cooperation to Improve Environmental Hygiene in Operating Rooms

醫院環境清潔是提供病人安全照護重要因素，開刀房人員常抱怨地板清理不乾淨，每人對清潔標準及認知有所不同。經調查發現清潔度不佳原因有未制定標準流程及稽核機制、清潔工具不適用及使用量不足、缺乏感染管制概念、手術室儀器設備未移開清潔不易。擬定改善對策包含提升手術室清潔度，透過制定清潔工作標準流程、製作清潔工作稽核表、執行稽核制度、拖布分色管理、工作車規格擺放統一化及標示、漂白水泡製刻度標示及張貼圖示、舉辦在職教育訓練、進行考試、製作儀器收納標準規範圖片、訂定審核標準等方案，手術室清潔度由71.3％提升至86.7％。本專案結果顯示以團隊合作方式，透過建置清潔標準和有效率的工具管理辦法，可有效的維持手術室環境清潔品質。

A sanitary environment in hospitals is crucial to care quality and safety, especially inoperating rooms. Various criteria are used to evaluate cleanliness, and such evaluation is thusdifficult. The reasons for poor cleanliness are no standard procedure, no auditing mechanism,unsuitable or insufficient use of janitorial supplies, lack of an infection control concept, andmachines in operating rooms not being moved, which causes cleaning difficulties. The strategiesfor improving cleanliness in operating rooms include the establishment of a standard procedureand checklist, use of an auditing system, use of color management for dusters, coincidence andclear marking of the work trolley, legend signage for bleach dilution in water, on-the-job trainingand education, written examinations, and illustrations of machine collection. After team resourcemanagement implemented these strategies, cleanliness in operating rooms was improved from71.3% to 86.7%. Therefore, the quality of environmental hygiene in operating rooms can beeffectively maintained through development of cleaning standards and efficient tool managementenabled by teamwork.