| 英文摘要 |
Dialysate is regarded as the key in the healthcare quality of dialysis. The elevated dialysate bacteria count of this unit between April and December of 2010 led to the establishment of an ad hoc group assigned to reducing the bacteria count in the reverse osmosis (RO) water conditioning systems and dialysate, as well as enhancing the quality of nursing care during dialysis. Some of the problems discovered through the analysis included inadequate sterilization of dialysis machines, sampling port pollution of RO water conditioning systems, failure to use aseptic water intake techniques for the RO water inlets of dialysis machines, insufficient knowledge about dialysate quality, and worn dialysis machines. Suggested improvements included: (1) revising the standard technique for water intake in dialysis units; (2) revising the standard operating procedures for handling abnormal water quality, equipment management, and RO apparatus disinfection; (3) replacement of worn hemodialysis machines; (4) establishing auditing mechanisms, and (5) hosting of inservice education. The number of cases of abnormal bacteria count subsequently dropped from 3.92 to 0 cases per month. Patient safety was therefore assured while dialysis quality was improved as well. |
