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德国和智利医院蒸汽灭菌质量保证政策的经济比较.pdf

上传人: 芦苇 编号:186003 2024-11-02 29页 5.53MB

1、Economic comparison of steam sterilization quality assurance policies in German and in ChilianhospitalsName:Markus AulyAffiliation:Independent ConsultantConflictConflict of of InterestInterest StatementStatementNo conflict of interestNo conflict of interestNo affiliation,no direct or indirect financ

2、ial benefit from any company or No affiliation,no direct or indirect financial benefit from any company or organization that promotes either sterilization Indicators,electronic organization that promotes either sterilization Indicators,electronic measurement systems or validation services.measuremen

3、t systems or validation services.BackgroundBackgroundHow can we measureHow can we measurethat a load coming out of a steam sterilizer is actually sterile thus free of any viable microorganisms?We cannotBut we need a method that generates trust that each load item sterile!BackgroundBackgroundSteriliz

4、ing a wide variety of medical devices in a hospital can be compared to cooking different combinations of a wide variety of eggs with different sizes,shapes,thickness of the shell.We want to make sure that all eggs are completely cooked through.A)Indicator-based QA Will design an indicator,that chang

5、esthe color under the conditions underwhich the most difficult to cook eggsare well cooked.Ineverycyclethisegg-cookingtest body will be cooked with the eggandcheckedintheendbeforereleasing the load.but maybe it would be better toput in 3 on the top layer to be safe?Or maybe better 6 distributed to b

6、eeven safer or maybe better 9.?Conclusion:Placingasufficientamount of Indicators that represent adifficult egg to reference positions inthe cooking pot can generate trustthat all eggs in a mixed load are well-cooked.BackgroundBackgroundSterilizing a wide variety of medical devices in a hospital can

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本文主要比较了德国和智利医院蒸汽灭菌质量保证政策的经济性。研究选择了两个代表性的国家,分析了两国医院灭菌器的使用情况、法规要求、质量保证成本等。结果显示,德国医院采用基于验证的灭菌质量保证系统,而智利医院采用基于指示器的系统。德国系统成本较低,每年每台8 STU灭菌器平均成本为3200美元,而智利系统成本较高,平均为7550美元。研究还发现,德国系统在确保安全的同时,成本更加可控,而智利系统由于缺乏明确的“安全足够”定义,导致成本差异较大。研究建议,智利和其他类似监管体系的国家应至少允许使用任一系统,而不应仅强制使用智利系统。
德国和智利医院如何确保灭菌质量? 两种灭菌质量保证政策哪种更经济? 智利医院如何降低灭菌成本?
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