Fallos producidos en la central de esterilización de un hospital de tercer nivel en el periodo 2018-2019
Autor:
Delgado-Calvo, María Pilar
Fecha:
17/07/2020Palabra clave:
Tipo de Ítem:
masterThesisResumen:
Introducción: proceso de esterilización es el conjunto de acciones por el que se
eliminan microorganismos que pueden estar presentes en objeto inanimado, incluidas
esporas microbianas. Su repercusión en infecciones planteó este proyecto, estudiando
errores más comunes, implementando mejoras e incrementando calidad.
Metodología: estudio descriptivo observacional prospectivo mediante datos de
incidencias. Se elaboró un AMFE con los principales fallos para implementar mejoras y
evaluó la calidad mediante indicadores.
Resultados: Se procesaron 142.089 contenedores con un error del 1,19% en ambos
años. Los más comunes fueron en la etapa de la esterilización al vapor, la causa
principal el error humano. El NPR más elevado fue falta de emuladores y filtros, no
alcanzaron los estándares de calidad, describiéndose mejoras.
Conclusiones: Los errores son escasos relacionados con la carga de trabajo.
Evitándolos, incrementaremos la calidad, mejorando la seguridad, siendo necesario
implicación del personal y organización.
Descripción:
Introduction: the sterilization process is the combination of all the actions to eliminate
the microorganisms which can be in an inanimate object, included microbial spores.
For the importance this study was considered , analyzing the failure more commons in
order to establish improvements and increasing the quality.
Methodology:it’s an observational descriptive prospective study by the information of
the incidents. In addition, a FMEA was developed with the main failures to establish
improvements and the quality was evaluated by indicators.
Outomes: 142089 of surgery boxes were processed with a 1,19% of failures during the
both years. The most common failures were in the sterilization step, the main reason
was human error. The RPN highest was themissing of indicator cards and the missing
of the filters. None of them, get the quality standars.
Conclusions: the mistakes which are few in relation to the workload. However, if we
can avoid them we will increase the quality and the patient security. It’s necessary the
implication of the staff and the organization.
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