区域化消毒供应存在的问题与对策

目的保证区域化消毒供应中心供应的无菌物品质量安全,推动区域化消毒供应的良性发展。方法对某区域化消毒供应中心处理的22所医疗机构61 750件使用后可重复使用医疗器械,分成A组(湿性保存)和B组(干燥保存),比较两组医疗器械的锈蚀率,并对其清洗、包装、运送、存放问题实施纠偏措施。结果 A组医疗器械锈蚀率为11.71%(3 835/32 760),显著高于B组的锈蚀率0.54%(156/28 990),差异有统计学意义(χ2=244.10,P<0.01)。通过1年多的培训学习和改进,各医疗机构工作人员对区域化消毒供应的满意率达90.91%(20/22),显著高于培训前的45.45%(10/22),差异有统计学意义(χ2=13.26,P<0.01)。无纺布或纸塑包装材料较全棉布成本低、有效期长。结论区域化消毒供应管理过程中持续质量改进,能保证供应物品质量和医疗安全,提高医疗机构的经济效益和社会效益。

Problems and strategies of regional sterilization and disinfection in central sterile supply department

ObjectiveTo ensure the quality safety of sterile products in regional central sterile supply department （CSSD）, and promote smooth development of CSSD.Methods61 750 pieces of reusable medical instruments from 22 medical institutes which treated in a regional CSSD were divided into group A（moisture store） and group B（dry store）, the rusting rate between two groups was compared, and problems in cleaning, packaging, transportation, and storage were resolved.ResultsThe rusting rate in group A was significantly higher than group B（11.71%[3 835/32 760]） vs 0.54% [156/28 990],X2=244.10,P〈0.01）. After one year training and improvement in CSSD, medical staff＆rsquo;s satisfaction with regional CSSD improved significantly compared that before training（90.91%[20/22] vs 45.45%[10/22],X2=13.26,P〈0.01））. The cost and expiration date of non woven fabrics and paper plastic wrapping material were lower and longer than cotton wrapping.ConclusionContinuous quality improvement of regional CSSD management can ensure the quality safety of supplied products and safety of medical treatment, as well as improve both social and economical effectiveness.