上海市58所医院消毒供应中心管理现状调查

Management status of central sterile supply departments in 58 hospitals in Shanghai

摘要:

目的 了解上海市二级、三级医院消毒供应中心（CSSD）的管理现状，为推动医院进一步贯彻落实和执行WS 310.1-2016《医院消毒供应中心第1部分：管理规范》，提出科学依据及参考。方法 依据WS 310.1-2016的要求，自行设计问卷调查表对上海市16个区县58所医院CSSD管理情况进行调查。结果 94.83%的医院CSSD实行了集中管理，85.19%的医院CSSD承担外来医疗器械及植入物的清洗消毒管理，二级与三级医院实施率比较，差异均无统计学意义（均P>0.05）。70.37%的医院CSSD完成外来医疗器械及植入物的首次接收灭菌监测管理，三级医院完成情况优于二级医院（χ²=5.684，P<0.05）。48.28%的医院CSSD已配备绝缘检测仪，三级医院配备率高于二级医院（χ²=5.557，P<0.05）。结论 上海市二、三级医院贯彻落实WS 310.1-2016的总体情况尚佳，但CSSD对外来医疗器械及植入物的处置与管理亟待提高与改进，并应重视绝缘检测仪的配备。

Abstract:

Objective To investigate the management status of central sterile supply departments (CSSDs) in secondary and tertiary hospitals in Shanghai, put forward scientific basis and reference for promoting further implementation of WS 310.1-2016 Hospital Central Sterile Supply Department- Part 1:Management Standard. Methods According to the requirement of WS 310.1-2016, self-designed questionnaires were used to investigate the management of CSSDs of 58 hospitals in 16 districts and counties of Shanghai. Results 94.83% of hospital CSSDs implemented centralized management, 85.19% of hospital CSSDs undertook cleaning and disinfection management of loaner medical devices and implants, there was no significant difference in the implementation rate between secondary and tertiary hospitals (all P>0.05). 70.37% of hospital CSSDs completed monitoring management on the initial sterilization of loaner medical devices and implants, tertiary hospitals performed better than secondary hospitals(χ²=5.684,P<0.05). 48.28% of hospital CSSDs equipped with insulation detector, equipping rate in tertiary hospitals was higher than secondary hospitals(χ²=5.557,P<0.05). Conclusion The overall situation of implementing WS310.1-2016 in secondary and tertiary hospitals in Shanghai is good, but disposal and management of loaner medical devices and implants by CSSDs need to be improved urgently, and equipping of insulation detector should be paid attention.