重庆市巴南区33所医院消毒供应现状调查及需求分析
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摘要
目的调查重庆市巴南区33所医院消毒供应的现状,探索建立区域化消毒供应中心(CSSD)的可行性和必要性。方法选择重庆市巴南区的33所医院的消毒供应室相关负责人进行调研,了解现有消毒供应资源配置情况及医院管理者对资源共享型区域化消毒供应中心的认可程度,并将现况调查结果与我国消毒供应室卫生行业标准进行对比,分析33所医院消毒供应资源配置与标准的差异性。结果 33所医院中,22所设置消毒供应室(二级医院7所,一级医院14所,私立及其他类型医院1所),并且从不参与消毒供应相关培训12所。22所设置消毒供应室的医院中,"三区"设置合格率59. 09%,去污区合格8所(36. 36%);检查包装灭菌区配备合格10所(45. 45%),15所(68. 18%)最低人员配置合格;仅4所取得CSSD验收合格证。27所(81. 82%)医院管理者认可资源共享型区域化消毒供应中心。结论重庆市巴南区医院消毒供应室的建筑布局、设备设施、人员配置等存在严重不足,感染隐患较大。以现有标准化的CSSD为依托、创新工作模式,建立区域化CSSD进行复用物品的集中管理,可达到资源整合共享,减少设备设施的重复投入,提高复用物品的消毒灭菌质量。
Objective To investigate the situation of sterile supply service in 33 hospitals in Banan District,Chongqing,and to explore the feasibility of building a regional central sterile supply center (CSSC). Methods Chief figures in charge of sterile supply service in 33 primary hospitals in Banan District,Chongqing,were surveyed in terms of current allocation of sterile supply resources within the hospital they worked with,and their support level of a regional CSSC. The cross-sectional survey results were compared with domestic industry standards of sterile supply services,and the differences between sterile supply services in the 33 hospitals and domestic industry standards were identified. Results Of the 33 hospitals,22 ( 7 2A hospitals,14 1A hospitals,and 1 hospital of private and other nature) had sterile supply rooms; 12 hospitals had never trained the sterile supply service staff. Among the 22 hospitals which had sterile supply rooms,the qualified rate of " three zones" was 59. 09%,the qualified rate of " decontamination zones" was 36. 36% ( 8 hospitals),the qualified rate of " packaging sterilization zones" was 45. 45% ( 15 hospitals); 68. 18% ( 15 hospitals) were qualified with the lowest staffing. Only 4 hospital received the certificate of Standard Management of Central Sterile Supply Department ( CSSD). Chief figures from 27 hospitals ( 81. 82%)supported building of a regional resource-sharing CSSC. Conclusion There are serious defects in the layout,facilities,staffing,etc.,of the33 hospitals in Banan district,Chongqing. Therefore,by relying on the existing standardized CSSDs,and innovating the working mode,a regional resource-sharing CSSC,which can achieve the integration and sharing of resources and reduce repeated investment in disinfection facilities,can be built to make possible centralized management of recycled articles,and improve the quality of disinfection and sterilization services in primary hospitals.
Objective To investigate the situation of sterile supply service in 33 hospitals in Banan District,Chongqing,and to explore the feasibility of building a regional central sterile supply center (CSSC). Methods Chief figures in charge of sterile supply service in 33 primary hospitals in Banan District,Chongqing,were surveyed in terms of current allocation of sterile supply resources within the hospital they worked with,and their support level of a regional CSSC. The cross-sectional survey results were compared with domestic industry standards of sterile supply services,and the differences between sterile supply services in the 33 hospitals and domestic industry standards were identified. Results Of the 33 hospitals,22 ( 7 2A hospitals,14 1A hospitals,and 1 hospital of private and other nature) had sterile supply rooms; 12 hospitals had never trained the sterile supply service staff. Among the 22 hospitals which had sterile supply rooms,the qualified rate of " three zones" was 59. 09%,the qualified rate of " decontamination zones" was 36. 36% ( 8 hospitals),the qualified rate of " packaging sterilization zones" was 45. 45% ( 15 hospitals); 68. 18% ( 15 hospitals) were qualified with the lowest staffing. Only 4 hospital received the certificate of Standard Management of Central Sterile Supply Department ( CSSD). Chief figures from 27 hospitals ( 81. 82%)supported building of a regional resource-sharing CSSC. Conclusion There are serious defects in the layout,facilities,staffing,etc.,of the33 hospitals in Banan district,Chongqing. Therefore,by relying on the existing standardized CSSDs,and innovating the working mode,a regional resource-sharing CSSC,which can achieve the integration and sharing of resources and reduce repeated investment in disinfection facilities,can be built to make possible centralized management of recycled articles,and improve the quality of disinfection and sterilization services in primary hospitals.
引文
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[11]葛朝珍,倪晓平,蒋辉权,等.杭州市医院医疗器械清洗质量监测分析[J].中华医院感染学杂志,2013,13(4):350-351.
[2]刘明秀,王玲,朱堂琼,等. 18所基层医疗机构消毒供应中心现状调查[J].中国感染控制杂志,2015,14(12):851-853.
[3]曲立美.集中式中心供应规范管理模式在消毒供应室中的应用效果分析[J].齐鲁护理杂志,2015,21(24):41-43.
[4]潘晓琼,潘晓雅,郑祥超.基层医院消毒供应室现状调查[J].中国消毒学杂志,2016,33(3):261-262.
[5]冯伟,李桂福. 19家基层医疗卫生机构消毒供应室现状调查分析与探索[J].中外医学研究,2017,15(1):61-63.
[6]中华人民共和国卫生部.中华人民共和国卫生行业标准WS310. 1-2016[S].北京:中华人民共和国卫生部,2016.
[7]李永秀,周忠安,刘伏姣.基层医院消毒供应室医疗器械清洗设施流程及质量调查分析[J].护理学杂志,2011,26(4):54-55.
[8]杨祺,王建政,崔妙玲.广西医院消毒供应中心硬件配置及管理现状的调查[J].护理学杂志,2013,28(23):51-53.
[9]朱清平,陈义连.消毒供应中心集中管理后在优质护理中的分析[J].中国医学创新,2013,10(29):72-73.
[10]梁飞凤,宋利芬,曾苑.区域化消毒供应存在的问题与对策[J].中国感染控制杂志,2013,12(3):208-210.
[11]葛朝珍,倪晓平,蒋辉权,等.杭州市医院医疗器械清洗质量监测分析[J].中华医院感染学杂志,2013,13(4):350-351.