医院消毒供应中心落实三项标准的调查  

Investigation on implementation of three standards by central sterile supply departments

作　　者：张宇[1] 冯秀兰[2] 任伍爱[3] 钱黎明[4] 巩玉秀[1] 

机构地区：[1]卫生部医院管理研究所,北京100191 [2]广州市第一人民医院,广东广州510000 [3]北京大学第一医院,北京100191 [4]上海交通大学医学院附属瑞金医院,上海210000

出　　处：《中国感染控制杂志》2014年第4期193-197,共5页Chinese Journal of Infection Control

基　　金：卫生部监督中心资助项目(2012)

摘　　要：目的了解医院消毒供应中心(CSSD)三项强制性行业标准落实现状,为进一步贯彻标准提出科学建议。方法依据三项标准,组织相关专家设计调查表,采用书面调查的方式对9省365所医院进行调查,对3省市15所医院进行实地调研,了解医院CSSD三项标准的执行情况。结果调查的365所医院中,省部级医院90所,地市级医院87所,县区级医院188所。>94%的医院建立了CSSD管理体制与制度;>90%的医院CSSD建筑布局符合要求;所有医院均配置了压力蒸汽灭菌器,各级别医院设备设施基本配备;94.52%(345/365)的医院CSSD负责人参加过标准培训;69.61%(252/362)的医院CSSD信息系统已经应用或正在开发;>92%的CSSD工作人员认为三项标准对促进集中管理及提高清洗、消毒灭菌质量有较大作用。结论对医院CSSD的管理及标准培训还需加强,外来器械的管理和信息系统建设还需规范。Objective To realize the status in the implementation of three industry standards of central sterile sup-ply department （CSSD）,and provide a scientific basis for carrying out of the standards. Methods According to three standards,investigation forms were designed by specialists,written survey on 365 hospitals in 9 provinces and field investigation on 1 5 hospitals in 3 provinces were performed,the implementation of three standards were investi-gated.Results Of 365 hospitals,the number of provincial and ministerial level,municipal level,and county level hospitals were 90,87 and 188 respectively. More than 94% of hospitals established CSSD management system and regulations,＆gt;90% of hospitals met the requirements of CSSD layout;All hospitals were equipped with pressure steam sterilizer,all levels of hospitals basically equipped with the necessary equipments and facilities;CSSD respon-sible officers of 94.52% （345/365）of hospitals participated in training on standards;69.61% （252/362）of hospi-tals were using or developing CSSD information systems;＆gt;92% of the CSSD responsible officers considered that three standards played an important role in facilitating centralized management,and improving the quality of clean-ing,disinfection and sterilization.Conclusion Hospitals need to strengthen the management and training on stand-ards of CSSD,management of loaner instruments and development of information system need to be standardized.

关 键 词：消毒供应中心 三项标准 质量控制 管理 医院 监测 

分 类 号：R197.39[医药卫生—卫生事业管理]