浙江省87家医院消毒供应中心消毒员现况调查及管理改进实践  

Investigation on the current situation of disinfectants in central sterile supple department of 87 hospitals in Zhejiang province and practice of management improvement

作　　者：韩风 毛雅琴[2] HAN Feng;MAO Ya-qin(Hangzhou Women’s Hospital,Hangzhou Zhejiang 310008;The Second Teaching Hospital,Medical College,Zhejiang University,China)

机构地区：[1]杭州市妇产科医院,浙江杭州310008 [2]浙江大学医学院附属第二医院

出　　处：《中国消毒学杂志》2023年第12期903-904,909,共3页Chinese Journal of Disinfection

摘　　要：目的了解浙江省内医院对消毒员的管理现状,结合某医院消毒供应中心(CSSD)改进消毒员管理的效果评价,为提高医院消毒员管理质量提供参考。方法采用问卷调查方法,对该省87家医院消毒员的知识背景、编制性质、管理归属、教育培训及人员流失情况进行问卷调查。针对调查结果改进某医院CSSD消毒管理,比较管理质量改进前后消毒监控指标变化,以及加强培训前后消毒员理论和操作水平。结果被调查的371名消毒员学历为本科及以上仅占21.83%,非正式编制占46.90%,1年内人员流失占1.89%;55家医院消毒员归口非护理部门管理,76家医院消毒员培训及考核由护理部门负责。管理质量改进后某医院CSSD器械条码张贴错误率、器械条码漏刷率、灭菌物品湿包发生率、器械返洗率和无菌物品配送错误率等指标均达合格目标值,加强培训后的消毒员理论和操作考核得分均高于培训前。结论医院有目标和计划性地实施对消毒员管理和培训,有助于提高消毒员能力,稳定消毒员队伍,满足医院CSSD发展需求。Objective To understand the current situation of hospital management of disinfectants in Zhejiang province,and to evaluate the effectiveness of improving the management of disinfectants in a hospital's central sterile supple department(CSSD),in order to provide reference for improving the quality of hospital disinfection management.Methods A questionnaire survey was conducted on the knowledge background,nature of organization,management attribution,education and training,and personnel turnover of disinfection personnel in 87 hospitals in the province.Based on the survey results,we improved the CSSD disinfection management of a certain hospital,compared the changes in disinfection monitoring indicators before and after the improvement of management quality,and strengthened the theoretical and operational levels of disinfectants before and after training.Results Only 21.83%of the 371 disinfection workers surveyed had bachelor degree or above,46.90%had informal establishment,and 1.89%had lost their staff within one year.Disinfectors in 55 hospitals were managed by non-nursing departments,and the training and assessment of disinfectors in 76 hospitals were handled by nursing departments.After the improvement of management quality,the indicators of CSSD equipment bar code posting error rate,equipment bar code missing brush rate,wet package rate of sterilized goods,equipment backwashing rate and sterile goods distribution error rate in a hospital all reached the qualified target value,and the theoretical and operational assessment scores of disinfectors after intensive training were higher than those before training.Conclusion Targeted and planned management and training of disinfectors in hospitals will help to improve the ability of disinfectors,stabilize the team of disinfectors and meet the development needs of CSSD in hospitals.

关 键 词：消毒供应中心 消毒员管理 培训 湿包率 

分 类 号：R184[医药卫生—流行病学]