消毒供应中心医疗器械清洗消毒效果影响因素的研究  

Risk Factors of the Cleaning and Disinfection Effect of Medical Instruments in Central Sterile Supply Department

作　　者：郝云霄[1] 曹煜隆 陈美恋 王守军[1] 吴东清 匡季秋[1] 刘荣[1] 田园[1] 李冬梅[1] HAO Yun-xiao;CAO Yu-long;CHEN Mei-lian;WANG Shou-jun;WU Dong-qing;KUANG Ji-qiu;LIU Rong;TIAN Yuan;LI Dong-mei(Department of Hospital-Acquired Infection Control,Peking University People’s Hospital,Beijing 100044;Department of Central Sterile Supply Department,Peking University People’s Hospital,Beijing 100044)

机构地区：[1]北京大学人民医院感染管理-疾病预防控制处,北京100044 [2]北京大学人民医院消毒供应中心,北京100044

出　　处：《中国医疗器械信息》2024年第10期6-8,19,共4页China Medical Device Information

基　　金：国家卫生健康委医院管理研究所“感·动中国”医疗机构感染预防与控制科研项目(课题名称:基于机器学习的感染聚集调查策略研究,课题编号:GY2023044);北京大学人民医院研究与发展基金资助课题(课题编号:RDM2021-02)。

摘　　要：目的:了解消毒供应中心(CSSD)医疗器械清洗消毒效果影响因素,以进一步规范CSSD管理,保证医疗器械清洗消毒质量,为预防和控制医院感染提供参考依据。方法:检索2010年1月~2022年5月CSSD清洗消毒相关文献,汇总文献中所有影响医疗器械清洗消毒效果的因素,制作成调查问卷。通过深入访谈的方式听取专家意见,对问卷中影响因素进行修改,再运用德尔菲法对专家进行咨询,确定最终CSSD医疗器械清洗消毒效果影响因素。结果:咨询专家的权威系数为0.88%,经过两轮调查共确定包括使用后未及时去除明显污染物,使用后未根据需要及时保湿处理,污染器械未及时转运至CSSD等,26条日常工作中常见影响因素,平均分均>4.0,标准差>0.4,变异系数均<0.25。结论:本研究运用德尔菲法最终确定六大环节26条影响医疗器械清洗消毒效果的因素,提示医疗器械在清洗消毒环节受到多种因素的影响。针对性采取应对干预措施,能够保障医疗器械清洗消毒效果,减少产生不良影响。Objective:Explore the risk factors affecting the cleaning and disinfection effect of medical devices in central sterile supply department(CSSD),further standardize the management of CSSD,ensure the cleaning and disinfection quality of medical devices,and provide reference basis for the prevention and control of hospital infection.Methods:Retrieve CSSD cleaning and disinfection related documents from January 2010 to May 2022,summarize all factors affecting the cleaning and disinfection effect of medical devices in the documents,and prepare a questionnaire.Listen to the experts’opinions through in-depth interviews to modify the influencing factors in the questionnaire,and then use Delphi method to consult the experts to determine the final influencing factors of CSSD medical device cleaning and disinfection effect.Results:Retrieve CSSD cleaning and disinfection related documents from January 2010 to May 2022,summarize all factors affecting the cleaning and disinfection effect of medical devices in the documents,and prepare a questionnaire.Listen to the experts’opinions through in-depth interviews to modify the influencing factors in the questionnaire,and then use Delphi method to consult the experts to determine the final influencing factors of CSSD medical device cleaning and disinfection effect.The authority coefficient of the consulting expert is 0.88%.After two rounds of investigation,it is determined that there are 26 common influencing factors in daily work,including failure to remove obvious pollutants in time after use,failure to moisturize as needed after use,and failure to transport contaminated equipment to CSSD in time.The average score is>4.0,the standard deviation is>0.4,and the coefficient of variation is<0.25.Conclusion:The study utilized the Delphi method to ultimately identify six major aspects and 26 factors that affect the effectiveness of medical device cleaning and disinfection,indicating that the cleaning and disinfection process of medical devices is influenced by a variety of factors.Ta

关 键 词：德尔菲法 消毒供应中心 医疗器械 清洗消毒效果 影响因素 

分 类 号：R187[医药卫生—流行病学]