构建消毒供应中心外来器械清洗包装灭菌质量风险因素评价指标体系  

The construction of an evaluation index system for risk factors of cleaning and packaging sterilization quality of loaner instruments in CSSD

作　　者：孙婷 邱伟 方继红 SUN Ting;QIU Wei;FANG Ji-hong(School of Public Health and Health Management,Gannan Medical University,Ganzhou,Jiangxi 341000;Central Sterile Supply Department,Anhui Provincial Children's Hospital,Hefei,Anhui 230000)

机构地区：[1]赣南医科大学公共卫生与健康管理学院,江西赣州341000 [2]安徽省儿童医院消毒供应中心,安徽合肥230000

出　　处：《赣南医科大学学报》2025年第3期267-272,共6页JOURNAL OF GANNAN MEDICAL UNIVERSITY

摘　　要：目的:建立医院消毒供应中心(Entral sterile supply department,CSSD)外来器械清洗包装灭菌质量风险因素评价指标体系。方法:使用文献回顾法、半结构式访谈、头脑风暴法,初步拟定外来器械清洗包装灭菌质量风险评价体系,并对形成的外来器械清洗包装灭菌质量风险因素评价指标体系进行专家函询。经过多轮讨论与修订,形成评价指标体系最终版本,并通过层次分析法精确计算各级指标权重。结果:最终确立CSSD外来器械清洗包装灭菌质量风险因素评价指标体系包含一级指标5个、二级指标45个。应用层次分析法确定各指标间的权重:⑴人员权重为0.274,下设二级指标6项;⑵方法权重为0.361,下设二级指标23项;⑶设备权重为0.110,下设二级指标7项;⑷材料权重0.046,下设二级指标6项;⑸器械权重为0.209,下设二级指标3项。结论:本研究通过构建外来器械清洗包装灭菌质量风险因素评价指标体系,为CSSD外来器械相关的院感风险因素的识别、预防及质量管理提供参考依据。Objective:To establish an evaluation index system for risk factors of cleaning,packaging and sterilization quality of loaner instruments in the hospital central sterile supply department(CSSD).Methods:Using the methods of literature review,semi-structured interviews,and brainstorming,the quality risk assessment system for the cleaning,packaging,and sterilization of externally supplied medical devices was preliminarily formulated.And conduct an expert letter inquiry on the established evaluation index system of the quality risk factors for the cleaning,packaging,and sterilization of foreign-owned medical devices.After multiple rounds of discussion and revision,the final version of the evaluation index system was formed,and the weights of all levels of indicators were calculated accurately by the method of analytic hierarchy process.Results:Five first-level indicators and 45 second-level indicators were established.Application of analytic hierarchy process(AHP)to determine the weights of each indicator:⑴Person 0.274,with 6 secondary indicators;(2)Method 0.361,with 23 secondary indicators;(3)Equipment 0.110,with 7 secondary indicators;(4)Material 0.046,with 6 secondary indicators;(5)Instrument 0.209,with 3 secondary indicators.Conclusion:The construction of an evaluation index system for risk factors in the cleaning,packaging,and sterilization quality of loaner instruments will provide a reference for identifying and preventing hospital-acquired infection risks related to CSSD loaner instruments,enhancing quality management.

关 键 词：消毒供应中心 外来器械 灭菌 德尔菲法 层次分析法 

分 类 号：R197.3[医药卫生—卫生事业管理]