CAJ | 학술논문

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。
목적：료해의원소독공응중심（CSSD）삼항강제성행업표준락실현상，위진일보관철표준제출과학건의。방법의거삼항표준，조직상관전가설계조사표，채용서면조사적방식대9성365소의원진행조사，대3성시15소의원진행실지조연，료해의원CSSD삼항표준적집행정황。결과조사적365소의원중，성부급의원90소，지시급의원87소，현구급의원188소。＞94％적의원건립료CSSD관리체제여제도；＞90％적의원CSSD건축포국부합요구；소유의원균배치료압력증기멸균기，각급별의원설비설시기본배비；94．52％（345/365）적의원CSSD부책인삼가과표준배훈；69．61％（252/362）적의원CSSD신식계통이경응용혹정재개발；＞92％적CSSD공작인원인위삼항표준대촉진집중관리급제고청세、소독멸균질량유교대작용。결론대의원CSSD적관리급표준배훈환수가강，외래기계적관리화신식계통건설환수규범。
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,>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;>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.