中国感染控制杂志
中國感染控製雜誌
중국감염공제잡지
CHINESE JOURNAL OF INFECTION CONTROL
2014年
4期
198-202
,共5页
消毒供应中心%行业标准%管理,医院%质量控制
消毒供應中心%行業標準%管理,醫院%質量控製
소독공응중심%행업표준%관리,의원%질량공제
central sterile supply department%industry standard%management%hospital%quality control
目的：了解消毒供应中心（CSSD）三项行业标准的执行情况、成效及存在的问题，为标准的修订和卫生行政部门推进标准的实施提供依据。方法2012年12月，采用卫生部医管所统一的调查方案，对吉林省39所不同级别医院CSSD和医院管理部门两个层面进行调查。结果调查省部级（10所）、地市级（9所）和县区级（20所）医院共39所。2009年4月1日后有28所医院进行了整体扩建或改建，同时全部依据CSSD三项标准对CSSD进行扩建或改建。纳入医疗质量管理的医院38所，占97．44％；采用信息技术建立CSSD质量管理与追溯系统的医院4所，正在开发的医院18所；CSSD平均面积为542 m2，平均配备14．37人，配备人数与100张床位比为1．75：100；检查包装灭菌区的温度符合标准要求的医院25所，合格率为64．10％，湿度符合标准的医院23所，合格率为58．97％；清洗消毒设备配备率79．48％；终末漂洗用水，纯化水使用构成比为51．28％；环氧乙烷灭菌器配备率28．21％，过氧化氢等离子体灭菌器配备率56．41％；包装材料为棉织布的医院39所；按标准频率对压力蒸汽灭菌器进行生物监测的医院占89．74％。结论 CSSD行业标准发布后，吉林省各医院高度重视，在CSSD建筑布局、使用面积、人员配备及个人防护用品、清洗消毒设备和清洗耗材配备方面有较大提高。
目的：瞭解消毒供應中心（CSSD）三項行業標準的執行情況、成效及存在的問題，為標準的脩訂和衛生行政部門推進標準的實施提供依據。方法2012年12月，採用衛生部醫管所統一的調查方案，對吉林省39所不同級彆醫院CSSD和醫院管理部門兩箇層麵進行調查。結果調查省部級（10所）、地市級（9所）和縣區級（20所）醫院共39所。2009年4月1日後有28所醫院進行瞭整體擴建或改建，同時全部依據CSSD三項標準對CSSD進行擴建或改建。納入醫療質量管理的醫院38所，佔97．44％；採用信息技術建立CSSD質量管理與追溯繫統的醫院4所，正在開髮的醫院18所；CSSD平均麵積為542 m2，平均配備14．37人，配備人數與100張床位比為1．75：100；檢查包裝滅菌區的溫度符閤標準要求的醫院25所，閤格率為64．10％，濕度符閤標準的醫院23所，閤格率為58．97％；清洗消毒設備配備率79．48％；終末漂洗用水，純化水使用構成比為51．28％；環氧乙烷滅菌器配備率28．21％，過氧化氫等離子體滅菌器配備率56．41％；包裝材料為棉織佈的醫院39所；按標準頻率對壓力蒸汽滅菌器進行生物鑑測的醫院佔89．74％。結論 CSSD行業標準髮佈後，吉林省各醫院高度重視，在CSSD建築佈跼、使用麵積、人員配備及箇人防護用品、清洗消毒設備和清洗耗材配備方麵有較大提高。
목적：료해소독공응중심（CSSD）삼항행업표준적집행정황、성효급존재적문제，위표준적수정화위생행정부문추진표준적실시제공의거。방법2012년12월，채용위생부의관소통일적조사방안，대길림성39소불동급별의원CSSD화의원관리부문량개층면진행조사。결과조사성부급（10소）、지시급（9소）화현구급（20소）의원공39소。2009년4월1일후유28소의원진행료정체확건혹개건，동시전부의거CSSD삼항표준대CSSD진행확건혹개건。납입의료질량관리적의원38소，점97．44％；채용신식기술건립CSSD질량관리여추소계통적의원4소，정재개발적의원18소；CSSD평균면적위542 m2，평균배비14．37인，배비인수여100장상위비위1．75：100；검사포장멸균구적온도부합표준요구적의원25소，합격솔위64．10％，습도부합표준적의원23소，합격솔위58．97％；청세소독설비배비솔79．48％；종말표세용수，순화수사용구성비위51．28％；배양을완멸균기배비솔28．21％，과양화경등리자체멸균기배비솔56．41％；포장재료위면직포적의원39소；안표준빈솔대압력증기멸균기진행생물감측적의원점89．74％。결론 CSSD행업표준발포후，길림성각의원고도중시，재CSSD건축포국、사용면적、인원배비급개인방호용품、청세소독설비화청세모재배비방면유교대제고。
Objective To realize the status,effectiveness and existed problems in the implementation of three in-dustry standards of central sterile supply departments (CSSDs),and provide a scientific basis for the revision and execution of standards by public health authorities.Methods In December 2012,CSSDs and administration sections in 39 different level hospitals in Jilin Province were investigated by unified method of National Institute of Hospital Administration.Results A total of 39 hospitals,including 10 hospitals of provincial and ministerial level,9 munici-pal level,and 20 county level,were investigated. After April 1 ,2009,the overall expansion or reconstruction of 28 hospitals and their CSSDs based on the three standards have been finished. 38(97.44% )hospitals were included in the medical quality management,4 hospitals established CSSDs quality management and traceability system by adop-ting information technology,and 18 were being developed;the average area of CSSDs was about 542 m2 ,average number of staff was about 14.37,and the ratio of staff to beds was 1.75:100;25 hospitals met the standard re-quirements for temperature in checking,packaging and sterilization area,qualified rate was 64.10% ,and 23 hospi-tals met the humidity standard,qualified rate was 58.97% ;79.48% of hospitals had cleaning and disinfection e-quipments;51.28% with purified water for end rinsing;28.21% had ethylene oxide sterilizer,56.41% had hydro-gen peroxide plasma sterilizer;39 hospitals used cotton cloth for packaging materials;89.74% of hospitals per-formed biological monitoring on pressure steam sterilizer in accordance with the standard frequency.Conclusion Af-ter the release of CSSD industry standard,hospitals in Jilin Province paid high attention,the CSSD constrution lay-out,use of space,staffing,personal protective equipment,cleaning and disinfection equipment and cleaning con-sumables are greatly improved.
