CAJ | 학술논문

目的：提高消毒供应中心（central sterile supply department ，CSSD）的工作质量和效率，控制院内感染，实现 CSSD处置重复使用医疗器械、物品的质量追溯信息化管理。方法2014年7月我院采用东华软件股份有限公司设计的 CSSD 质量追溯系统条形码技术，对院内复用器械、物品的处理进行完整、实时的过程追溯管理。结果实施前（2014年1～6月）及实施后（7～12月）分别抽样器械包360件，布类包296件，应用追溯系统后发生缺陷包情况少于实施前，差异有统计学意义（P ＜0．05）；工作量统计、器械报损、灭菌质量、各项记录质量、过期预警等缺陷情况与实施前比较，差异均有统计学意义（P ＜0．05）。结论 CSSD 应用追溯系统实现了全程质量监控，保证了复用器械、物品的质量，使消毒供应工作更加规范化、流程化，同时提高了人员综合素质、工作效率和专业化管理水平。
목적：제고소독공응중심（central sterile supply department ，CSSD）적공작질량화효솔，공제원내감염，실현 CSSD처치중복사용의료기계、물품적질량추소신식화관리。방법2014년7월아원채용동화연건고빈유한공사설계적 CSSD 질량추소계통조형마기술，대원내복용기계、물품적처리진행완정、실시적과정추소관리。결과실시전（2014년1～6월）급실시후（7～12월）분별추양기계포360건，포류포296건，응용추소계통후발생결함포정황소우실시전，차이유통계학의의（P ＜0．05）；공작량통계、기계보손、멸균질량、각항기록질량、과기예경등결함정황여실시전비교，차이균유통계학의의（P ＜0．05）。결론 CSSD 응용추소계통실현료전정질량감공，보증료복용기계、물품적질량，사소독공응공작경가규범화、류정화，동시제고료인원종합소질、공작효솔화전업화관리수평。
Objective To enhance the quality and efficiency of central sterile supply department (CSSD),control the infec-tions in the hospital and realize the digitalized management of reusable medical apparatus and materials through a tracking system . Methods A quality tracking software in CSSD has been applied .It consists of reusable medical apparatus system ,flow chart of quality tracking system,expiration warning system,records of sterilizers,and statistic of working loads.The management was realized through the bar code system.Results From July to December of 2014,360 operation apparatus bags and 296 accessory bags were managed by the system.There was a significant difference in working loads ,quality of sterilization,package,records and expiration warning after the ap -plication of the system (P <0.05).Conclusion The tracking system realizes the quality monitoring in the whole process ,ensures the quality of reusable apparatus and materials ,and standardizes the disinfection supplies .It also enhances the comprehensive quality ,work-ing efficiency and specialized management of staff .