安徽省医院消毒供应中心3项标准实施现状

The implementation status of 3 standards related to Central Sterile Supply Department in Anhui province

目的 :评价安徽省医院消毒供应中心3项行业标准的实施效果及存在问题。方法 :引用原卫生部医院感染控制标准委员会制作的《医院消毒供应中心行业标准实施追踪评价调查表》,对本省105所医院和8个市及其所辖63个县(区)卫生行政部门开展追踪调查。结果 :8个市卫生行政部门落实3项标准的主要措施是:制定辖区内管理规定、依照3项标准组织检查验收并将其纳入到医院评审工作之中;各地均能百分之百地组织相关人员参加标准宣传贯彻的省级培训,其中,以医院感染管理、CSSD人员受众比例最高,达到90%以上,其次是卫生行政主管、医院主管领导和护理部人员,达到80%以上。被调查的105所医院中已有62所获得了省卫生厅颁发的医院CSSD验收合格证,其中属于3项标准发布后的新建或改/扩建的CSSD达到98%(61所)。存在问题:CSSD集中管理、外来器械和超大/超重型医疗器械处置有待进一步规范;由于CSSD对周边医疗机构帮扶不足,影响了3项标准在推进社会化管理方面的作用。结论 :拓展CSSD集中管理能力,发挥已验收合格的CSSD在提高区域内基层医疗机构消毒灭菌质量和预防医院感染中的作用,推进3项标准的深入实施。

Objective：To investigate the effects and problems of 3 professional standards implementation in Central Sterile Supply Department （CSSD） of the hospitals in Anhui province. Methods：The CSSD professional standards tracing evaluation questionnaire made by Hospital Infection Control Standard Committee of the Ministry of Health was used in the survey of 105 hospitals and the Departments of Public Health from 8 cities and 63 counties. Results：The main implementation of 3 standards by administrative department of health in 8 cities included making provisions on administration in the region, inspecting institutions based on the standards, and accepting it into the accreditation in hospital. They all organized relevant people to attend the provincial training program. Nosocomial infection and CSSD personnel accounted for the highest proportion （〉90%）, the second was staffs from health administrative sectors, administrative leaders in hospitals and staffs in nursing department （〉80%）. Sixty two hospitals obtained CSSD acceptance certiifcate issued by provincial Bureau of Health. Among of them, 98%CSSDs were newly built or expanded after 3 standards announced. But some problems existed, for example, the qualiifed CSSDs were insufifcient to help surrounding medical institutions, which inlfuenced the effects of 3 standards in advancing social management. CSSD centralized management, disposition of exotic instruments and mega-, excess medical devices needed further standard regulations. Conclusion：The CSSD centralized management ability should be expanded. The qualified CSSDs should play important roles in improving disinfection quality of primary medical organizations and preventing hospital infection, as well as promote the thoroughly implementation of 3 CSSD professional standards.