陕西省《软式内镜清洗消毒技术规范》(WS507-2016)应用跟踪评价

Tracking evaluation on 《Regulation for cleaning and disinfection technique of flexible endoscope》(WS507-2016) in Shaanxi province

目的了解《软式内镜清洗消毒技术规范》(WS 507-2016)(以下简称《规范》)在陕西省的执行情况,对《规范》实施的效果进行评价,为《规范》的进一步修订提供科学建议。方法制定科学合理的调查问卷,采取分层多阶段抽样方法,抽取使用《规范》的各类机构和人员,采用网络调查方式,问卷发布和回收采用"问卷星"软件。结果调查结果显示,陕西省调查对象对《规范》学习培训率为84.53%,93.92%调查人员熟悉《规范》,77.35%调查对象能够做到每月至少使用1次《规范》。卫生行政机构(包括各级疾病预防控制中心和卫生监督所)相关人员参加《规范》培训率、对《规范》熟悉率及《规范》使用率均低于医疗机构和企业相关人员。362例调查对象中98.07%认为《规范》对规范软式内镜清洗消毒工作有意义,99.72%认为《规范》对保障患者安全有意义;97.24%认为《规范》指标有好的科学性,96.69%认为《规范》指标有好的实用性和好的先进性。结论《软式内镜清洗消毒技术规范》(WS 507-2016)在陕西省总体贯彻执行情况较好,应加强对卫生行政机构(包括各级疾病预防控制中心和卫生监督所)相关人员的培训。本次调查范围包含了陕西省各级各类《规范》使用相关机构及《规范》使用的各类人员,能够较全面地反映《软式内镜清洗消毒技术规范》在陕西省的应用情况。

OBJECTIVE To evaluate the implementation effect of 《Regulations for cleaning and disinfection technique of flexible endoscope》in Shaanxi province, and collect amend suggestions. METHODS Multistage sampling and stratified sampling were used to select all kinds of institutions and personnel using the regulation. A scientific and reasonable electronic questionnaire was Developed, "wenjuan xing" software was used for questionnaires’ releasing and recycling. RESULTS Results showed that, learning and training rate of the regulation is 84.53% among respondents in Shaanxi province, 93.92% were familiar with the regulation, and 77.35% were able to use the regulation at least once a month. Learning and training rate, familiarity rate and usage rate of the regulation in health administration institutions(including Centers for Disease Control and Prevention and health supervision institutes at all levels) were lower than those in medical institutions and enterprises.98.07% of the 362 investigators believed that the regulations was meaningful for standardizing flexible endoscope cleaning and disinfection work, 99.72% of the investigators believed that the regulations was meaningful for ensuring patient safety. For the indicators in the regulation, 97.24% believed that they were scientific, 96.69% believed that they were practical and advanced. CONCLUSION Regulation for cleaning and disinfection technique of flexible endoscope(WS 507-2016)was generally well implemented in Shaanxi Province.The training of relevant personnel in health administrative agencies(including Centers for Disease Control and Prevention and health supervision institutes at all levels) should be strengthened.Investigators in our study came from various types of regulation-using institutions and staff in Shaanxi, results can fully reflect the implementation of the standard in Shaanxi.