医疗机构采用院外消毒供应服务情况的调查

Status quo of out-of-hospital disinfection supply service in medical institutions

目的:调查医疗机构采用院外消毒供应服务情况,把握消毒供应管理关键环节,为医院消毒供应中心标准修订提供参考依据。方法:2021年,采用目的抽样法对我国506家采用院外消毒供应服务的医疗机构进行问卷调查。结果:49.8%(252家)的医疗机构选择附近医院提供的消毒供应服务,50.2%(254家)的医疗机构选择医疗消毒供应中心提供的消毒供应服务。送到院外进行消毒灭菌的器械占比最高的是“常规手术器械”,为69.4%(351家)。各级公立医疗机构采用院外消毒供应服务满足国家卫生行业标准中各项管理要求的在59.2%~92.2%之间,且不同级别公立医疗机构各项要求达标率比较,有6项的差异有统计学意义(P<0.05)。结论:医疗机构采用院外消毒供应服务整体管理水平有待提高,应加强质量管理及对消毒供应专职人员的管理,合理设置污染器械收集暂存间及灭菌物品交接发放间。建议消毒供应中心卫生行业标准修订时,针对清洗消毒量较大的医疗机构首选自建消毒供应中心,确保医疗器械再处理的及时性和安全性。

Objective:To investigate the use of out-of-hospital disinfection supply services in medical institutions,grasp the key links of disinfection supply management,and provide scientific basis and reference for the implementation of the basic standards and management norms in Chinese Central Sterile Supply Department.Methods:In 2021,a questionnaire survey was conducted among 506 medical institutions in China that use out-of-hospital disinfection supply services by means of target sampling.Results:Totally 49.8%(252)of the medical institutions chose the disinfection supply service provided by nearby hospitals,and 50.2%(254)of the medical institutions chose the disinfection supply service to choose the disinfection supply center.The highest proportion of sterilized instruments sent out of hospital was"conventional surgical instruments",69.4%(351).The implementation rate of all requirements in the national health industry standard for out-of-hospital disinfection supply services in public medical institutions at all levels was 59.2%to 92.2%,and the difference was statistically significant among different levels of public medical institutions(P<0.05).Conclusion:The overall management level of outof-hospital disinfection supply service in medical institutions needs to be improved.Quality management and management of full-time disinfection supply personnel should be strengthened,and a temporary storage room for collecting contaminated devices and a room for handing over and distributing sterilized items should be set up reasonably.It is recommended that when revising the hygiene industry standards for disinfection supply centers,medical institutions with a large volume of cleaning and disinfection prioritize establishing self-built disinfection supply centers to ensure the timely and secure reprocessing of medical instruments.