Wang Li, Cai Xuejiao, Cheng Ping
Central Sterile Supply Department, First Affiliated Hospital of Soochow University, Suzhou City, 215008, Jiangsu Province, China.
BMC Health Serv Res. 2018 May 30;18(1):385. doi: 10.1186/s12913-018-3214-7.
The management of medical devices is crucial to safe, high-quality surgical care, but has received little attention in the medical literature. This study explored the effect of a sub-specialties management model in the Central Sterile Supply Department (CSSD).
A traditional routine management model (control) was applied from September 2015 through April 2016, and a newly developed sub-specialties management model (observation) was applied from July 2016 through February 2017. Health personnel from various clinical departments were randomly selected to participate as the control (n = 86) and observation (n = 90) groups, respectively. The groups were compared for rates of personnel satisfaction, complaints regarding device errors, and damage of medical devices.
The satisfaction score of the observation group (95.8 ± 1.2) was significantly higher than that of the control (90.2 ± 2.3; P = 0.000). The rate of complaints of the observation group (3.3%) was significantly lower than that of the control (11.6%; P = 0.035). The quality control regarding recycle and packing was significantly higher during the observation period than the control period, which favorably influenced the scores for satisfaction. The rate of damage to specialist medical devices during the observation period (0.40%) was lower than during the control period (0.61%; P = 0.003). The theoretical knowledge and practical skills of the CSSD professionals improved after application of the sub-specialties management model.
A management model that considers the requirements of specialist medical devices can improve quality control in the CSSD.
医疗器械的管理对于安全、高质量的外科护理至关重要，但在医学文献中很少受到关注。本研究探讨了中央消毒供应室（CSSD）亚专业管理模式的效果。
2015年9月至2016年4月采用传统常规管理模式（对照组），2016年7月至2017年2月采用新开发的亚专业管理模式（观察组）。分别从各临床科室随机抽取卫生人员作为对照组（n = 86）和观察组（n = 90）。比较两组人员满意度、器械差错投诉率和医疗器械损坏情况。
观察组满意度得分（95.8 ± 1.2）显著高于对照组（90.2 ± 2.3；P = 0.000）。观察组投诉率（3.3%）显著低于对照组（11.6%；P = 0.035）。观察期内回收和包装的质量控制显著高于对照期，这对满意度得分产生了有利影响。观察期内专科医疗器械损坏率（0.40%）低于对照期（0.61%；P = 0.003）。应用亚专业管理模式后，CSSD专业人员的理论知识和实践技能有所提高。
考虑专科医疗器械需求的管理模式可改善CSSD的质量控制。
