Universidade Federal do Rio Grande do Sul, Porto Alegre-RS, Brasil.
Santa Casa de Misericórdia de Porto Alegre - RS, Brasil.
Am J Infect Control. 2019 Nov;47(11):1352-1357. doi: 10.1016/j.ajic.2019.05.010. Epub 2019 Jul 16.
Traditional resources, such as bundles, can help experts define essential steps of health product processing to prevent infections. The present study developed bundle content construction and validation criteria for central sterile supply departments (CSSDs).
The present study employed a Delphi technique modified for content evaluation. Eleven professionals with at least 4 years of experience in sterilization were enlisted. Participants discussed main stages of the process virtually and compiled a list of items based on scientific references justified by law and/or logical reasoning. Agreement, disagreement, and/or suggestions on each step resulted in bundles for a CSSD. Items were then reassessed by experts using a Likert scale with a 90% approval criterion.
Six bundles were developed: cleaning, inspection, preparation and packaging, sterilization, and storage resulting from 384 responses and 373 agreements (Interassessor coefficient = 97%).
Items obtained from the criteria assessment received majority agreement from the first document.
Agreement among varying professionals was achieved, and bundles were successfully developed to evaluate the processing of goods in CSSDs.
传统资源,如标准操作规程(SOP)包,可以帮助专家定义卫生产品处理的基本步骤,以预防感染。本研究为中心供应室(CSSD)制定了 SOP 内容构建和验证标准。
本研究采用了一种经过修改的德尔菲技术进行内容评估。共招募了 11 名具有至少 4 年消毒经验的专业人员。参与者在线讨论了该过程的主要阶段,并根据法律和/或逻辑推理的科学依据编制了一份项目清单。对每个步骤的意见、分歧和/或建议导致了 CSSD 的 SOP 包。然后,专家使用 90%的同意标准进行李克特量表评估。
从 384 次回复和 373 次同意(评估者间系数=97%)中得出了 6 个 SOP 包:清洁、检查、准备和包装、消毒和储存。
从标准评估中获得的项目得到了第一份文件的多数同意。
不同专业人员之间达成了一致意见,并成功制定了 SOP 包,以评估 CSSD 中的物品处理。