Yang Lingyun, Xun Qin, Xu Jie, Hua Da
Disinfection Supply Center, Affiliated Wuxi No. 2 Hospital of Nanjing Medical University, Wuxi, China.
Operating Room, The Affiliated Wuxi Matemity and Child Health Care hospital of Nanjing Medical University, Wuxi, China.
Ann Transl Med. 2022 Feb;10(3):137. doi: 10.21037/atm-21-6610.
Professional, standardized, and scientific management of the disinfection supply room is the prerequisite to ensure medical quality and improve the comprehensive strength of the hospital. This study aimed to evaluate the application of the defect management improvement mode of the Joint Commission International (JCI) standard in improving the cleaning and disinfection effect as well as the management quality of instruments in the central sterile supply department (CSSD).
From January 2020 to December 2020, 32 medical staff in the hospital CSSD were divided into control and observation groups according to the random number table method, with 16 staff members in each group. The control group adopted the standardized management mode and the observation group adopted the defect management improvement mode based on the JCI standard. During the management period, we compared the disinfection effect and incidence of adverse events of the instruments and articles in the CSSD of the two groups, and evaluated the work and satisfaction of both groups of subjects. Linear correlation analysis and multiple linear regression analysis were used to determine the influencing factors of satisfaction.
During the standardized management, the instruments and articles were used 611 times in the control group and 602 times in the observation group. The cleaning qualified rate, infection awareness rate, standard implementation rate, hand hygiene implementation rate, theoretical knowledge score, and practical operation ability of the observation group were significantly higher than those of the control group (P<0.05). The incidence of adverse events in the observation group was significantly lower compared to the control group (P<0.05), and the satisfaction scores of the observation group were significantly higher than those of the control group (P<0.05). The total satisfaction score is independently related to the training method, educational background, and professional title.
Adopting the defect management improvement mode under the JCI standard for CSSD is conducive to improving the cleaning effect of instruments, enhancing the work situation and job satisfaction of medical staff, and reducing the incidence of adverse events.
Chinese Clinical Trial Registry ChiCTR2100053068.
消毒供应室的专业化、规范化、科学化管理是确保医疗质量、提升医院综合实力的前提。本研究旨在评估国际联合委员会（JCI）标准的缺陷管理改进模式在提高中心供应室（CSSD）器械清洗消毒效果及管理质量方面的应用。
2020年1月至2020年12月，将医院CSSD的32名医护人员按随机数字表法分为对照组和观察组，每组16名。对照组采用规范化管理模式，观察组采用基于JCI标准的缺陷管理改进模式。在管理期间，比较两组CSSD器械及物品的消毒效果和不良事件发生率，评估两组研究对象的工作情况及满意度。采用线性相关分析和多元线性回归分析确定满意度的影响因素。
规范化管理期间，对照组器械及物品使用611次，观察组使用602次。观察组的清洗合格率、感染知晓率、标准执行率、手卫生执行率、理论知识得分及实际操作能力均显著高于对照组（P<0.05）。观察组不良事件发生率显著低于对照组（P<0.05），观察组满意度得分显著高于对照组（P<0.05）。总体满意度得分与培训方式、学历、职称独立相关。
CSSD采用JCI标准下的缺陷管理改进模式有利于提高器械清洗效果，提升医护人员的工作状况和工作满意度，降低不良事件发生率。
中国临床试验注册中心ChiCTR2100053068
