Xiong Juan, Jiang Wei, Wan Wei, Zuo Li, Tu Ping, Rao Dong Xia
Department of Emergency, the Second Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, Jiangxi Province, China.
School of Nursing, Jiangxi Medical College, Nanchang University, Nanchang, Jiangxi Province, China.
Front Public Health. 2025 May 14;13:1553113. doi: 10.3389/fpubh.2025.1553113. eCollection 2025.
To evaluate the effectiveness of a cleaning quality control module integrated into a hospital's Disinfection Supply Center (DSC) for improving the cleaning quality of precision surgical instruments.
In June 2023, a cleaning quality control module was implemented in our hospital's DSC to optimize reprocessing procedures. This module recorded deviations through textual, photographic, and video records. A comparative cohort study was conducted on 3,000 instrument sets processed before (February to May 2023) and after (June to September 2023) the intervention. Additionally, 15 DCS technicians were assessed for theoretical understanding and practical proficiency. Statistical analyses compared cleaning success rates, clinical user satisfaction, and technicians' performance.
Cleaning qualification rates for instrument surfaces, accessories, and lumens increased from 97.5, 96.9, and 95.8% to 99.9, 99.2, and 98.2%, respectively. ATP bioluminescence results also improved, with rates rising from 97.1, 96.2, and 94.9% to 99.1, 98.7, and 97.9%. Clinical technicians' satisfaction rose from 91 to 99%. Technicians theoretical and operational scores improved from 89.20 ± 3.35 to 97.10 ± 1.55 and from 90.10 ± 4.33 to 97.50 ± 1.00, respectively. All differences were statistically significant ( < 0.05).
The cleaning quality control module significantly enhanced instrument cleaning quality, improved technicians training efficiency, enhanced departmental operational efficiency, extended instrument lifespan, and improved patient safety.
评估整合到医院消毒供应中心（DSC）的清洁质量控制模块对提高精密手术器械清洁质量的有效性。
2023年6月，我院消毒供应中心实施了清洁质量控制模块以优化再处理程序。该模块通过文字、照片和视频记录偏差。对干预前（2023年2月至5月）和干预后（2023年6月至9月）处理的3000套器械进行了比较队列研究。此外，对15名消毒供应中心技术人员的理论理解和实践能力进行了评估。统计分析比较了清洁成功率、临床用户满意度和技术人员的表现。
器械表面、附件和管腔的清洁合格率分别从97.5%、96.9%和95.8%提高到99.9%、99.2%和98.2%。ATP生物发光结果也有所改善，比率从97.1%、96.2%和94.9%提高到99.1%、98.7%和97.9%。临床技术人员的满意度从91%提高到99%。技术人员的理论和操作得分分别从89.20±3.35提高到97.10±1.55，从90.10±4.33提高到97.50±1.00。所有差异均具有统计学意义（<0.05）。
清洁质量控制模块显著提高了器械清洁质量，提高了技术人员培训效率，提高了科室运营效率，延长了器械使用寿命，提高了患者安全性。
