消毒供应中心去污区感染控制风险点及对策的探讨

Infection-control risks and countermeasures of the decontamination area of the central sterile supply department

  • 摘要: 目的 探讨消毒供应中心(CSSD)去污区存在的感染控制风险点,并提出有效的防范措施和对策。方法 2013-2015年通过消毒供应中心内部自查、院感科与护理部督导检查,找出去污区感染控制存在的风险点,并针对风险点提出相应的整改措施,主要措施有加强制度管理,完善有缺陷环节的流程,明确工作质量要求,并在全科进行相关知识的培训,加强环境卫生学监测等内容。结果 通过专项整改,消毒供应中心去污区存在的风险点得到有效控制,2013-2015年,护士长日查不合格率从24.4%降低至3.0%,岗位组长质控日查不合格率从26.8%降低至4.5%。结论 去污区感染控制在消毒供应中心工作链中处于非常重要的位置,涉及到每个操作的各个环节,必须加强检查与管理,提早发现缺陷并有效控制才能防范医院感染的发生。

     

    Abstract: OBJECTIVE To explore the infection-control risks of the decontamination area of central sterile supply department (CSSD), and puts forward effective prevention measures and countermeasures. METHODS Through the internal self-checking of CSSD, and supervision and inspection of courtyard department and nursing department from 2013 to 2015, the infection-control risks of the decontamination area were found out, and relevant rectification measures were put forward. The main measures were to strengthen management, improve defective processes, define requirements for quality of work, conduct related knowledge training in each department, and strengthen environmental hygiene monitoring, etc. RESULTS Through to the special rectification, those risks had been effectively controlled. From 2013 to 2015, the failure rate reduced from 24.4% to 3.0% for the head nurse's daily check, while the failure rate reduced from 26.8% to 4.5% according to the on-the-job group leader's daily quality-control check. CONCLUSION The infection-control work of decontamination area plays an important role in the CSSD's working chain, because it involves each link of every operation. We must strengthen the examination and management, find out defects in advance and effectively control it, so as to prevent the occurrence of hospital infection.

     

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