华南预防医学 ›› 2023, Vol. 49 ›› Issue (9): 1141-1145.doi: 10.12183/j.scjpm.2023.1141

• 论著 • 上一篇    下一篇

太原地区二级及以上医疗机构消毒供应中心现状调查

李彦洁, 李雯, 郭姝   

  1. 山西白求恩医院,山西 太原 030032
  • 收稿日期:2023-06-17 出版日期:2023-09-20 发布日期:2023-11-07
  • 作者简介:李彦洁(1985—),女,大学本科,主管护师,主要从事护理管理工作
  • 基金资助:
    山西省卫健委科研项目(2023137)

Investigation on status of disinfection supply centers in secondary and above medical institutions in Taiyuan region

LI Yanjie, LI Wen, GUO Shu   

  1. Shanxi Bethune Hospital, Taiyuan 030032, China
  • Received:2023-06-17 Online:2023-09-20 Published:2023-11-07

摘要: 目的 了解太原地区二级及以上医疗机构消毒供应中心基本现况,为进一步完善消毒供应建设标准提供参考建议。方法 采用随机抽样调查法选取太原地区二级及以上医疗机构43所作为研究对象,采取问卷调查与现场调查相结合的方法完成对医疗机构消毒供应中心管理现状的调查,采用描述性分析方法对调查结果进行分析。结果 共调查43家二级及以上医疗机构,其中24所为二级医院,19所为三级医院;43所医疗机构中,建筑位置为独立消毒供应中心有16所,占37.21%,实行集中管理的医疗机构有34所,占79.07%;布局分区不明确的医疗机构有15所,占34.88%,洁污通道有交叉或逆流及周围环境有污染的医疗机构分别有9所和19所,占20.93%和44.19%;43所医疗机构共有817名工作人员,其中三级医院504名,二级医院313名,工作人员职位主要为护士,占73.81%,学历及职称主要为大专及以下和初级,分别占74.91%和66.34%,51.29%的工作人员工作年限低于5年;三级医院设施设备配备配置率较高,二级医院部分设施设备如超声清洗装置、低温灭菌器、绝缘检测仪等比例偏低;使用信息化质量追溯系统的医疗机构仅有16所,占37.21%。结论 太原地区二级及以上医疗机构消毒供应中心存在建筑布局不完善、软硬设备配备不足、工作人员专业程度不高、集中管理未落实及信息化质量追溯不到位的情况,应加强管理,提高消毒灭菌质量。

关键词: 医疗机构, 消毒, 供应中心, 建设标准

Abstract: Objective To understand the basic status of disinfection supply centers in secondary and above medical institutions in Taiyuan region, and to provide reference suggestions for further improving the construction standard of disinfection supply. Methods Using random sampling survey method, 43 secondary and above medical institutions in Taiyuan region were selected as the research subjects. A combination of questionnaire survey and on‐site survey was used to complete the survey on the current management status of disinfection supply centers in medical institutions. The descriptive analysis method was used to analyze the survey results. Results A total of 43 secondary and above medical institutions were surveyed, of which 24 were secondary hospitals and 19 were tertiary hospitals. Among the 43 medical institutions, 16 (37.21%) were located as independent disinfection supply centers. There were 34 medical institutions under centralized management, accounting for 79.07%; There were 15 medical institutions with unclear layout, accounting for 34.88%. There were 9 and 19 medical institutions with cross or countercurrent cleaning channels and polluted surrounding environment, accounting for 20.93% and 44.19%, respectively. There were 817 staff in 43 medical institutions, including 504 in tertiary hospitals and 313 in secondary hospitals. The staff positions were mainly nurses, accounting for 73.81%. The education and professional titles were mainly junior college and below and primary, accounting for 74.91% and 66.34%, respectively. And then, 51.29% of the staff had worked for less than 5 years. The configuration rate of facilities and equipment in tertiary hospitals was high, and the proportion of some facilities and equipment in secondary hospitals, such as ultrasonic cleaning device, low temperature sterilizer, and insulation detector, was low. There were only 16 medical institutions using the information quality traceability system, accounting for 37.21%. Conclusions There are some problems in the disinfection supply centers of secondary and above medical institutions in Taiyuan region, such as unreasonable building layout, insufficient hardware and software equipment, low professional level of staff, unimplemented centralized management, and inadequate traceability of information quality. Management should be strengthened to improve the quality of disinfection and sterilization.

Key words: Medical institution, Disinfect, Supply center, Construction standard

中图分类号: 

  • R197.3