摘要目的 调查全国各等级医院消毒供应中心(CSSD)手术器械清洗质量定期抽查执行情况,并分析其影响因素,为进一步改进清洗质量定期抽查工作提供依据.方法 2017年2—7月行横断面研究,便利抽取全国132所医院,利用调查表调查其CSSD人员配置、管理模式及清洗质量定期抽查等情况.结果 护理人员与病床数之比为1.15:100,工作人员与病床数之比为2.00:100.81.82%(108所)的医院采用集中管理模式,定期质量抽查执行情况的合格率为87.12%(115/132).多元logistic回归结果显示,集中管理模式相对于非集中管理模式对定期质量抽查的执行更有利(OR=4.71,95% CI:1.05~21.08).结论 集中管理模式对定期质量抽查的执行有积极影响,各医院CSSD需提高对清洗质量定期质量抽查的重视.

abstractsObjective To investigate the regular spot check implementation of central sterile supply department(CSSD) at hospitals of all grades across China and analyze its influencing factors to provide the basis for further improvement of regular cleaning quality inspection. Methods Cross-sectional study was conducted form February to July of 2017,and 132 hospitals all over the country were selected to investigate with the questionnaire the current status of CSSD management model, staffing and regular cleaning quality inspection. Results The ratio of the nursing staff and the number of beds was 1.15:100,the ratio of staff and the number of beds was 2. 00:100. 81. 82% (n =108) of the hospitals adopted the centralized management model. The qualification rate for regular spot check execution was 87.12% (n=115). The results of multiple logistic regression showed that the centralized management model was more conducive to the regular spot check than the non-centralized management model (OR=4.71,95% CI:1.05-21.08). Conclusions The centralized management model proves positive for the implementation of regular spot checks;and CSSDs should pay more attention to the regular spot check of the cleaning quality.