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目的了解医院消毒供应中心(CSSD)对标准操作程序(SOP)的应用现状以及存在的问题,以便加强改进和提高。方法采用现场查看和问卷调查方式,对江苏省76家医院消毒供应中心(室)进行调查与分析。结果所调查的76家医院中,有6家无菌物品供应实行外包。拥有消毒供应中心(室)的70家医院均制定了不同操作内容的SOP,其中33家医院应用SOP并进行了培训,占47.14%。多数消毒供应中心的SOP均由护士长制定,科室工作人员对此知晓率比较低。结论江苏省辖区内医院消毒供应中心对SOP不够重视,执行率和知晓率均比较低,应加强CSSD工作质量管理和标准化操作。
Objective To understand the status quo and existing problems of standard operating procedure (SOP) in hospital disinfection supply center (CSSD) in order to enhance improvement and improvement. Methods By field survey and questionnaire survey, 76 hospitals in Jiangsu Province disinfection supply center (room) for investigation and analysis. Out of 76 hospitals surveyed, 6 sterile supplies were outsourced. All 70 hospitals with disinfection supply centers (rooms) developed SOPs with different protocols, of which 33 hospitals applied SOPs and trained 47.14% of them. Most disinfection supply center SOP by the head nurse to develop, department staff know this rate is relatively low. Conclusion The hospital disinfection supply center in Jiangsu Province does not pay enough attention to SOP, and the execution rate and awareness rate are relatively low. Therefore, CSSD work quality management and standardization should be strengthened.