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目的对基层卫生院消毒供应现状进行调查,找出存在的问题,提出改进对策,提高基层医疗服务水平。方法 2012年12月随机抽取本地区21家基层卫生院按照消毒供应室管理规范进行调查,调查内容包括组织、布局与环境、器械处理流程、人员、无菌包管理及消毒灭菌监测等,对存在的问题进行分析,并提出改进对策。结果通过组织管理、布局环境、设施、器械处理流程、人员管理四方面的调查结果显示,各方面达标率均不足30%;特别是人员培训与防护措施方面无1家基层卫生院达标,其结果具有代表性(P<0.05)。结论基层卫生院的消毒供应现状较差,加强消毒供应室的管理刻不容缓。应通过增加投入、领导重视、加强人员培训、强化监督等多项措施,提高基层卫生院消毒供应室的管理水平,以确保患者医疗安全。
Objective To investigate the status quo of disinfection and supply of grass-roots hospitals, find out the existing problems, propose improvement measures and improve the level of grass-roots medical services. Methods In December 2012, 21 grassroots hospitals in this area were randomly selected for investigation according to the regulations of disinfection and supply room management. The investigation included organization, layout and environment, equipment treatment process, personnel management, aseptic package management and disinfection and sterilization monitoring. The existing problems are analyzed and the improvement measures are put forward. Results The survey results of the four aspects of organization management, layout environment, facilities, equipment processing flow and personnel management showed that all the compliance rates were less than 30% in all aspects. In particular, none of the grassroots public hospitals met the standards of personnel training and protective measures. The results Representative (P <0.05). Conclusion The status quo of disinfection and supply of primary hospitals is poor, so it is imperative to strengthen the management of disinfection supply room. A number of measures should be taken such as increasing investment, attaching importance to leadership, strengthening personnel training, and strengthening supervision so as to improve the management level of disinfection and supply rooms in primary hospitals so as to ensure the medical safety of patients.