Investigation on cleaning,disinfection and management of loaned medical devices and implants after use in 209 hospitals in China and their influencing factors
Objective To investigate the cleaning,disinfection and management of loaned medical instruments and implants in hospitals of nationwide,so as to provide a basis for standardized management.Methods A self-designed questionnaire was used to investigate the cleaning,disinfection and management of loaned medical instruments and implants after use in 209 hospitals in China from March to June 2022,and the influencing factors were analyzed.Results A total of 215 questionnaires were distributed,and the effective response rate was 97.21%.Among the 209 hospitals,79.4%of hospitals cleaned and disinfected all the instruments and implants after using,and 40.7%of hospitals cleaned and disinfected instruments by central sterile supply department.58.9%of hospitals set up special posts in the process,and full traceability was realized in 63.2%hospitals.Compared to the cleaning,disinfection and management of loaned medical devices and implants before use,various levels of hospitals did not perform enough after their use.Conclusion The cleaning,disinfection and management of loaned medical instruments and implants after use in hospitals at all levels are not standardized,and there are issues such as incomplete systems and regulations,non-standard instruments treatment,incomplete information,and unreasonable personnel arrangements.All departments of the hospital should actively take targeted measures for improvement.
loaned medical devicesimplantscleaning and disinfectioncentral sterile supply department