Risk Factors of the Cleaning and Disinfection Effect of Medical Instruments in Central Sterile Supply Department
Objective:Explore the risk factors affecting the cleaning and disinfection effect of medical devices in central sterile supply department(CSSD),further standardize the management of CSSD,ensure the cleaning and disinfection quality of medical devices,and provide reference basis for the prevention and control of hospital infection.Methods:Retrieve CSSD cleaning and disinfection related documents from January 2010 to May 2022,summarize all factors affecting the cleaning and disinfection effect of medical devices in the documents,and prepare a questionnaire.Listen to the experts'opinions through in-depth interviews to modify the influencing factors in the questionnaire,and then use Delphi method to consult the experts to determine the final influencing factors of CSSD medical device cleaning and disinfection effect.Results:Retrieve CSSD cleaning and disinfection related documents from January 2010 to May 2022,summarize all factors affecting the cleaning and disinfection effect of medical devices in the documents,and prepare a questionnaire.Listen to the experts'opinions through in-depth interviews to modify the influencing factors in the questionnaire,and then use Delphi method to consult the experts to determine the final influencing factors of CSSD medical device cleaning and disinfection effect.The authority coefficient of the consulting expert is 0.88%.After two rounds of investigation,it is determined that there are 26 common influencing factors in daily work,including failure to remove obvious pollutants in time after use,failure to moisturize as needed after use,and failure to transport contaminated equipment to CSSD in time.The average score is>4.0,the standard deviation is>0.4,and the coefficient of variation is<0.25.Conclusion:The study utilized the Delphi method to ultimately identify six major aspects and 26 factors that affect the effectiveness of medical device cleaning and disinfection,indicating that the cleaning and disinfection process of medical devices is influenced by a variety of factors.Targeted intervention measures can ensure the cleaning and disinfection effect of medical devices and avoid adverse effects.
delphi methodcentral sterile supply departmentmedical devicescleaning and disinfection effectinfluence factor
万方数据
维普
