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江苏省216所医院对外消毒供应区域服务现况调查分析及对策
作者:
作者单位:

1.南京医科大学第一附属医院;2.江苏省护理学会;3.常州市第一人民医院

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基金项目:

江苏省医院协会医院管理创新研究课题重点项目(编号:JSYGY-2-2019-503)


Investigation and Analysis on Regional Service of External Disinfection Supply in 216 Hospitals in Jiangsu Province
Author:
Affiliation:

1.The First Affiliated Hospital with Nanjing Medical University;2.Jiangsu Nursing Association;3.The First People’s Hospital of Changzhou

Fund Project:

Key Project of Jiangsu Hospital Association Hospital Management Innovation Research Project (No. JSYGY-2-2019-503)

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    摘要:

    目的:探讨江苏省医院区域化消毒供应服务对策,提高区域化消毒供应服务能力,推动区域化消毒供应服务规范运行。方法:对江苏省216所医院区域化消毒供应服务情况进行问卷调查,调查内容包括医院等级、床位数、日手术量,消毒供应中心建筑面积、设备配置、人员配备、处理器械成本,已开展区域服务情况以及区域服务中存在问题。结果:调研的216家医院中有三级医院130所,二级医院72所,一级及其他乡镇卫生所14所;床位数200床以下医院22所(10.19%),201~500床47所(21.76%),501~1000床75所(34.72%),大于1000床72所(33.33%);日手术量20台以下60所(20.78%),21~50台93所(43.06%),51~80台20所(9.26%),80台以上43所(19.91%);88.43%的医院床位数与消毒供应中心建筑面积达到了江苏省医院消毒供应中心验收标准要求的1:0.8m2;202所(93.52%)医院配备了1台以上自动清洗设备,14所(6.48%)医院未配备自动清洗设备;102所(47.22%)已开展区域化服务的医院,其中80所(78.43%)医院处理器械每件收费在4元以下,14所(13.73%)在4.1~5元,8所(7.84%)在5元以上;对外区域服务中存在问题前五项:人员配备不足80.07%(173/216),设备配备不足68.06%(147/216),建筑面积配备不足57.87%(125/216,运送车辆和工具清洁消毒处理不到位46.30%(100/216),已消毒灭菌器械有污染可能占40.28%(87/216)。结论:医院消毒供应中心建筑面积、人员配置、设备配备在保障医院内部消毒灭菌服务时,绝大部分医院达到了江苏省医院消毒供应中心验收标准要求,但如医院开展对外区域服务时,其建筑面积、人员、设备配置及运送车辆清洁消毒管理等方面均需加强;医院开展对外区域服务的器械处理收费价格相对偏低。

    Abstract:

    Objective To explore the countermeasures of regional disinfection supply service in Jiangsu hospitals, improve the regional disinfection supply service capacity, and promote the standardized operation of regional disinfection supply service. Methods A questionnaire survey was conducted on the regional disinfection supply service of 216 hospitals in Jiangsu Province. The survey included hospital grade, number of beds, daily operation volume, building area of disinfection supply center, equipment configuration, staffing, processing equipment cost, regional service situation and problems in regional service. Results There were 130 tertiary hospitals in 216 hospitals, 72 level II hospitals, Level I and other township health facilities 14; Number of beds :22 hospitals under 200 beds (10.19%), 201~500 beds 47(21.76 %), 501~1000 beds 75(34.72%), More than 1000 beds 72(33.33%); 60 cases (20.78%) per day, 21~50,93(43.06 %), 51~80,20(9.26 %), More than 80(19.91 %); 88.43% of the hospital beds and the building area of the disinfection supply center reached 1:0.8 m2; of the acceptance standard of the disinfection supply center of Jiangsu hospital 202(93.52%) hospitals equipped with more than one automatic cleaning equipment, 14(6.48%) hospitals were not equipped with automatic cleaning equipment; 102(47.22 %) hospitals with regionalized services, Of these ,80(78.43%) hospitals charge less than $4 per unit for handling equipment, 14(13.73%) at $4.1~5, 8(7.84%) were above 5 yuan; Top five problems in external regional services: understaffing of 80.07% (173/216), Equipment under 68.06 % (147/216), Construction area less than 57.87 %(125/216), Cleaning and disinfection of transport vehicles and tools is not in place 46.30%(100/216), Contamination of sterilized instruments may account for 40.28%(87/216). Conclusion When hospital disinfection and supply center building area, staffing and equipment are equipped to ensure the hospital internal disinfection and sterilization service, most hospitals meet the acceptance standard of Jiangsu hospital disinfection supply center.

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宋瑾,张卫红,吴金凤,倪静玉.江苏省216所医院对外消毒供应区域服务现况调查分析及对策[OL]. NursRxiv,2021,
DOI:10.12209/issn2708-3845.20210203001

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  • 收稿日期:2021-02-03
  • 最后修改日期:2021-02-03
  • 录用日期:2021-02-03
  • 在线发布日期: 2021-02-03
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