蔡吟花, 王绍鑫, 叶华, 陈玥, 胡兴华. 上海市医疗机构外来医疗器械与植入物管理现况调查[J]. 上海预防医学, 2019, 31(7): 551-554, 563. DOI: 10.19428/j.cnki.sjpm.2019.19057
引用本文: 蔡吟花, 王绍鑫, 叶华, 陈玥, 胡兴华. 上海市医疗机构外来医疗器械与植入物管理现况调查[J]. 上海预防医学, 2019, 31(7): 551-554, 563. DOI: 10.19428/j.cnki.sjpm.2019.19057
CAI Yin-hua, WANG Shao-xin, YE Hua, CHEN Yue, HU Xing-hua. Current management situation of loaners and implants in Shanghai medical institutions[J]. Shanghai Journal of Preventive Medicine, 2019, 31(7): 551-554, 563. DOI: 10.19428/j.cnki.sjpm.2019.19057
Citation: CAI Yin-hua, WANG Shao-xin, YE Hua, CHEN Yue, HU Xing-hua. Current management situation of loaners and implants in Shanghai medical institutions[J]. Shanghai Journal of Preventive Medicine, 2019, 31(7): 551-554, 563. DOI: 10.19428/j.cnki.sjpm.2019.19057

上海市医疗机构外来医疗器械与植入物管理现况调查

Current management situation of loaners and implants in Shanghai medical institutions

  • 摘要:
    目的了解上海市医疗机构外来医疗器械与植入物的管理现况,为提高外来器械及植入物管理水平,建立医疗机构消毒隔离效果长效监管机制提供依据。
    方法选取上海市使用外来医疗器械与植入物的医疗机构58家,采用问卷调查、现场调查的方法对医疗机构外来医疗器械与植入物管理现况进行调查。
    结果58家医疗机构中,有5.17%存在外来医疗器械与植入物管理制度和岗位责任制不健全,12.07%的医疗机构没有与外来医疗器械与植入物供应商签订协议。有7.90%的医疗机构未对消毒供应中心(CSSD)人员开展培训,且培训形式和时间不统一,岗前、岗中或者两者兼有的分别占33.33%、9.26%、57.41%;1年培训1次、2次及以上和按需开展培训或仅开展上岗前培训的分别为42.59%、35.19%、11.11%。外来医疗器械与植入物交接方面,有8.62%的医疗机构没有落实专人负责交接,6.90%没有落实具体科室;有13.79%未按标准做到在术前日15时之前将器械送达CSSD。5.26%的医疗机构使用后未按规定进行清洗、消毒。
    结论上海市各级各类医疗机构对外来医疗器械与植入物的管理和清洗、消毒与灭菌未完全符合WS 310.1~3—2016《医院消毒供应中心》3个标准的有关规定,存在一定医疗安全隐患,需进一步加强管理,健全制度,规范操作,提升质量。

     

    Abstract:
    ObjectiveTo investigate the current management situation of loaners and implants in Shanghai medical institutions, providing basis to improve the management of loaners and implants, as well as long-term monitoring mechanism of their disinfection and isolation effect in medical institutions.
    MethodsThose medical institutions using loaners and implants in Shanghai were selected as investigation subjects, questionnaire being used on-the-spot.
    ResultsIn the investigation, 5.17% of the institutions had defective management and post responsibility system; 12.07% had not signed agreements with the suppliers; 7.90% had not trained the CSSD(central sterile supply department) personnel, with training form and time being not uniformed and coherent.With training, pre-employment, in-service or both accounted for 33.33%, 9.26%, 57.41% respectively.Once a year, twice or more, on-demand or only pre-job training accounted for 42.59%, 35.19%, 11.11% respectively.As to the handover field, 8.62% did not arrange full-time transfer personnel; 6.90% failed to implement specific departments; 13.79% had not delivered the devices to CSSD before 15: 00 on the day before operation.Cleaning and disinfection were not standardized, as 5.26% did not clean and disinfect after using according to the regulations.
    ConclusionThe management, cleaning and disinfection of the loaners and implants in Shanghai medical institutions did not fully meet the WS310-2016, some hidden dangers existent in this regard.It is necessary to strengthen the management, improve the system, standardize the operation and improve the quality.

     

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