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目的探讨消毒供应中心(CSSD)强化改良质量控制在医院感染控制中的应用效果,以提高医院感染管理质量。方法 2013年本院CSSD采用传统质量控制,2014年本院CSSD在传统质量控制基础上采用强化改良质量控制,选取2013—2014年沁源县人民医院CSSD院内感染主要控制指标和具体合格情况及本院收治的500例(2013年、2014年各250例)患者院内感染情况,回顾性分析2013—2014年CSSD灭菌效果和感染控制成效。结果2014年CSSD手术器械清洗合格率、物品包装合格率、卫生学检查合格率高于2013年,差异有统计学意义(P<0.05)。2013、2014年抽检的灭菌效果比较,差异无统计学意义(P>0.05)。2014年院内感染率低于2013年,差异有统计学意义(P<0.05)。结论 CSSD强化改良质量控制在医院感染控制中的应用效果明显,可有效降低医院感染率,从而提高医院管理工作效率。
Objective To explore the effect of intensive disinfection supply center (CSSD) on improving the quality control in hospital infection control so as to improve the quality of hospital infection management. Methods In 2013, the CSSD of our hospital adopted the traditional quality control. In 2014, the CSSD of our hospital adopted the improved quality control based on the traditional quality control. The main control indexes and specific qualifications of CSSD in Qinyuan County People’s Hospital 2013-2014 Inpatients were hospitalized in 500 cases (2013, 2014, 250 cases) hospital infection, retrospective analysis of 2013-2014 CSSD sterilization effect and infection control effectiveness. Results In 2014, the passing rate of CSSD surgical instruments cleaning, the passing rate of articles packaging and hygiene examination were higher than that of 2013, the difference was statistically significant (P <0.05). There was no significant difference in the sterilization effect between 2013 and 2014 (P> 0.05). The nosocomial infection rate in 2014 was lower than that in 2013, with a significant difference (P <0.05). Conclusion The application of CSSD to improve quality control in hospital infection control has obvious effect, which can effectively reduce the hospital infection rate and improve the efficiency of hospital management.