关键词: 中心供应室，医院, 复用医疗器械, 功能检测, 护理管理研究

Abstract:

Objective To investigate the current status of functional testing of reusable medical devices of hospital central sterile supply departments（CSSDs） in China’s 29 provinces（autonomous regions and municipalities），and to analyze the main problems in the practice of functional testing of reusable medical devices，in order to better guide its clinical practice. Methods Using the convenience sampling method，the investigation was conducted by the status quo questionnaire of device function testing. 291 hospitals in 29 provinces（autonomous regions and municipalities） were investigated through the support of Professional Committee of CSSDs from September 13 to 21，2022. The questionnaire included 4 aspects：testing methods of reuse medical device function，required materials or equipment of device function testing，classification of device function，and execution，process and staff training of device function testing. The related influencing factors of systematic device function test was analyzed. Results A total of 291 questionnaires were collected and 281 were valid，the recovery rate of which was 96.56%.The functional testing methods in some CSSDs were not comprehensive.27（9.61%） CSSDs provided all the materials or equipment for functional testing and 204（72.60%） CSSDs partially provided those. 176（73.33%） CSSDs tended to classify device functions as “intact，surface damage，in need of repair，and in need of replacement”. 41（14.59%） CSSDs graded device function. Only 144 CSSDs（51.25%） regularly conducted system function testing. The influencing factors were regionalization of CSSDs（P=0.044），establishment of a standard operation process（P=0.035），provision （P=0.021） or provision（P=0.003） of the materials or equipment required for functional testing of the device，and training（P=0.007）. Conclusion The application of functional detection of reuse medical devices in CSSD is still in the initial stage.The device function detection method of the CSSD staff needs to be further improved.The overall situation of equipment and materials required for device function testing are acceptable，but further specification is required.The device function classification and evaluation mechanism have been preliminarily established and needs to be further promoted. CSSD managers can further implement device functional testing for staff from establishing standard operation process，actively providing materials or equipment required for functional testing，and strengthening training.

Key words: Central Supply，Hospital, Reuse of Medical Devices, Functional Detection, Nursing Administration Research