关键词: 中心供应室, 医院, 新发突发传染病, 应急处置, 护理管理研究, 感染控制

Abstract:

Objective To investigate the current situation of emergency response management during new outbreaks of infectious diseases in central sterile supply department（CSSD） of hospitals in 18 provinces（autonomous regions and municipalities），and to provide a reference basis for the establishment of a sound emergency response management system. Methods A convenience sampling method was used to investigate and study the CSSDs in 447 hospitals from June to December 2023 using a self-developed questionnaire. The questionnaire included 3 aspects，including general information，emergency disposal management situation（including environment management，personnel management，material management，and process management），and satisfaction with emergency disposal management，and the relevant factors affecting the satisfaction with the emergency disposal management of CSSDs responding to new outbreaks of infectious disease devices were analyzed. Results A total of 447 questionnaires were recovered，with 442 valid questionnaires and a valid questionnaire recovery rate of 98.88%. In terms of environmental management，CSSDs in 88（19.91%） hospitals set up independent instrument pre-sterilization rooms for infected device disposal. In terms of material management，CSSDs in 42（9.50%） hospitals conducted daily emergency material management. In terms of personnel management，CSSDs in 236（53.39%） hospitals conducted emergency response knowledge assessments. In terms of process management，CSSDs in 225（50.90%） hospitals conducted information traceability system full-process closed-loop management. The results of multiple linear regression analysis showed that whether or not to carry out pre-treatment，emergency supplies stockpiling and management，emergency disposal knowledge assessment，establishment of standard operating procedures，and full-process closed-loop management of the traceability system were the influencing factors affecting the satisfaction of CSSD’s emergency disposal management（P<0.05）. Conclusion The current situation of CSSD’s emergency disposal management of new outbreaks of infectious diseases needs to be improved，and the environmental management of the decontamination area should be strengthened to improve the staff’s ability of emergency disposal，guarantee the reserve of emergency supplies，and strengthen the informatization of the whole process management，to reduce the risk of hospital infections and safeguard the quality of medical care.

Key words: Central Supply, Hospital, New Outbreaks of Infectious Diseases, Emergency Response, Nursing Administration Research, Infection Control