关键词: 重复使用医疗器械, 包装技术, 中心供应室, 医院, 感染控制, 专家共识

Abstract:

Objective To standardize the packaging techniques of reusable medical instruments in central sterile supply departments. Methods From October 2021 to August 2022，the Professional Committee of the Central Sterile Supply Department of Chinese Nursing Association addresses the key problems of reusable medical instruments packaging. On the basis of clinical practice，literature analysis and the operation experience of the national central sterile supply department experts，we made the initial version of Expert Consensus on Packing Techniques of Reusable Medical Instruments（hereinafter referred to as the Consensus）. Experts were invited to complete 2 rounds of Delphi expert consultations and 3 rounds of expert meetings. Each item was adjusted，revised and improved，and the final version of the Consensus was formulated. Results The positive coefficients of experts in 2 rounds of Delphi expert consultations were all 100%，and the degrees of expert authority were 0.957 and 0.973，respectively. The average importance value of each item was higher than 4.00；the variation coefficient of each item was less than 0.25. The Kendall’W were 0.181 and 0.338，respectively（all P<0.001）. Finally，an agreement was reached on the terms and definitions，basic principles，personnel requirements，environmental requirements，packaging equipment requirements，packaging materials and sterilization monitoring material requirements，packaging auxiliary tools requirements，pre-packaging evaluation，packaging operation and packaging quality confirmation of the reusable medical devices packaging techniques. Conclusion The Consensus covers all aspects of the reusable medical instruments packaging techniques，which is highly practical and scientific，and it also helps to guide the sterile supply professionals to standardize the implementation of packaging techniques，improve the quality of aseptic supplies，and ensure the quality of medical treatment and the life safety of patients.

Key words: Reusable Medical Instruments, Packaging Techniques, Central Supply, Hospital, Infection Control, Expert Consensus