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

摘要：

目的 调查18个省（区、市）医院消毒供应中心（central sterile supply department，CSSD）应对新发突发传染病事件期间应急处置管理现状，为建立完善的应急处置管理体系提供参考依据。方法 采用方便抽样，于2023年6月—12月，采用自行编制的问卷对447所医院的CSSD负责人进行调查。问卷内容包括一般资料、应急处置管理情况（环境管理、人员管理、物资管理、流程管理）、应急处置管理满意度等3个方面，并对影响CSSD应对新发突发传染病应急处置管理满意度的相关因素进行分析。结果 共回收问卷447份，有效问卷442份，有效问卷回收率为98.88%。在环境管理方面，88所（19.91%）医院CSSD去污区设立感染器械处置预消毒间。在物资管理方面，42所（9.50%）医院CSSD每日核查应急物资。在人员管理方面，236所（53.39%）医院CSSD对工作人员进行应急处置知识考核。在流程管理方面，225所（50.90%）医院CSSD实施信息追溯系统全流程闭环管理。多元线性回归分析结果表明，规范预处理、规范应急物资管理、考核应急处置知识、建立标准作业流程、信息追溯系统全流程闭环管理是CSSD应急处置管理满意度的影响因素（P<0.05）。结论 CSSD应对新发突发传染病应急处理管理现状有待改进，应加强去污区环境管理，提高工作人员的应急处置能力，保障应急物资的储备，加强信息化全流程管理，降低医院感染风险。

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