Analysis of the current situation and influencing factors of regular spot check for CSSD cleaning quality

Abstract

Objective To investigate the regular spot check implementation of central sterile supply department (CSSD) at hospitals of all grades across China and analyze its influencing factors to provide the basis for further improvement of regular cleaning quality inspection. Methods Cross-sectional study was conducted form February to July of 2017, and 132 hospitals all over the country were selected to investigate with the questionnaire the current status of CSSD management model, staffing and regular cleaning quality inspection. Results The ratio of the nursing staff and the number of beds was 1.15: 100, the ratio of staff and the number of beds was 2.00: 100. 81.82% (n=108) of the hospitals adopted the centralized management model. The qualification rate for regular spot check execution was 87.12% (n=115). The results of multiple logistic regression showed that the centralized management model was more conducive to the regular spot check than the non-centralized management model (OR=4.71, 95%CI: 1.05-21.08). Conclusions The centralized management model proves positive for the implementation of regular spot checks; and CSSDs should pay more attention to the regular spot check of the cleaning quality. Key words: Surgical instruments; Cleaning quality monitoring; Regular spot check; Centralized management model