Application of a sub-specialties management model improves quality control in a central sterile supply department

Li Wang,Ping Cheng,Xuejiao Cai

doi:10.1186/s12913-018-3214-7

Abstract

BackgroundThe management of medical devices is crucial to safe, high-quality surgical care, but has received little attention in the medical literature. This study explored the effect of a sub-specialties management model in the Central Sterile Supply Department (CSSD).MethodsA traditional routine management model (control) was applied from September 2015 through April 2016, and a newly developed sub-specialties management model (observation) was applied from July 2016 through February 2017. Health personnel from various clinical departments were randomly selected to participate as the control (n = 86) and observation (n = 90) groups, respectively. The groups were compared for rates of personnel satisfaction, complaints regarding device errors, and damage of medical devices.ResultsThe satisfaction score of the observation group (95.8 ± 1.2) was significantly higher than that of the control (90.2 ± 2.3; P = 0.000). The rate of complaints of the observation group (3.3%) was significantly lower than that of the control (11.6%; P = 0.035). The quality control regarding recycle and packing was significantly higher during the observation period than the control period, which favorably influenced the scores for satisfaction. The rate of damage to specialist medical devices during the observation period (0.40%) was lower than during the control period (0.61%; P = 0.003). The theoretical knowledge and practical skills of the CSSD professionals improved after application of the sub-specialties management model.ConclusionsA management model that considers the requirements of specialist medical devices can improve quality control in the CSSD.

Highlights

The management of medical devices is crucial to safe, high-quality surgical care, but has received little attention in the medical literature
The present study investigated the effect of a sub-specialties management model on quality control and health professional’s satisfaction within the Central Sterile Supply Department (CSSD)
The current study explored the application of a sub-specialties management model that can ensure good sterilization practices in the CSSD

Summary

Introduction

The management of medical devices is crucial to safe, high-quality surgical care, but has received little attention in the medical literature. This study explored the effect of a sub-specialties management model in the Central Sterile Supply Department (CSSD). The central sterile supply department (CSSD) of a health care facility provides sterilized materials to wards, operating rooms, transplant units, and outpatient departments. The reliability of sterile supplies from the CSSD. Wang et al BMC Health Services Research (2018) 18:385 clinical departments such as anesthesia [5, 6], pathology [7], and burns [8]. There has been no concomitant specialization within the CSSD for providing services to these clinics. Establishing a management model for the CSSD that considers the needs of the sub-specialty clinics would be helpful to adapt services to meet these challenges more appropriately [10]. To our best knowledge, no previous study has evaluated the role of a sub-specialties management model as it influences quality control in the CSSD

Methods

Results

Conclusion