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| 題 名 | 臺灣中央供應中心運作現況調查:一項橫斷式研究=Current Practices and Operational Status of Central Sterile Supply Departments in Taiwan: A Cross-Sectional Survey |
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| 作 者 | 王淑美; 姜秀子; 李聰明; 李秋香; | 書刊名 | 醫療物料供應及滅菌管理雜誌 |
| 卷 期 | 2 2025.07[民114.07] |
| 頁 次 | 頁30-40 |
| 分類號 | 419.24 |
| 關鍵詞 | 中央供應中心; 感染管制; 滅菌監測; 醫療相關感染; 人力資源; Central sterile supply department; Infection control; Sterilization monitoring; Healthcare-associated infections; Human resources; |
| 語 文 | 中文(Chinese) |
| 中文摘要 | 背景:中央供應中心(Central Sterile Supply Department, CSSD)於醫療機構中扮演感染控制的核心角色,負責醫療器械的清潔與滅菌作業,有效預防醫療照護相關感染(Healthcare-associated infections, HAIs)。然而,目前台灣缺乏全國性關CSSD人力配置、設備設施及作業流程的完整資料。目的:本研究旨在調查台灣設有手術室之醫療機構CSSD的運作現況,藉此作為未來政策與實務改善之參考依據。方法:本研究採橫斷式問卷設計,於2021年透過正式公文發函至全國設有手術室的醫療機構,共計回收67份有效問卷。問卷內容涵蓋機構屬性、人力結構、設備設施、清潔與滅菌流程,以及監測機制,並以描述性統計進行分析。結果:多數醫療機構的手術器械清洗(71.6%)與滅菌(71.2%)由CSSD負責。雖然高壓蒸氣滅菌鍋普遍設置,但自動清洗機(70.1%)與超音波清洗機(52.2%)配置比例不一。大多數機構有執行化學與生物指示劑監測,惟僅17.9%的單位會在確認生物指示劑結果為陰性後,才釋放所有器械。CSSD平均人力為11.91人,其中護理人員比例偏低。結論:本研究為首度針對台灣CSSD進行之全國性調查。整體而言,多數機構已朝向作業集中與標準化方向發展,然而在人力配置、設備自動化程度及品質保證機制方面仍具優化空間。建議建立人力配置基準、強化專業訓練與認證制度,以提升CSSD整體效能與院內感染控制品質。 |
| 英文摘要 | Background: Central Sterile Supply Departments (CSSDs) play a critical role in infection prevention within healthcare facilities, being responsible for the cleaning, disinfection, sterilization, storage, and distribution of medical instruments. Inadequate reprocessing practices may increase the risk of healthcare-associated infections (HAIs). However, there is a lack of comprehensive national data regarding CSSD staffing, equipment, and operational workflows in Taiwan. Purpose: This study aimed to investigate the current practices and operational status of CSSDs in Taiwanese hospitals with operating rooms. The findings are intended to serve as a reference for policy planning, workforce development, and quality improvement efforts in infection control. Methods: A cross-sectional survey was conducted in 2021 via official correspondence, targeting hospitals across Taiwan that operate surgical services. A total of 67 valid responses were collected through an online structured questionnaire. The questionnaire covered institutional characteristics, workforce composition, facility infrastructure, reprocessing workflows, staffing schedules, and quality monitoring mechanisms. Descriptive statistics were used for data analysis. Results: Most facilities reported that CSSDs were responsible for cleaning (71.6%) and sterilization (71.2%) of surgical instruments. While all institutions operated autoclaves, only 70.1% had washer-disinfectors, and 52.2% had ultrasonic cleaners. Although chemical and biological indicator monitoring was commonly implemented, only 17.9% of institutions released instruments strictly after confirming a negative biological indicator result. The average CSSD staffing was 11.91 personnel, with a low proportion of registered nurses. Conclusions: This study represents the first national survey of CSSD operations in Taiwan. Although CSSD processes appear to be centralized and standardized across many facilities, there remain significant gaps in workforce allocation, automation of equipment, and implementation of quality assurance protocols. The results highlight the need for national standards on personnel ratios, enhancement of professional training and certification systems, and strengthening of sterilization monitoring practices to improve infection control outcomes. |
本系統中英文摘要資訊取自各篇刊載內容。