Latest Issue
      Vol. 2 ， Issue 3 ， 2023

        GUIDE INTERPRETATION

      • Jian GU,Yeqi CHENG,Qingchun YUAN
        Vol. 2, Issue 3, (2023) DOI: 10.11910/j.issn.2791-2043.2023.3.01
        Abstract：The Hygienic Requirements for Ultraviolet Appliance of Disinfection (GB 28235-2020) was issued by State Administration for Market Regulation and Standardization Administration of China and was implemented on November 1, 2020. This standard specifies the material requirements, technical requirements, range of application, application method, inspection method, label and package, transport and storage, nameplate, and operation instructions of ultraviolet appliance of disinfection. This paper gives an interpretation of the contents of Hygienic Requirements for Ultraviolet Appliance of Disinfection (GB 28235-2020).  
        Keywords：Ultraviolet;Appliance of disinfection;Hygienic requirements;Standard interpretation   
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        Published：2023-11-21
      • Ying QIAN,Yueyuan ZHOU,Kailiang LI,Yueqi YANG
        Vol. 2, Issue 3, (2023) DOI: 10.11910/j.issn.2791-2043.2023.3.02
        Abstract：Continuous renal replacement therapy (CRRT) has been widely applied with the introduction of related quality control specifications and requirements. However, a perfect and thorough interpretation of the specifications and the research on the operational methods of the quality control program are still in process, which restricts the application and promotion of the CRRT quality control technology and hinders the implementation of the optimization scheme for clinical safety management. This paper analyzes and interprets the Specifications for safety management and quality control of continuous renal replacement therapy equipment in clinical practice (DB 32/T 4226-2022) applicable in Jiangsu Province. This paper facilitates relevant practitioners to learn and master CRRT quality control methods. An optimized QC scheme can help to efficiently manage the clinical application of CRRT and enhance the safety and standardization of the treatment.  
        Keywords：Continuous renal replacement therapy;Quality control;Clinical management;Blood purification;Specification   
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        Published：2023-11-21
      • Bo LIU,Yongxiang ZHANG,Weihong ZHANG
        Vol. 2, Issue 3, (2023) DOI: 10.11910/j.issn.2791-2043.2023.3.03
        Abstract：Norms related to nosocomial infection management lay an important theoretical and practical foundation for staff specialists to carry out routine infection management in a scientific, standardized, and regulated manner. However, the staff specialists still have had some difficulties in acquiring complex norms of nosocomial infection management. Therefore, to improve the efficiency of mastering the norms related to nosocomial infection management, the authors of this paper, together with nosocomial infection experts, combed through and optimized the current infection management norms. The authors compiled the Core Content Review of the Regulation on Nosocomial Infection Management. The book maintains authority, integrity, simplicity and practicality. This paper would provide an introduction to the Core Content Review of the Regulation on Nosocomial Infection Management on layout, main content, suggestions, and highlight to help readers understand the structure and content. The target audience of this book includes infection management staff specialists in various healthcare facilities, relevant practitioners in priority sectors of infection management, as well as professionals and technicians engaged in infection management-related work in the centers for disease control and prevention and the health inspection departments.  
        Keywords：Nosocomial infection management;Norms;Core content review;Staff specialist   
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        Published：2023-11-21
      • Han WU,Zhiyong XU,Yihua ZHAO,Xiaokun GAO,Weizheng LI,Wenjun GE,Wei DING
        Vol. 2, Issue 3, (2023) DOI: 10.11910/j.issn.2791-2043.2023.3.04
        Abstract：The usage of medical consumables has been growing at an astonishing rate every year as modern medical science and technology advance by leaps and bounds. Thus patients, authorities at all levels, and the government have paid high attention to the quality, application security, rationality, appropriateness, and efficiency of medical consumables. To improve healthcare quality and ensure medical safety, hospital administrators in China have revised the Medical Consumables Standardized Management Operation Manual for Medical Institutions (Trial) and renamed it the Medical Consumables Management Manual of Medical Institutions. In this document, relevant laws and regulations, policies, documents, basic information, and management experience of some medical institutions on standardized management of medical consumables are summarized so that relevant professionals can find solutions and countermeasures to problems encountered in the management of medical consumables timely and accurately within a limited period.  
        Keywords：Medical Consumables;Medical institutions;Management;Manual   
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        Published：2023-11-21

        REVIEW ARTICLES

      • Qihua FAN,Zhiru ZHANG,Xueqiong PAN,Ji DAI
        Vol. 2, Issue 3, (2023) DOI: 10.11910/j.issn.2791-2043.2023.3.05
        Abstract：ObjectivesThis paper investigates the impact of implementing a tripartite handover system on the sterilization quality defects of dressings packs in a medical sterile supply center.MethodsThe control group consisted of 235,269 dressing packs routinely sterilized from January to December 2020, while the observation group adopted 245,284 dressing packs routinely sterilized from January to December 2021. All dressing packs were collected from the Synergy Health Suzhou Medical Sterile Supply Center. The paper compared the quality defect control of dressing pack sterilization before and after the implementation of a tripartite handover system, as well as the customer satisfaction evaluation on improving sterilization supply service in twenty hospitals before and after the improvement of sterilization service.ResultsThe control and observation groups had total defect rates of 0.47‰ and 0.21‰, respectively, and the four quality defect rates of cleaning, packing, sterilization, and transfer, as well as the nine specific quality defect rates, were all improved (P<0.05). Customer satisfaction increased to 93.8 points, and the total satisfaction rate was 8.44%, among which four evaluation dimensions were improved (P<0.05).ConclusionThe implementation of the tripartite handover system can effectively improve the sterilization quality of dressing packs in the Medical Sterile Supply Center and improve customer satisfaction, which is worth popularizing and applying.  
        Keywords：Tripartite handover;Medical sterilization supply center;Sterilization quality;Defect control;Satisfaction   
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        Published：2023-11-21

        MONOGRAPHIC STUDY

      • Huan TAN,Qiyun HUANG,Jianping DAI,Ying ZHU,Lingyun ZHANG,Wenfang ZHOU
        Vol. 2, Issue 3, (2023) DOI: 10.11910/j.issn.2791-2043.2023.3.06
        Abstract：ObjectiveThis study used multimedia technology to add component diagrams and video functions to the endoscopic instrument traceability system to explore its application effect in endoscopic instrument management.MethodsThe 134,081 laparoscopic instruments and 24,091 laparoscopic instrument packages used and disposed of in the hospital from January to December 2020 were set as the control group. The 134 261 laparoscopic instruments and 24 141 laparoscopic instrument packages with the application of multimedia technology in the tracing system from April to March 2021 were set as the experimental group. The unqualified rates of instrument recycling, cleaning, and packaging were compared before and after the application of multimedia technology to the tracing system, and the work satisfaction of the staff of the laparoscopic sector, the operating room staff, and the interns was investigated.ResultsAfter multimedia technology was applied in the tracing system, the unqualified rate of instrument recycling was reduced from 0.35% to 0.04%, the unqualified rate of cleaning was decreased from 1.0% to 0.43%, and the unqualified rate of packaging was dropped from 0.56% to 0.19%; the difference between the control group and the experimental group was statistically significant (P<0.001). Work satisfaction was increased from 96% to 100%, with a statistically significant difference between before and after the application (P<0.05).ConclusionAdding component diagrams and videos to the laparoscopic instrument tracing system through multimedia technology can effectively improve the quality of instrument recycling, cleaning, and packaging, increase the staff's work satisfaction and efficiency, and enhance the centralized management of laparoscopic instruments, which is thus worth promoting and applying.  
        Keywords：Tracing system;Multimedia technology;Laparoscopic instrument;Component diagram;Process video   
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        Published：2023-11-21
      • Zhilou XU,Chunli ZHANG
        Vol. 2, Issue 3, (2023) DOI: 10.11910/j.issn.2791-2043.2023.3.07
        Abstract：ObjectiveThis study aimed to investigate the application of an optimized management process in the management of external instruments in the central sterile supply department (CSSD).MethodsThe 6 645 external instrument packages before process optimization from January to March 2023 were set as the control group, and 6 576 external instrument packages after optimization from April to June 2023 were set as the observation group. The management quality of external instruments was compared and the operating room's feedback was analyzed.ResultsIn the observation group, the unqualified rates of instrument cleaning, power tool cleaning, packaging, sterilization, and distribution recorded in the checklist of external instruments were significantly lower than those in the control group, and the difference was statistically significant (P<0.05). Before and after the optimization of the management process, the rate of non-recycling, cleaning and sterilization after use in the operating room were all 0. Additionally, in the observation group, the feedback supply timeliness rate, sub-packaging completeness rate, and supply satisfaction rate in the operating room were higher than those in the control group, and the difference was statistically significant (P<0.05).ConclusionThe optimized management process of external instruments in CSSD emphasizes the division of labor among each staff member, which enhances performance efficiency, and thus is worth being promoted in CSSDs.  
        Keywords：Management process;External instrument;Process management;Central sterile supply department   
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        Published：2023-11-21
      • Mengmeng Zhao,Libo Tao,Yajuan Wang,Jin Wang,Juan Zhu,Ying Li,Yan He
        Vol. 2, Issue 3, (2023) DOI: 10.11910/j.issn.2791-2043.2023.3.08
        Abstract：ObjectiveTo investigate the application of sterilization packaging materials and the influencing factors in Chinese hospitals.Methods30 hospitals were chosen with a typical sampling method and a structured questionnaire was developed for the investigation, based on literature review and experts consultations. The content of questionnaire included the current status of usage of sterilization packaging materials and influencing factors of decision-making.ResultsThere were 4 kinds of sterilization packaging materials widely used in Chinese hospitals. For 30 surveyed hospitals, non-woven fabrics was used the most, followed by cotton fabrics, paper-plastic pouches, and rigid sterilization containers. The influencing factors of hospitals selection of sterilization packaging materials included the precision of instruments, the shape, size, weight and quantity of instruments, hospital infection risk, and the sterilization effectiveness. To choose rigid sterilization container, main considerations were instrument precision, transportation, infection control, and hospital infrastructure situation. For other three types, main considerations were shape, size, weight and quantity of instruments, infection control, and sterile barrier performance.ConclusionsNon-woven fabrics, cotton fabrics, paper-plastic pouches, and rigid sterilization containers were major sterilization packaging materials used in Chinese hospitals and there were important influencing factors for them to be chosen by hospitals.  
        Keywords：Sterilization packaging materials;Application;Influencing factors   
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