Shuran Wang, Shasha Zhu, Haofeng Ma, 等. A Comparative Study on Application of Different Management Models for Surgical Instruments in Central Sterile Supply Department[J]. Sterile Supply, 2025,4(3):179-190.
Wang Shuran,Zhu Shasha,Ma Haofeng,et al.A Comparative Study on Application of Different Management Models for Surgical Instruments in Central Sterile Supply Department[J].Sterile Supply,2025,04(03):179-190.
Shuran Wang, Shasha Zhu, Haofeng Ma, 等. A Comparative Study on Application of Different Management Models for Surgical Instruments in Central Sterile Supply Department[J]. Sterile Supply, 2025,4(3):179-190. DOI: 10.11910/j.issn.2791-2043.2025.3.06.
Wang Shuran,Zhu Shasha,Ma Haofeng,et al.A Comparative Study on Application of Different Management Models for Surgical Instruments in Central Sterile Supply Department[J].Sterile Supply,2025,04(03):179-190. DOI: 10.11910/j.issn.2791-2043.2025.3.06.
A Comparative Study on Application of Different Management Models for Surgical Instruments in Central Sterile Supply Department
This study aims to analyze the application effects of different management models in the Central Sterile Supply Department (CSSD)
providing a reference for hospitals in selecting appropriate management models.
Methods
2
A systematic literature search was conducted in Web of Science
PubMed
CINAHL
the Cochrane Library
Scopus
Embase
China National Knowledge Infrastructure (CNKI)
Wanfang Database
VIP Database
and China Biology Medicine disc (CBM). The search employed a combination of keywords and free-text terms
followed by a summary analysis. The search timeframe spanned from the inception of each database to July 31
2025.
Results
2
A total of 22 articles was included
involving nine management models: the centralized management model
scientific management theory model
integrated care model
refined management model
whole-process quality control (QC) model
Plan-Do-Check-Act (PDCA) cycle model
defect management model
quality collaboration management (QCM) chain model
and three-chain (3C) model. Based on their primary focus
these nine models were categorized into three orientations: process-oriented
QC-oriented
and responsibility chain-oriented. By analyzing their theoretical foundations
implementation processes
and typical cases
the commonalities and differences among the models were examined. Furthermore
the suitability of each model for hospitals of different scales was assessed based on their respective characteristics.
Conclusion
2
A horizontal analysis indicates that while the various CSSD management models have different emphases
their core objective is to improve CSSD management quality and instrument sterilization effectiveness. A vertical analysis reveals a developmental trend towards refinement
automation
and intelligence. All nine management models are suitable for large and medium-scale hospitals. However
only the scientific management theory and the PDCA cycle are suitable for small hospitals. Different hospitals should select appropriate management models based on their resource configurations and actual needs
and continuously refine them by integrating modern technologies to achieve efficient CSSD operation.
关键词
Keywords
references
PAN W , YI L Y , HU T , et al . An action research study of quality improvement in instrument packaging procedures for the central sterile supply department [J ] . Scientific Reports , 2024 , 14 : 3764 .
HOU X Y . Study on the intervention value of integrated management on the disposal of instruments in the sterilization supply room [J ] . China Medical Device Information , 2025 , 31 ( 10 ): 179 - 182 .
QIN X J , ZHAO Y H , YANG L Y . Impact of centralized management mode of central sterile supply department on the disinfection and sterilization quality of dental diagnosis and treatment instruments [J ] . Clinical Medicine & Engineering , 2022 , 29 ( 8 ): 1041 - 1042 .
LI A Q , REN X F , TANG S , et al . Effect of centralized management of central sterile supply department on cleaning of pediatric bronchoscopes [J ] . Chinese Journal of Nosocomiology , 2023 , 33 ( 6 ): 952 - 955 .
YANG R Z . Application effect of ENT instruments included in the centralized management of disinfection supply center [J ] . China Medical Device Information , 2024 , 30 ( 2 ): 180 - 182 .
LIN Y , ZHU X Q , LI H L . Application value analysis of the implementation of surgical instruments cleaning quality management mode in disinfection supply center in preventing nosocomial infection [J ] . Journal of Chengdu Medical College , 2020 , 15 ( 3 ): 383 - 387 .
GUO Z Y , JIANG D X , LI Y , et al . Study on the cleaning effect of stomatology medical instruments by implementing stan-dardized reusable instrument pretreatment process [J ] . Jiangsu Healthcare Administration , 2024 , 35 ( 3 ): 383 - 386 .
XU H L , WU J . Research on integrated nursing management of orthopedic external surgical instruments and implants in the disinfection supply room [J ] . China Health Standard Management , 2024 , 15 ( 16 ): 154 - 157 .
ZHANG Y , ZHANG X Z . Application Value of Integrated Management Model in the Management of External Instruments in Hospital Central Sterile Supply Department [J ] . Chinese Journal of Disinfection , 2024 , 41 ( 7 ): 542 - 544 .
ZHAO M R . To explore the cleaning, disinfection, sterilization and fine management of surgical instruments in the disinfection supply center [J ] . China Medical Device Information , 2021 , 27 ( 13 ): 160 - 162 .
CHEN S M , LI X L , WU Z F , et al . Analysis on the influence of fine quality control management on the qualified rate of surgical instruments disinfection and sterilization in disinfection supply center [J ] . China Medical Device Information , 2023 , 29 ( 20 ): 173 - 175 .
WU Y Q . The impact of refined management of QR code technology on the disinfection quality of orthopedic external instruments in the disinfection supply center [J ] . China Medical Device Information , 2025 , 31 ( 16 ): 167 - 170 .
GENG H X , TANG J H . The influence of quality control management on the quality of nursing management in disinfection supply room and its preventive effect on nosocomial infection [J ] . Medical Journal of Liaoning , 2019 , 33 ( 3 ): 96 - 98 .
ZHANG Q , HUANG Q , ZHANG W W . Impact of Applying Whole-Process QC Management Model in Central Sterile Supply Department Management on Medical Device Qualification Rate [J ] . Jiangxi Medical Journal , 2023 , 58 ( 5 ): 617 - 619 .
XU Y , SHI C H , LIU Y . Application effect of PDCA circulation on nursing quality management and risk control in digestive endoscopy room [J ] . Medicine , 2023 , 102 ( 48 ): e35885 .
HUANG L , LU C W , PANG M , et al . Effect of PDCA-based nursing intervention on activities of daily living, neurological function and self-management in acute cerebral stroke [J ] . American Journal of Translational Research , 2021 , 13 ( 5 ): 5315 - 5321 .
CHEN H , WANG P , JI Q . Analysis of the application effect of PDCA cycle management combined with risk factor management nursing for reducing infection rate in operating room [J ] . Frontiers in Surgery , 2022 , 9 : 837014 .
HUANG W Z . Application research of PDCA cycle theory in operating room and supply room integration device management [J ] . Chinese and Foreign Medical Research , 2020 , 18 ( 6 ): 174 - 176 .
WANG Y F . The PDCA mode is applied to the effect of cleaning and sterilization of endoscopic instruments in the operating room to the disinfection supply center and the analysis of the impact on improving the qualification rate and quality of sterilized items [J ] . China Medical Device Information , 2023 , 29 ( 8 ): 164 - 166 .
ZENG C R , TANG X Y . The application of the PDCA management model in the quality traceability of reusable medical equipment in a designated hospital’s disinfection supply center [J ] . China Medical Device Information , 2023 , 29 ( 23 ): 151 - 153 .
YANG L Y , XUN Q , XU J , et al . Application of the defect management improvement mode under Joint Commission International standard to improve the instrument cleaning and disinfection effect and management quality in the central sterile supply department: A randomized trial [J ] . Annals of Translational Medicine , 2022 , 10 ( 3 ): 137 .
LI S R , LI H Y , NIU C , et al . Application effect of defect management improvement mode on surgical instrument management in hospital disinfection supply center [J ] . Journal of Zhengzhou University (Medical Sciences) , 2025 , 60 ( 1 ): 125 - 129 .
WANG X P , LIANG Z M , ZHANG X . Application of quality collaborative management chain in reusing surgical instruments in disinfection supply centers [J ] . China Health Standard Management , 2024 , 15 ( 1 ): 185 - 188 .
QIU L J , DONG C H . Effect evaluation of QCM-based management mode on improving the disinfection supply quality of surgical instruments [J ] . China Medical Device Information , 2024 , 30 ( 17 ): 161 - 164 .
CHEN Y Y , GUO Y M , MO H X , et al . Application of 3C Whole-Process Quality Nursing Service in Nursing Management of Disinfection Supply Room [J ] . Journal of Qilu Nursing , 2021 , 27 ( 3 ): 161 - 163 .
ZHU X T . The impact of 3C management on instrument cleaning efficiency and operating costs in central sterile supply departments [J ] . Health Medicine Research and Practice , 2022 , 19 ( 2 ): 142 - 145 .
YUAN L , WANG N . Application Effect of Traceability Management System in Central Sterile Supply Department on Operating Room Endoscopic Instrument Management [J ] . Medical Equipment , 2025 , 38 ( 11 ): 35 - 38 .
YU P , YANG R , CEN C F . Evaluation of the prevention effect of high-quality nursing quality control in disinfection supply center on nosocomial infection [J ] . Medicine , 2024 , 103 ( 2 ): e35459 .
BAL B , BALARAJU A . Overview of the central sterilization supply department, an integral part of the hospital [J ] . The Journal of Infection in Developing Countries , 2025 , 19 ( 3 ): 325 - 334 .
The trial reading is over, you can activate your VIP account to continue reading.
A Cross-Sectional Survey on Management and Processing Practices for Loaner Surgical Instruments and Implants Among 861 Hospitals in China
Current Status Analysis of Infection Control Knowledge Among Central Sterile Supply Department Staff: A Cross-Sectional Study
Qualitative Study on Functional Quality Evaluation of Surgical Scissors Based on Different Stakeholder Perspectives
Design and Operation of Water Treatment System for Central Sterile Supply Department Based on Energy Conservation and Consumption Reduction
Effects of four aluminum foil placement modes in testing cavitation effect of ultrasonic cleaning machine
相关作者
Huanxi Zhang
Ying Wang
Chunzi Cao
Yan Pan
Caixia Yang
Dongling Liu
Juan Zhou
Shuangyu Li
相关机构
Central Sterile Supply Department I, Hunan Provincial People’ s Hospital (The First Affiliated Hospital of HunanNormal University), No. 61 Jiefang West Road, Changsha City
Infection Management Department, The Second Affiliated Hospital of Chongqing Medical University
Disinfection Supply Center, The Second Affiliated Hospital of Chongqing Medical University
Infection Management Department, Hospital of Chengdu University of Traditional Chinese Medicine
Nursing Department, The First People’s Hospital of Chongqing High-tech Zone