Objective To investigate the current situation of personnel training, material allocation, process implementation and quality monitoring of gastrointestinal endoscopy cleaning and disinfection in medical institutions at all levels in Yangzhou City, so as to provide reliable data for further improving the quality management of digestive endoscopy cleaning and disinfection in the city.
Methods According to the latest industry standards, a questionnaire was designed to carry out an online questionnaire survey on the status quo of digestive endoscopy cleaning and disinfection in 74 medical institutions of different levels in Yangzhou City, and the results were analyzed.
Results 50% of the city's hospitals adopt the way of self-training within the department, and only 22 people have obtained the provincial or above professional cleaning and disinfection certificate. In 21.62% of hospitals, cleaning and disinfection personnel were not assessed before starting work. 13.51% of the hospitals did not use purified water for terminal rinsing, and 44.59% of the hospitals did not have a cleaning and disinfection machine. 79.73% of hospitals recorded by hand. 71.62% of the hospitals failed to carry out standard cleaning quality monitoring, 83.78% of the hospitals did not implement biofiltration monitoring method. In addition, in the biological monitoring in 2023, 14.86% of hospitals had the problem of excessive microorganisms.
Conclusion The implementation of endoscope cleaning and disinfection standards varied significantly among medical institutions in Yangzhou, with level one and level two hospitals posing potential hospital infection risks. It is recommended to establish a professional entry system for endoscope cleaning and disinfection personnel citywide, increase investment in hardware facilities, and strictly enforce monitoring standards.
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