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KMID : 0388320140210040392
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Journal of Korean Academy of Fundamental Nursing
2014 Volume.21 No. 4 p.392 ~ p.402
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Actual Disinfection and Sterilization Control in Korean Healthcare Facilities
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Jeong Sun-Young
Choi Jeong-Hwa
Kim Eun-Kyoung
Kim Su-Mi
Son Hee-Jung
Cho Nan-Hyoung
Choi Ji-Youn
Park Eun-Suk
Park Jin-Hee
Lee Ji-Young
Choi Soon-Im
Woo Jin-Ha
Kim Og-Son
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Abstract
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Purpose: This study was done to investigate the status of disinfection and sterilization in healthcare facilities.
Method: A survey of 193 Korean healthcare facilities was conducted from February 8 to March 7, 2013. Data were analyzed using descriptive statistics, χ2 test, Fisher’s exact test, one-way ANOVA, Scheffe with SPSS WIN 18.0.
Results: Of the healthcare facilities 93.2% had specific guidelines for disinfection/sterilization, but only 47.9% had a committee on disinfection/sterilization for decision-making, less than half (42.7%) conducted regular monitoring of actual practices, while 83.9% had established procedures for recovery in case of problems with the disinfection process and 89.0% kept records and archives of disinfection practices. Cleaning process, selection of chemical disinfectants and process of disinfection and sterilization were found to be inadequate in some healthcare facilities. Perception score for adequacy of medical instruments was 8.10, environmental disinfection was 7.20, and sterilizer management was 8.45 out of a possible 10.
Conclusion: Compared to larger institutions, smaller healthcare facilities had less effective disinfection and sterilization management systems, while some facilities showed inadequate practices for medical equipment and general sterilization. Better academic and state-level support is recommended for smaller facilities in order to establish a better system-wide management system.
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KEYWORD
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Disinfection, Sterilization, Disinfectants
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