Achieving Continuous Improvement in CSSD Management through Performance Measurements using User Satisfaction Surveys and Interventions

Abstract

Introduction The objective of the study was to achieve continuous improvement in Central Sterile Supply Department (CSSD) management through performance measurements using user satisfaction surveys and interventions. Methods A brainstorming session was conducted with the multidisciplinary process improvement team in 2012 on the reasons for dissatisfaction with CSSD services. A baseline survey questionnaire was prepared to assess levels of dissatisfaction for key indicators and to establish target benchmarks for improvement. Charge nurses in the wards were chosen as respondents. The report was presented by the Quality Management Cell (QMC) to the steering committee in the presence of the CSSD managers. Solutions and support were offered to the team for improvement. Similar surveys were conducted in 2014, 2016, 2017, 2018, and 2019 to understand the impact of the changes implemented. Results The overall satisfaction of the respondents with the CSSD services increased from 54% in 2012 to 89% in 2019, which is statistically significant (95% Cl: −0.56 to −0.25) with p-value < 0.001. Conclusion This exercise helped to build a strong team and create a culture of openness in the CSSD. Improvement measures were data driven and other departments like Radiology and Laundry were motivated to embrace the idea of understanding their user perceptions. This study demonstrates the effectiveness of internal user satisfaction surveys as a valuable tool for continuous quality improvement. This exercise proved beyond doubt that regular monitoring improves quality of services.

Assess The Workload Management Model and Enhanced Quality Control in The Central Sterile Supply Department: A Study Protocol.

“…It unequivocally demonstrates that consistent monitoring leads to an improvement in service quality. 9,10 A total of 101 adverse incidents were documented, with the primary reason identified as insufficient cleaning quality (34, 33.66%), followed by mistakes in instrument assembly (25, 24.75%), and issues related to marking (7, 6.93%). Variables such as the role of the accountable individual, educational attainment, years of experience, structural aspects of the device, quantity of instruments in the set, and set dimensions were discovered to potentially impact the occurrence of adverse incidents (P < 0.05).…”

“…Additionally, integrating a standardized grading system in accordance with the Central Sterile Supply Department's protocols can ensure effective handling of adverse incidents and uphold consistency in service quality. 10 Workload management plays a vital role in maintaining optimal performance levels and preventing burnout among CSSD staff. By implementing a structured workload management model, the CSSD can better allocate resources, streamline processes, and prioritize tasks based on their importance and urgency.…”