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The study aims to analyze how different management models affect operations in the Central Sterile Supply Department.

February 24, 2026Open Access

A Comparative Study on Application of Different Management Models for Surgical Instruments in Central Sterile Supply Department

Key Points

The study aims to analyze how different management models affect operations in the Central Sterile Supply Department.
Conducted a systematic literature search across multiple databases
Included 22 articles analyzing nine management models
Categorized models into process-oriented, QC-oriented, and responsibility chain-oriented
Examined theoretical foundations and implementation processes of each model
Assessed model suitability based on hospital scale
Nine management models identified, each with different emphases and core objectives
Common goal is to enhance CSSD management quality and instrument sterilization effectiveness
Larger hospitals benefit from all models, while smaller hospitals are best suited for scientific management and PDCA cycle
Study shows a trend towards more refined and automated management practices

Abstract

ObjectiveThis 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.MethodsA 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.ResultsA 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.ConclusionA 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.

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