{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T23:36:53Z","timestamp":1788478613080,"version":"build-2803163510"},"reference-count":12,"publisher":"Public Library of Science (PLoS)","issue":"5","license":[{"start":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T00:00:00Z","timestamp":1779321600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS One"],"abstract":"<jats:sec id=\"sec001\">\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To investigate the application effects of the \u201cForward-Deployed Position\u201d model in operating room support provided by the Central Sterile Supply Department (CSSD).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec002\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This study employed a historical control design. Data from the period when the \u201cForward-Deployed Position\u201d model was implemented in our hospital in 2024 were set as the observation group, while data from 2023 under the traditional model served as the control group. The two groups were compared regarding indicators including the instrument re-cleaning rate, packaging qualification rate, clinical department satisfaction, and on-time start rate for the first scheduled surgery of the day.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec003\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Compared with the control group, the observation group demonstrated a significant increase in the packaging qualification rate (99.05% vs 98.05%), clinical department satisfaction, and the on-time start rate for the first scheduled surgery (95.05% vs 85.63%), alongside a significant decrease in the instrument re-cleaning rate (0.37% vs 1.05%). All these differences were statistically significant (p\u2009&lt;\u20090.05).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec004\">\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Provided that implementation conditions such as human resources are fully considered, the \u201cForward-Deployed Position\u201d model can effectively enhance the work quality of the CSSD and the efficiency of surgical support. Its successful implementation relies on a specialized team and sustained inter-departmental collaboration, offering a valuable reference for optimizing surgical workflow management.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1371\/journal.pone.0348606","type":"journal-article","created":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T17:22:21Z","timestamp":1779384141000},"page":"e0348606","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":1,"title":["Investigating the application value of the \u201cForward-Deployed Position\u201d model in operating room support by the central sterile supply department"],"prefix":"10.1371","volume":"21","author":[{"given":"Qian","family":"Yang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yun","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5115-2280","authenticated-orcid":true,"given":"Mingjun","family":"Wu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2026,5,21]]},"reference":[{"key":"pone.0348606.ref001","doi-asserted-by":"crossref","DOI":"10.1590\/s1678-9946202567016","article-title":"Central sterile supply departament management on hospital-associated infections: a systematic review and meta-analysis","volume":"67","author":"J Shuai","year":"2025","journal-title":"Rev Inst Med Trop Sao Paulo"},{"issue":"12","key":"pone.0348606.ref002","doi-asserted-by":"crossref","first-page":"7480","DOI":"10.62347\/YHLF1410","article-title":"Optimized nursing management in the Central Sterile Supply Department and Gastroenterology Department: a retrospective controlled study","volume":"16","author":"D Wang","year":"2024","journal-title":"Am J Transl Res"},{"issue":"6","key":"pone.0348606.ref003","doi-asserted-by":"crossref","first-page":"2050","DOI":"10.21037\/apm-22-594","article-title":"Central sterile supply department (CSSD) management quality sensitive index constructed by management mode under the guidance of key point control theory and its effect on CSSD management quality: a retrospective study","volume":"11","author":"W Jing","year":"2022","journal-title":"Ann Palliat Med"},{"issue":"4","key":"pone.0348606.ref004","doi-asserted-by":"crossref","first-page":"253","DOI":"10.1097\/QMH.0000000000000418","article-title":"Establishing nursing-sensitive quality indicators for the central sterile supply department: a modified delphi study","volume":"33","author":"R Hu","year":"2024","journal-title":"Qual Manag Health Care"},{"key":"pone.0348606.ref005","doi-asserted-by":"crossref","first-page":"588532","DOI":"10.2147\/JHL.S588532","article-title":"Energy conservation and emission reduction in central sterile supply department under high-quality development of public hospitals: a narrative review","volume":"18","author":"HQ Zhang","year":"2026","journal-title":"J Healthc Leadersh"},{"issue":"2","key":"pone.0348606.ref006","doi-asserted-by":"crossref","DOI":"10.1016\/j.heliyon.2024.e24194","article-title":"Factors associated with cleaning quality of reusable medical devices at a single center in China","volume":"10","author":"J Huang","year":"2024","journal-title":"Heliyon"},{"key":"pone.0348606.ref007","article-title":"Integrated surgical instrument management and enhanced perioperative care reduce surgical site infections in abdominal surgery","volume":"34","author":"M Yu","year":"2025","journal-title":"J Wound Care"},{"issue":"1","key":"pone.0348606.ref008","doi-asserted-by":"crossref","first-page":"3764","DOI":"10.1038\/s41598-024-54237-z","article-title":"An action research study of quality improvement in instrument packaging procedures for the central sterile supply department","volume":"14","author":"W Pan","year":"2024","journal-title":"Sci Rep"},{"issue":"1","key":"pone.0348606.ref009","doi-asserted-by":"crossref","first-page":"9234","DOI":"10.1038\/s41598-025-93615-z","article-title":"Effect of hazard analysis critical control points system in the assembly of reusable medical devices","volume":"15","author":"Y Huang","year":"2025","journal-title":"Sci Rep"},{"key":"pone.0348606.ref010","doi-asserted-by":"crossref","first-page":"1611","DOI":"10.2147\/RMHP.S423108","article-title":"Incidence of adverse events in central sterile supply department: a single-center retrospective study","volume":"16","author":"H Chen","year":"2023","journal-title":"Risk Manag Healthc Policy"},{"issue":"11","key":"pone.0348606.ref011","first-page":"126","article-title":"Application of visual management in enhancing work quality within the central sterile supply department","volume":"30","author":"C Yuan","year":"2024","journal-title":"Altern Ther Health Med"},{"issue":"3","key":"pone.0348606.ref012","doi-asserted-by":"crossref","first-page":"137","DOI":"10.21037\/atm-21-6610","article-title":"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","volume":"10","author":"L Yang","year":"2022","journal-title":"Ann Transl Med"}],"container-title":["PLOS 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