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This study aimed to describe and analyze quality indicators of Central Sterile Supply Departments in Accredited Public Hospitals in São Paulo state and their management by those in charge of those departments. It is a multiple-case study, presenting interconnected data from three accredited hospitals in a report on cross-referenced cases. Data were collected by semi-structured interviews with the person in charge and by technical visits with documental analysis. Results showed the difficultydoi:10.1590/0104-07072014001570013 fatcat:j6b7y453onda3nxdlf5tk76ydy