二级及以上医院手术器械管理现状及问题分析  

Analysis on the present situation of surgical instruments management in hospitals of level Ⅱ and above

作　　者：孙育红 钱蒨健[2] 王维[2] 钱维明[3] SUN Yuhong;QIAN Qianjian;WANG Wei;QIAN Weiming(China-Japan Friendship Hospital Beijing,100029,China)

机构地区：[1]中日友好医院手术麻醉科,北京市100029 [2]上海交通大学医学院附属瑞金医院手术室 [3]浙江大学医学院附属第二医院手术麻醉科

出　　处：《中国护理管理》2019年第5期729-734,共6页Chinese Nursing Management

摘　　要：目的:调查目前国内手术器械管理现状及其相关因素,为发现手术器械管理问题提供依据。方法:便利抽取全国30个省份二级及以上医院手术室护士长594名为研究对象,采用自设问卷调查手术器械管理模式、外来手术器械、腔镜手术器械、眼科手术器械管理等内容。结果:手术器械管理以粗放的经验型管理为主,在维护保养、质量检查、淘汰更新、系统检测及外来手术器械和眼科手术器械管理等环节存在不足,二级医院相关管理有待提高。结论:现阶段手术器械管理尚未达到科学化、精细化的管理水平,存在手术安全隐患,管理者应高度重视并加大管理力度,尽快建立手术器械管理的质量评估体系,实现科学化、精细化管理,为手术患者安全保驾护航。Objective: To explore the current situation of the management of surgical instruments and related factors. Methods: Totally 594 head nurses of operating rooms in hospitals of level 2 and above from 30 provinces were investigated. The self-designed questionnaire was applied, which included items about the management mode of surgical instruments, foreign surgical instruments, endoscopic instruments and ophthalmic instruments. Results: The management of surgical instruments is mainly based on extensive experience management. There are deficiencies in maintenance, quality inspection, elimination and renewal, system detection, management of foreign instruments and ophthalmic instruments. Conclusion: The management of surgical instruments has not reached a scientific and meticulous level, and there are hidden risks in surgical safety. Managers should make effort to establish a quality evaluation system for surgical instrument management to protect the safety of surgical patients.

关 键 词：手术器械 管理 现状分析 

分 类 号：R47[医药卫生—护理学]