1166家公立医院手术外来医疗器械管理现状调查  

Investigation on the current management situation of foreign surgical instruments in 1166 public hospitals in China

作　　者：徐琴[1] 钱维明[1] 赵体玉 杨建温 XU Qin;QIAN Weiming;ZHAO Tiyu;YANG Jianwen(Anesthesia&Surgery Department,The Second Affiliated Hospital Zhejiang University School of Medicine,Hangzhou,310009,China)

机构地区：[1]浙江大学医学院附属第二医院麻醉手术部,杭州市310009 [2]华中科技大学同济医学院附属同济医院护理部

出　　处：《中国护理管理》2022年第10期1477-1481,共5页Chinese Nursing Management

摘　　要：目的 :调查国内公立医院手术外来医疗器械管理现状。方法 :对我国27个省份1 166家公立医院手术外来医疗器械管理现状进行调查。结果:1 166家公立医院中88.8%的医院手术外来医疗器械管理模式为设备科-消毒供应中心-手术室-手术室亚专科四级管理;34.7%的医院跟台人员年更换率>10%且18.9%的医院未对其进行培训、考核;54.5%的医院术前未获取手术外来医疗器械信息,9.3%的医院手术外来医疗器械未在规定时间送达消毒供应中心,83.5%的医院存在手术外来医疗器械紧急灭菌现象;21.6%的医院未对手术外来医疗器械进行4次清点。结论 :应结合医院实际,制定手术外来医疗器械管理制度,提高制度执行力;规范手术外来医疗器械跟台人员管理;落实手术外来医疗器械物品清点原则;严格把控器械送达消毒供应中心的时间,提高器械处理质量,为手术患者安全保驾护航。Objective: To investigate the current management situation of the foreign surgical instruments. Methods: A survey regarding the management of foreign surgical instruments was conducted in 1166 public hospitals from 27 provinces in China. Results: The management model of foreign surgical instruments in 88.8% of the hospitals was four-level including the equipment department, Central Sterile Supply Department, operating room, and the subspecialty of operating room. The turnover rate of technicians in 34.7% of the hospitals was above 10% and 18.9% of the hospitals had no systematic training and assessment. About 54.5% of the hospitals did not know the information regarding the foreign surgical instrument before surgery, 9.3% of the hospitals did not delivery foreign surgical instruments to Central Sterile Supply Department on time,83.5% of surgical foreign surgical instruments were sterilized urgently. About 21.6% of the hospitals failed to perform four checks on the quantity and completeness of foreign surgical instruments. Conclusion: A management system for foreign surgical instruments should be established and the regulations should be fully implemented;technicians management should be standardized;the principle of checking the items of foreign surgical instruments should be implemented, the time should be strictly controlled when the instruments are delivered to the Central Sterile Supple Department, and the quality of instrument processing before and after surgery should be improved to maintain the safety of surgical patients.

关 键 词：手术室 外来医疗器械 管理 现状 

分 类 号：R47[医药卫生—护理学] R197[医药卫生—临床医学]