基于循证理念的标准操作程序在手术室器械管理中的应用  

Application of Standard Operating Procedure Based on Evidence-Based Concept in Operating Room Instrument Management

作　　者：廖鑫 LIAO Xin(Central Operating Room of Fuzhou Second General Hospital,Fujian Fuzhou 350007)

机构地区：[1]福州市第二总医院中心手术室,福建福州350007

出　　处：《中国医疗器械信息》2024年第16期177-179,共3页China Medical Device Information

摘　　要：目的:分析基于循证理念的标准操作程序(SOP)在手术室器械管理中的应用意义。方法:选择2022年1月~2022年12月开展常规管理(对照组)及2023年1月~2023年12月经SOP管理手术室器械(观察组)的各380台手术,对比其手术器械摆台与消毒质量、管理人员岗位胜任能力、手术质量。结果:观察组手术室器械生锈、污渍、返洗、报损率均低于对照组,手术器械整理时间更短,手术器械摆台质量高于对照组(P<0.05);观察组管理人员的综合能力、个人特质、操作技能、岗位胜任能力得分均较对照组高(P<0.05);观察组平均手术持续时间、一类切口手术器械不良事件发生率低于对照组(P<0.05)。结论:基于循证理念的SOP管理程序可明显提高手术室器械摆台规范率与消毒质量、管理人员的岗位胜任能力与手术质量。Objective:To analyze the application significance of standard operating procedure(SOP)based on evidence-based concept in operating room instrument management.Methods:A total of 380 operations were performed from January 2022 to December 2022 with routine management(control group)and January 2023 to December 2023 with SOP management of operating room instruments(observation group),and the quality of surgical instrument setting and disinfection,the competency of management personnel and the quality of surgery were compared.Results:The rates of rusting,staining,rewashing and loss reporting were lower in the observation group than in the control group.The finishing time of surgical instruments was shorter and the quality of surgical instruments was higher than that in the control group(P<0.05).The scores of comprehensive ability,personal trait,operation skill and post competence of managers in observation group were higher than those in control group(P<0.05).The average operation duration and the incidence of adverse events of first-class incision surgical instruments in observation group were lower than those in control group(P<0.05).Conclusion:SOP management procedure based on evidence-based concept can significantly improve the standard rate of instrument setting and disinfection quality,the competency of managers and the quality of surgery,and is worthy of clinical promotion and practice.

关 键 词：循证理念 标准操作程序 手术室 器械管理 

分 类 号：R472.3[医药卫生—护理学]