医院手术器械管理的最佳证据总结  

Summary of the best evidence for surgical instrument management strategies in medical institutions

作　　者：梁元元 高兴莲 戴张章 周荣超 胡娟娟 王曾妍 沈剑辉 LIANG Yuanyuan;GAO Xinglian;DAI Zhangzhang;ZHOU Rongchao;HU Juanjuan;WANG Zengyan;SHEN Jianhui

机构地区：[1]华中科技大学同济医学院护理学院,武汉市430022 [2]华中科技大学同济医学院附属协和医院护理部

出　　处：《中华护理杂志》2025年第8期1005-1012,共8页Chinese Journal of Nursing

摘　　要：目的检索和评价手术器械管理的相关证据,并对证据进行整合,为临床手术器械管理实践提供循证依据。方法系统检索国内外数据库及相关网站中关于手术器械管理的证据,包括指南、专家共识、临床决策等。检索时限为建库至2024年11月4日。由2名研究人员对文献进行筛选、评价及证据整合。结果共纳入16篇文献,其中系统评价2篇、类实验性研究1篇、临床决策2篇、专家共识4篇、指南5篇、证据总结2篇,共获得27条证据,包括管理要求、处理一般原则、物流和供应链管理、预处理及灭菌流程、人员培训5个方面。结论该研究总结了目前关于医院手术器械管理的最佳证据,为医护人员对手术器械的管理提供了循证依据,可提高手术器械处置质量和效率,并有效保障手术患者安全。Objective To retrieve and evaluate the evidence related to surgical instrument management,and to integrate the evidence to provide an evidence-based basis for clinical surgical instrument management practice.Methods Evidence on surgical instrument management,including guidelines,expert consensuses,and clinical decision-making,was systematically searched from domestic and international databases and related websites.The search timeframe was from database construction to 4 November 2024.Literature was screened and evaluated,and the evidence was integrated by 2 researchers.Results A total of 16 papers were included,including 2 systematic evaluations,1 class experimental study,2 clinical decisions,4 expert consensuses,5 guidelines,and 2 evidence summaries,resulting in a total of 33 pieces of evidence in 5 areas,including requirements for surgical instrument management,general principles of surgical instrument handling,logistics and supply chain management of surgical instruments,surgical instrument pre-treatment and cleaning,disinfection,and sterilisation processes,and personnel training.Conclusion This study summarises the best available evidence on the management of surgical instruments in hospitals and provides an evidence-based basis for healthcare professionals to manage surgical instruments,thereby improving the quality and efficiency of surgical instrument disposal.

关 键 词：医院 外科器械 医疗器械管理 循证护理学 

分 类 号：R197.39[医药卫生—卫生事业管理]