主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
中国科技核心期刊(中国科技论文统计源期刊)
中国科学引文数据库(CSCD)核心库期刊
《中文核心期刊要目总览》核心期刊

中国护理管理 ›› 2019, Vol. 19 ›› Issue (1): 119-122.doi: 10.3969/j.issn.1672-1756.2019.01.027

• 护理质量 • 上一篇    下一篇

全国764所医院外来医疗器械与植入物处理现状调查

张青 高海燕 祝天宇 季侃雯 钱黎明   

  1. 中国医学科学院北京协和医院消毒供应中心,100730(张青,高海燕);上海交通大学医学院附属瑞金医院消毒供应中心(季侃雯,钱黎明)
  • 出版日期:2019-01-15 发布日期:2019-01-15
  • 通讯作者: 钱黎明,本科,副主任护师,护士长,E-mail:lisaqian218@163.com
  • 作者简介:张青,本科,副主任护师,护士长

Survey of loaner instrument and implants processing status in 764 hospitals in China

ZHANG Qing, GAO Haiyan, ZHU Tianyu, JI Kanwen, QIAN Liming   

  1. Central Sterile Supply Department, Peking Union Medical College Hospital Chinese Academy of Medical Sciences, Beijing, 100730, China
  • Online:2019-01-15 Published:2019-01-15
  • Contact: QIAN Liming,E-mail:lisaqian218@163.com

摘要: 目的:调查国内医院消毒供应中心外来医疗器械与植入物的处理现状,为规范外来医疗器械与植入物管理提供参考。方法:对全国764所医院外来医疗器械与植入物管理的现况进行调查。结果:全国764所医院中,2.88%的医院未建立外来医疗器械与植入物管理制度;44.37%的医院未设置外来医疗器械处理专门岗位;16.23%、17.15%和50.65%医院择期手术外来医疗器械与植入物提前8小时、12小时和24小时送达医疗机构;7.07%的医院外来医疗器械与植入物手术前处理流程不符合管理规范要求;71.34%医院手术后处理流程不符合管理规范要求;63.61%的医院外来医疗器械与植入物灭菌包有超大超重问题;55.50%的医院厂家未提供外来医疗器械处理说明书。结论:完善和细化外来医疗器械与植入物管理制度、设置外来医疗器械处理专门岗位、进一步提高外来医疗器械与植入物的厂家说明书获得比例,提高工作人员遵循厂家说明书操作的依从性,是保障外来医疗器械的安全使用,降低医院感染风险,提高医疗护理质量的有效途径。

关键词: 外来医疗器械;植入物;处理现状

Abstract: Objective: To investigate the current situation of processing loaner instrument and implants in Central Sterile Supply Department in domestic hospitals, in order to provide reference for the development of relevant regulations. Methods: A survey of loaner instrument and implants management was conducted in 764 hospitals. Results: Totally, 2.88% of the hospitals did not have certain regulations of loaner instrument and implants management. In terms of post-duty settings, 44.37% of the hospitals did not set post for personnel of processing loaner instrument and implants, and 16.23%, 17.15% and 50.65% respectively of the hospitals could get loaner instruments and implants for elective surgeries 8 hours, 12 hours or 24 hours before the surgeries. Nearly 71.34% of the hospitals did not meet the requirements of reprocessing loaner instruments and implants after the surgeries, and 63.61% of the hospitals claimed that they had overweight packages of loaner instrument and implant, while 55.50% of the hospitals indicated that they could not obtain the Instruction For Users (IFUs) of loaner instrument and implants from manufacturers. Conclusion: Developing and refining the regulations for the management and setting up specialized post for processing loaner instrument and implants, increasing the proportion of hospitals that have IFUs of loaner instrument and implants, and enhance their compliance to follow manufacturer's instructions are necessary to ensure safety, reduce the risk of hospital infection, in order to improve the quality of medical care.

Key words: loaner instrument; implant; processing status

中图分类号: 

  • R47