关键词: 手术室, 医疗设备, 设备安全性, 管理, 问卷调查

Abstract:

Objective To investigate the current situation of medical equipment management in operating rooms in Chinese hospitals,and to provide basis for improving and perfecting the management methods of medical equipment in operating rooms. Methods Using stratified sampling method,chief head nurses,head nurses,key nurses,directors of nursing department,and professionals in equipment management in 513 hospitals in China were selected to complete a questionnaire survey. The self-designed questionnaire included general information and the status quo of equipment management in operating room. Results In the investigated 513 hospitals,269（52.44%） of the hospitals had no benefit evaluation of equipments,220（42.88%） of the hospitals had no management system for idle equipment,162（31.58%） of the operating room nurses did not participate in the pre-use training of new equipment,400（77.97%） of the hospitals still had manufacturer guidance;205（39.96%） of the hospitals’ equipments exceeded the service life according to the instructions,161（31.38%） of the hospitals did not record the usage process,192（37.43%） of the hospitals have no full-time staff for daily regular maintenance,only 50（9.75%） of the hospitals realized equipment information management,273（53.22%） of the hospitals had no retrospective management of equipments. Hospital level had influence on six dimensions,which were purchase management,benefit evaluation management,use process management,information management,maintenance management and retrospective management of medical equipment in operating room（P<0.05）. Operating room size had an impact on four dimensions,which were purchase management,benefit evaluation management,information management and maintenance management of medical equipment in operating room（P<0.05）. Conclusion Each hospital is not perfect in purchase management,benefit evaluation management,information management and retrospective management of medical equipment in operating room,and is lacking professional training and effective preventive maintenance of equipment usage. Each hospital needs to carry out management of medical equipment in operating room in different levels and in a planned way in accordance with different medical needs,so as to ensure smooth surgery process and patient safety.

Key words: Operating Rooms, Medical Equipment, Equipment Safety, Management, Questionnaires