Objective To investigate the current situation of implant use and management in 1225 hospitals in China,and to analyze the existing problems,so as to provide references for the standard management of perioperative implants,and lay a research foundation for the formulation of relevant standards. Methods In May 2021,stratified sampling method was adopted to select operating room management personnel from 1225 hospitals in China. The persons in charge were set in the provinces,autonomous regions and municipalities directly under the central government. All the persons in charge were members of the surgical equipment and materials professional group of Nursing Equipment and Materials Branch of China Medical Equipment Association. Questionnaires were made through the Questionnaire Star and distributed and collected through the WeChat group. A self-designed questionnaire was used,including general information and “Questionnaire on Current Situation of Use and Management of Perioperative Implants”. Results In terms of implant management mode,there were mainly 3 modes,namely three-level management of the equipment department,operating room and specialist group（72.73%）,on-board management of the equipment department（12.24%）,and self-management of the clinical use department（10.69%）. There were great differences among different types of hospitals. In terms of receiving foreign devices and implants,there are still some problems,such as late delivery of suppliers and non-standard charges. In terms of implant traceability management,68.90% introduced an information system to trace the use of implants;62.29% carried out information traceability of the cleaning,disinfection and sterilization process of foreign instruments and implants;48.89% carried out scanning charge and traceability management of implants,indicating that information construction needs to be strengthened. In addition,there are many problems and safety risks in the treatment of unused implants after removal or unpacking and related training,which need to be improved. Conclusion Relevant departments and managers should improve the relevant system and process management according to the scale and actual conditions of different hospitals,strengthen the supervision of implant access,and the whole process information tracing management. Relevant standards should be established in time for non-use of implants after removal and unpacking,so as to fill the management gaps. Supervision over the implementation of existing standards should be strengthened.

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.