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

摘要：

目的 调查全国医院手术室医疗设备管理的现状,为改进和完善手术室医疗设备管理方法提供依据。方法 采用分层抽样法,抽取全国513所医院的手术室设备相关管理人员进行问卷调查,使用自行设计的调查问卷,包括一般资料及手术室设备管理现状两部分内容。 结果 调查的513所医院中,269所（52.44%）医院无设备效益评价,220所（42.88%）医院对闲置设备无管理制度;162所（31.58%）医院手术室护士未参加新设备使用前的培训,400所（77.97%）医院尚存在厂家跟台指导;205所（39.96%）医院设备超出说明书使用寿命,161所（31.38%）医院设备使用过程无记录,192所（37.43%）医院无日常定期维护专职人员;仅50所（9.75%）医院全部实现设备信息化管理;273所（53.22%）医院无设备追溯管理。不同医院级别对手术室医疗设备的购置管理、效益评价管理、使用过程管理、信息化管理、维护管理、追溯管理6个维度均有影响（P<0.05）。手术室规模对手术室医疗设备的购置管理、效益评价管理、信息化管理、维护管理4个维度有影响（P<0.05）。结论 各医院对手术室医疗设备的购置管理、效益评价管理、信息化管理及追溯管理不完善,缺乏设备使用的专业培训及预防性维护,各医院需结合不同医疗需求,分层次、有计划地开展手术室医疗设备的管理,确保手术过程顺利及手术患者安全。

关键词: 手术室, 医疗设备, 设备安全性, 管理, 问卷调查