Abstract:

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.

Key words: Hospitals, Surgical Devices, Medical Device Management, Evidence-Based 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。

关键词: 医院, 外科器械, 医疗器械管理, 循证护理学