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目的:对手术室骨科外来器械实行规范化管理,防止医院感染,保证医疗护理质量,保障患者安全。方法:对外来骨科器械实行竞标、预约、接收、核对、清洗、检查、包装灭菌等一系列流程进行规范化管理;对协助手术的公司业务人员实行持证上岗,定期培训考核。结果:随机抽取2010年1月~2012年1月在我院骨科手术的患者100例,除1例开放性骨折患者发生伤口感染,1例因器械未及时送到致手术推迟1小时外,其他患者未出现因器械原因导致手术感染或手术失败。结论:科学系统的管理是保证骨科外来器械安全,减少医疗纠纷,保障患者合法权益的重要环节。
OBJECTIVE: To standardize management of orthopedic external devices in operating rooms to prevent nosocomial infections, ensure the quality of medical care, and ensure the safety of patients. Methods: The external orthopaedic devices are subject to standardized management such as bids, appointments, receptions, verifications, cleanings, inspections, and sterilization of packaging; the company’s business personnel assisting in the operation are certified and trained, and regular assessments are conducted. Results: 100 patients undergoing orthopaedic surgery in our hospital between January 2010 and January 2012 were randomly selected. Except for one case of open fracture patients with wound infection and one case delayed due to the failure to deliver the device in time, the operation was delayed by one hour. The patient did not experience any surgical infection or surgical failure due to a device. Conclusion: The management of the scientific system is an important part of ensuring the safety of orthopedic external devices, reducing medical disputes, and protecting the legitimate rights and interests of patients.