Status quo survey of surgical instrument maintenance at 549 hospitals in China / 中华医院管理杂志

ABSTRACT

Objective To investigate the status quo of surgical instrument maintenance at 549 hospitals nationwide and analyze the existing problems,so as to lay a foundation for further development of relevant standards.Methods In January 2019,549 hospitals of different grades in 33 provinces,autonomous regions and municipalities were surveyed by a convenience sampling.The survey covered the basic information,the cognition of the management personnel on instrument maintenance,and the status quo of surgical instrument maintenances of the hospitals.Descriptive analysis was carried out on the data,and the number and percentage of counting data were described.Results 368 (59.74％) hospitals were manned with special post for cleaning precision surgical instruments,426 (69.16％) were manned with special post for cleaning quality inspection,and 382 (62.01％) were manned with special post for assembly and packaging.347 (56.33％) for manufacturers training,299 (48.53％) for self-study manufacturers instruction,420 (68.18％) by department internal training;116 (18.83％) for manual cleaning,413 (67.05 ％)for manual and ultrasonic cleaning,87 (14.12％) for mechanical cleaning;High pressure steam sterilization was used in 518 (84.10％),hydrogen peroxide plasma sterilization was used in 398 (64.61％),and ethylene oxide sterilization was used in 222 (36.04％) hospitals.Conclusions The maintenance of surgical instruments should be carried out by professional personnel,relevant training should be carried out,management personnel should strengthen the inspection,and relevant standards and norms should be formulated to unify the management of surgical instruments.