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手术室设备的中期管理:提高手术质量

Mid-Term Management of Operating Room Equipment: Improving Surgical Quality.

作者信息

Dai Yanting, Xu Yunfei, Zhang You, Wang Ke

机构信息

Operating Room, Shanghai Key Laboratory of Maternal Fetal Medicine, Shanghai Institute of Maternal-Fetal Medicine and Gynecologic Oncology, Shanghai First Maternity and Infant Hospital, School of Medicine, Tongji University, Shanghai, 200092, People's Republic of China.

Information Center, Shanghai Key Laboratory of Maternal Fetal Medicine, Shanghai Institute of Maternal-Fetal Medicine and Gynecologic Oncology, Shanghai First Maternity and Infant Hospital, School of Medicine, Tongji University, Shanghai, 200092, People's Republic of China.

出版信息

Med Devices (Auckl). 2025 Aug 14;18:415-425. doi: 10.2147/MDER.S550091. eCollection 2025.

DOI:10.2147/MDER.S550091
PMID:40832482
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12360330/
Abstract

This study focuses on the mid-term management theory of equipment lifecycle and systematically examines the impact of operating room instrument management on operational efficiency optimization. The review mainly covers four key aspects: operator training, information technology application, cost control, and quality assurance. The results indicate that mid-term management plays a crucial role in the full lifecycle management of operating room equipment and plays a key role in improving the quality of operating room operations. This management model is undergoing a profound transformation from experience driven to evidence-based practice, and from single control to system integration. Future research should focus on developing standardized evaluation metrics, scalable digital management platforms, and cross institutional data sharing models for optimizing the lifecycle of medical devices.

摘要

本研究聚焦于设备生命周期的中期管理理论,并系统地考察了手术室器械管理对优化运营效率的影响。该综述主要涵盖四个关键方面:操作人员培训、信息技术应用、成本控制和质量保证。结果表明,中期管理在手术室设备的全生命周期管理中起着至关重要的作用,并且在提高手术室手术质量方面发挥着关键作用。这种管理模式正在经历从经验驱动到循证实践、从单一控制到系统整合的深刻转变。未来的研究应侧重于开发标准化评估指标、可扩展的数字管理平台以及跨机构数据共享模型,以优化医疗设备的生命周期。

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本文引用的文献

1
Practical Application of QR Code Electronic Manuals in Equipment Management and Training.二维码电子手册在设备管理和培训中的实际应用。
Front Public Health. 2021 Nov 22;9:726063. doi: 10.3389/fpubh.2021.726063. eCollection 2021.
2
Advancing Patient Safety Surrounding Medical Devices: A Health System Roadmap to Implement Unique Device Identification at the Point of Care.提高医疗设备周围的患者安全:在医疗点实施唯一设备标识的卫生系统路线图。
Med Devices (Auckl). 2021 Nov 30;14:411-421. doi: 10.2147/MDER.S339232. eCollection 2021.
3
Establishment of a quality control circle to reduce biofilm formation in flexible endoscopes by improvement of qualified cleaning rate.建立质量控制圈,通过提高合格清洗率来减少软性内镜中的生物膜形成。
J Int Med Res. 2020 Sep;48(9):300060520952983. doi: 10.1177/0300060520952983.
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Optimisation of medical equipment replacement using stochastic dynamic programming.运用随机动态规划优化医疗设备更换。
J Med Eng Technol. 2020;44(7):411-422. doi: 10.1080/03091902.2020.1799096. Epub 2020 Sep 4.
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The Impact of a Real-Time Locating System within the Perioperative Environment on Physicians and Patients' Families.
Healthc Q. 2020 May;23(SP):25-32. doi: 10.12927/hcq.2020.26175.
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Using Real-Time Locating Systems to Optimize Endoscope Use at a Large Academic Medical Center.使用实时定位系统优化大型学术医学中心的内镜使用
J Med Syst. 2020 Feb 20;44(4):71. doi: 10.1007/s10916-020-1540-x.
7
Surgical Instrument Optimization to Reduce Instrument Processing and Operating Room Setup Time.优化手术器械以减少器械处理和手术室准备时间。
Otolaryngol Head Neck Surg. 2020 Feb;162(2):215-219. doi: 10.1177/0194599819885635. Epub 2019 Oct 22.
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Automated notifications improve time to anesthesia induction: Integrating health information technology systems to enhance perioperative efficiency.自动通知可缩短麻醉诱导时间:整合健康信息技术系统以提高围手术期效率。
Anaesth Anaesth. 2018 Dec;2(2). doi: 10.15761/JAA.1000116. Epub 2018 Oct 3.
9
Situation-Dependent Medical Device Risk Estimation: Design and Evaluation of an Equipment Management Center For Vendor-Independent Integrated Operating Rooms.情境相关医疗设备风险评估:用于供应商独立集成手术室的设备管理中心的设计和评估。
J Patient Saf. 2021 Oct 1;17(7):e622-e630. doi: 10.1097/PTS.0000000000000455.
10
Radiofrequency-Based Identification Medical Device: An Evaluable Solution for Surgical Sponge Retrieval?基于射频识别的医疗设备:用于手术海绵回收的可评估解决方案?
Surg Innov. 2017 Jun;24(3):268-275. doi: 10.1177/1553350617690608. Epub 2017 Feb 8.