微创腔镜手术器械安全流程管理

目的通过对腔镜手术器械环节的管理，探讨腔镜手术器械在手术使用中的各项安全管理措施，保障手术的安全进行。方法通过对我院2009年7—12月胸腔镜、腹腔镜、宫腔镜、脑室镜、机器人1910例手术腔镜器械的灭菌后的发放、手术使用、手术后接收等各项流程环节控制管理，进行腔镜手术器械的人员培训，梳理流程，增强腔镜手术器械安全管理意识，把控腔镜手术器械质量控制环节的过程管理，进行问题差距管理，改进管理中存在的问题，提高腔镜手术器械的管理质量。结果对1910例腔镜手术的管理，进行环节的流程安全管理，保障手术的顺利进行。结论通过对腔镜物品、器械管理过程追踪临床手术使用、手术后接收、清洗、整理、检查等制定安全管理措施，有效避免腔镜器械管理中的疏漏，临床使用效果显著。

Investigation of safety procedure management of minimally invasive surgical instruments

Objective To investigate safety managements of surgical instruments employed for the minimally invasive surgery through link management so as to guarantee surgery safety. Methods All procedure managements for surgical instruments were performed, such as distribution after sterilization, surgical use,takeover after the surgery for 1 910 cases from July to December 2009 in our hospital. All the surgical instruments involved in the surgery included thoracoscopes, laparoscope, uteroscope, ventriculoscope and surgical robots. We organized management training of surgical instruments for medical staff, filed out management procedures,enhanced their consciousness of safety management, controlled the key link for quality control, performed gap management, handled the existing problems and improved management quality. Results The safety procedure management of surgical instruments was performed for the 1 910 cases, which insured that the surgery could go smoothly. Conclusions Safety management measures are established on the basis of the information traced from surgical use, takeover after the surgery, cleaning, sorting, inspection for surgical instruments so that oversight over its management could be effectively avoided, making its clinical effects more obvious.