乡镇医院手术室管理现状及对策

Operating Room Management Condition and Protocol at Township Hospitals

目的了解乡镇医院手术室管理现状,提出改进措施。方法根据《医院消毒技术规范》、《手术部医院感染预防与控制技术规范》、《医疗机构医务人员手卫生规范》,制定统一检查标准,对9所乡镇医院手术室管理现状进行调查。结果9所乡镇医院手术室管理均存在规章制度不健全、布局流程不合理、消毒灭菌管理不规范、医院感染知识缺乏等问题。结论重视手术室管理工作,完善手术室管理制度,规范手术室环境管理,强化医院感染知识培训,是提高乡镇医院手术室管理水平的关键。

OBJECTIVE To understand operating room management conditions and put forward improvement methods at township hospitals. METHODS An observatory study was conducted in 9 township hospitals using the evaluation criteria based on the requirements of the Guidelines for Disinfection in Hospitals. Technical Guidelines for Prevention and Control of the Hospital Infection in Operation Departments and the Guidelines for Hand Hygiene of Medical staff in Medical Institutions. RESULTS Problems were found to a different extent in all of the 9 township hospitals： faults in rules and regulations, unreasonable layout technological process, unstandardized sterilization and disinfection and short knowledge about hospital infection . CONCLUSIONS Special attention to managment of operating room, improving consciousness, strengthening medical staff study and improving system are the key issues for improving the management level of operating room at township hospitals.