腔镜手术器械使用故障分析及改进策略

Failure analysis and improvement strategy of laparoscopic surgical instruments

目的腔镜手术器械使用故障研究以及对应策略分析。方法选择2017年1月-2018年7月该院开展的6 800台腔镜手术进行分析,对2017年1月-2017年10月腔镜手术器械使用故障原因进行分析,并提出改进策略,于2017年11月起实施。对比改进策略实施前后腔镜手术器械使用故障发生率。结果改进后腔镜手术器械使用故障发生率明显低于改进前,差异有统计学意义(P <0.05);医师、护理人员操作不当及术后清洁消毒不达标为腔镜手术器械使用故障发生的主要原因。结论医生及护理人员在手术开展过程中,应用手术器械不当、术后清洁消毒未达标为腔镜手术器械故障的主要原因,故针对这些具体原因开展针对性的管理,能确保腔镜手术器械处于优质的工作状态,防范风险,保障手术顺利实施,减少运营和维护成本。

Objective To study and analyze the failure reason and improvement strategy for laparoscopic surgical instruments. Methods 6 800 cases of laparoscopic surgeries performed from January 2017 to July 2018 were selected for analysis. The causes of malfunctions of laparoscopic surgical instruments from January 2017 to October 2017 was analyzed and improvement strategies were proposed which will be implemented in November 2017. Then compare the incidence of failures of laparoscopic surgical instruments before and after the implementation of the improved strategies. Results The incidence of failures in the improved laparoscopic surgical instruments was significantly lower than that before the improvement, and the difference was statistically significant (P < 0.05). Physicians, nursing staff, improper operation and post-operative cleaning and disinfection are not the main reasons for the use of laparoscopic surgical instruments. Conclusion The main reasons for the failure of endoscopic surgical instruments are improper application of surgical instruments by doctors and nurses during the operation and the failure of cleaning and disinfection after operation. Therefore, it is essential to carry out targeted management for specific reasons, which can ensure the endoscope. The surgical instruments are in good working condition, laying the foundation for the smooth implementation of the operation and reducing the maintenance cost.