以质量求发展，以服务铸品牌

Journal of Nursing ›› 2022, Vol. 29 ›› Issue (8): 19-22.doi: 10.16460/j.issn1008-9969.2022.08.019

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Evaluation and Residual Value Utilization of Scrapped Surgical Instruments

LIU Dong-yana, WANG Hui-yub, TAN Chun-rongc, GUO Weid, AN Xianga, GAO Rana, ZHANG Ya-feia, GUO Da-weib   

  1. a. Central Sterile Supply Department; b. Dept. of Clinical Engineering; c. Dept. of Procurement; d. Operating Room, Beijing Shijitan Hospital, Capital Medical University, Beijing 100038, China
  • Received:2021-08-31 Online:2022-04-25 Published:2022-05-11

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Abstract: Objective To realize the fine management and cost control of scrapped surgical instruments by establishing an assessment system of scrapped surgical instruments and exploring the residual value utilization of scrapped surgical instruments. Methods By combining industry standards and clinical practice, scrapping assessment was conducted from the 9 detailed indicators of 3 aspects of surgical instrument safety, usability and cost and the assessment was carried out by weight calculation. The residual value utilization of scrapped surgical instruments was explored from the two aspects of maintenance and teaching. Results The scrap rate of 223 pieces of surgical instruments from April 2018 to December 2020 was 21.1%,and the hospital saved about 700,000 yuan. Conclusion A qualitative and quantitative assessment of scrapped surgical instruments makes up for the deficiency of the present method, effectively reduce the operation risk caused by using discarded surgical instruments. The purchase and maintenance?cost of surgical instruments are saved through residual value utilization.

Key words: surgical instruments, scrap assessment, scrap value, fine management, cost control

CLC Number: 

  • R472.3
[1] 周芳芳,周春燕,张亿琴,等.手术室-消毒供应中心协作行眼科精密器械成本管控效果研究[J].护理学报, 2018,25(15):18-20.DOI:10.16460/j.issn.1008-9969.2018.15.018.
[2] 梁希希,唐媛,朱明善,等.白内障超声乳化手柄故障原因分析及改进对策[J].护理学报, 2021,28(9):76-78.DOI:10.16460/j.issn.1008-9969.2021.09.076.
[3] 孙育红,钱蒨健,周力,等.手术腔镜器械分类及维护保养指南[M].北京:科技出版社,2018.
[4] 王红旭,郭大为,孙林,等.基于五问法的手术器械故障原因分析及改进措施研究[J].中国医学装备,2020,17(2):127-130. DOI:10.3969/j.issn.1672-8270.2020.02.034.
[5] 杨洁,刘秋生,李礼安,等.加强围手术期术前讨论质控的做法与体会[J].实用医学杂志,2021,37(15):2026-2029. DOI:10.3969/j.issn.1006-5725.2021.15.024.
[6] 涂咏涛. 医疗设备报废处置的全过程管理探讨[J]. 中国设备工程, 2020(13):78-79.DOI:10.3969/j.issn.1671-0711.2020.13.041.
[7] 陆阳,杨林,戴剑峰.基于灰色理论和熵权法的医疗设备报废评估体系研究与应用[J].中国医疗设备,2019,34(6):128-131. DOI:10.3969/j.issn.1674-1633.2019.06.035.
[8] 卫生部. 《医疗卫生机构医学装备管理办法》[EB/OL].(2011-3-24).http://www.gov.cn/gongbao/content/2011/content_1960690.html.
[9] 王红旭,郭大为,刘东岩,等. 574件手术器械表面变化检测分析与风险管理[J].中国医疗设备,2021, 36(2):148-151. DOI:10.3969/j.issn.1674-1633.2021.02.036.
[10] 邓文艳,郑焜,徐向天,等. 医疗设备维护费用现状分析及改进措施[J].中华医院管理杂志,2018,34(11):944-946. DOI:10.3760/cma.j.issn.1000-6672.2018.11.015.
[11] 丰国庆. 降低医疗设备维修成本有效途径的探讨[J].中国设备工程,2018(17):34-35. DOI:10.3969/j.issn.1671-0711.2018.17.010.
[12] 蒋秉梁,王晓堂.基于层次分析法的医疗设备维护流程优化构建[J]. 中国医学装备, 2021, 18(8):215-218. DOI:10.3969/j.issn.1672-8270.2021.08.048.
[13] 孙育红,钱蒨健,王维,等.二级及以上医院手术器械管理现状及问题分析[J].中国护理管理,2019,19(5).DOI:10.3969/j.issn.1672-1756.2019.05.018.
[14] 徐梅,蒲霞,王惠珍,等.手术器械质量现状的调查分析[J].护理学杂志,2017, 32(16):47-49.DOI:10.3870/j.issn.1001-4152. 2017.16.047.
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