The promoting effect of optimization of surgical instrument management process on nursing safety
手术器械管理流程优化对护理安全的促进作用

摘要

目的 探究手术器械管理流程优化对护理安全的促进作用，旨在为提升手术室护理质量、保障患者手术安全提供理论依据与实践参考。方法 选取2025年1月—6月在本院接受手术治疗的8000台手术作为研究对象，按照随机数字表法将其分为对照组和实验组，每组各4000台手术。对照组采用传统的手术器械管理流程，实验组采用优化后的手术器械管理流程。结果 实验组手术器械准备不完善发生率显著低于对照组（χ2=68.23，P<0.05）；实验组器械灭菌不合格率明显低于对照组（χ2=56.47，P<0.05）；实验组器械错发或漏发率低于对照组（χ2=52.31，P<0.05）；实验组护理不良事件发生率显著低于对照组（χ2=44.44，P<0.05）。结论 手术器械管理流程优化可显著降低手术器械准备不完善、灭菌不合格、错发或漏发的发生率，减少护理不良事件的发生，对促进护理安全具有重要作用，值得在临床手术室管理中推广应用。

Abstract

Objective To explore the promoting effect of optimizing the management process of surgical instruments on nursing safety, aiming to provide theoretical basis and practical reference for improving the quality of operating room nursing and ensuring the safety of patients' operations.
Methods A total of 8000 surgeries performed in our hospital from January to June 2025 were selected as the research objects. They were divided into a control group and an experimental group according to the random number table method, with 4000 surgeries in each group. The control group adopted the traditional management process of surgical instruments, and the experimental group adopted the optimized management process of surgical instruments.
Results The incidence of incomplete preparation of surgical instruments in the experimental group was significantly lower than that in the control group (χ2=68.23, P<0.05); the unqualified rate of instrument sterilization in the experimental group was significantly lower than that in the control group (χ2=56.47, P<0.05); the rate of wrong or missing delivery of instruments in the experimental group was lower than that in the control group (χ2=52.31, P<0.05); the incidence of adverse nursing events in the experimental group was significantly lower than that in the control group (χ2=44.44, P<0.05).
Conclusion   Optimizing the management process of surgical instruments can significantly reduce the incidence of incomplete preparation, unqualified sterilization, wrong delivery or missing delivery of surgical instruments, reduce the occurrence of adverse nursing events, and play an important role in promoting nursing safety. It is worthy of promotion and application in clinical operating room management.