建立外来器械闭环式管理的规范化流程,降低外来器械的医院感染等高危风险。2017年2~4月,便利选取中国人民解放军第三〇九医院手术使用后的脊柱外科外来器械及植入物300件作为对照组,2017年5~7月便利选取300件作为观察组。对照组采用传统管理流程,观察组采用闭环式管理流程,采用目测法及ATP生物荧光法检测,比较两组使用后清洗质量合格率及物品丢失率,清洗质量合格率。结果显示,观察组外来器械使用后清洗合格率目测法由65.33%提升至93.67%,ATP生物荧光法检测由57.33%提升至92.33%,物品丢失率由2.67%下降至0.33%,差异有统计学意义(P<0.05)。对外来器械实施闭环式管理,可提高外来器械和植入物的管理水平,提升手术安全性,降低医疗风险及院内感染的发生。 Establish a standardized process for closed loop management of foreign instruments to reduce the risk of high risk such as nosocomial infection of foreign instruments. From February to April 2017, 300 surgical instruments and implants for spine surgery at the 309th Hospital of Chinese PLA were selected as the control group. From May to July 2017, 300 were selected as the observation group for convenience. The control group adopted the traditional management process, the observation group adopted the closed-loop management process, and visual inspection and ATP biofluorescence test were used to compare the cleaning quality pass rate and article loss rate and cleaning quality pass rate after using the two groups. The results showed that after the use of foreign instruments in the observation group, the passing rate of cleaning increased from 65.33% to 93.67%, the ATP biofluorescence method increased from 57.33% to 92.33%, the loss rate of articles decreased from 2.67% to 0.33%, the difference was statistically significant Significance (P <0.05). The implementation of closed-loop management of foreign instruments can improve the management of foreign instruments and implants, enhance the safety of operations, reduce the medical risks and the occurrence of nosocomial infections.