追溯系统在手术室与供应室一体化管理模式下的应用研究  

Application of the traceability system in integrated management of operating room and central sterile supply department

作　　者：庞雪利 吴卓 凌彩云 李巧萍 PANG Xueli;WU Zhuo;LING Caiyun;LI Qiaoping(Operation Room,The Third Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou,Guangdong,510240;Central Sterile Supply Department,The Third Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou,Guangdong,510240;Department of Nursing,The Third Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou,Guangdong,510240)

机构地区：[1]广州中医药大学第三附属医院手术室,广东广州510240 [2]广州中医药大学第三附属医院供应室,广东广州510240 [3]广州中医药大学第三附属医院护理部,广东广州510240

出　　处：《中西医结合护理（中英文）》2018年第11期169-171,共3页Journal of Clinical Nursing in Practice

摘　　要：目的探讨追溯系统在手术室与供应室一体化(手供一体化)管理模式下的应用效果。方法 2015年3月—2016年6月对器械采用传统人工追溯管理办法,对480 894件手术器械,共44 968包,进行消毒灭菌,设为对照组。2016年7月—2018年3月采用电子追溯系统对器械进行质量追溯管理,对1034 902件手术器械,共135 177包,进行消毒灭菌,设为实验组。结果手术室供应室一体化管理模式下,通过使用电子追溯系统对器械进行质量追溯管理,器械清洗不合格率由使用前6. 84%降低到1. 26%,器械丢失率由0. 59%降低至0. 06%,标签错误率由0. 68%降至0. 02%,医护满意度由83. 08%提高至96. 92%,差异有统计学意义(P <0. 05)。结论手供一体化管理模式下采用电子追溯系统对器械进行质量管理,有利于降低工作出错率,提高器械消毒灭菌、追溯管理的工作质量及效率,确保手术顺利进行。Objective To investigate the application efficacy of the traceability system in integrated management of operating room and central sterile supply department. Methods The manual traceability method was used in the management of surgical instruments between March 2015 and June 2016, and totally 44 968 sterilization packages with 480 894 pieces of surgical instruments were included as the control group. The electronic traceability system was used in management of surgical instruments between July 2016 and March 2018, and 135 177 sterilization packages with 1034 902 pieces of surgical instruments were included as the observation group. Results The rate of unqualified cleaning dropped from 6.84% in the control group to 1.26% in the observation group(P<0.05). The rate of lost surgical instruments dropped from 0.68% in the control group to 0.02% in the observation group(P<0.05). There was an increased nursing satisfaction among surgeons and nurses after implementation of electronic traceability system (96.92% vs. 83.08%, P<0.05). Conclusion Under the integrated management model of operating room and central sterile supply department, the electronic traceability system is effective to improve the disinfection and sterilization quality of surgical instruments and ensure the safety of operation.

关 键 词：追溯系统 手术室-供应室一体化 手术器械 消毒灭菌 医院感染 质量控制 

分 类 号：R472.1[医药卫生—护理学]