基于信息追溯的视觉监控系统在消毒供应中心工作质量管理中的设计与应用  

Design and Application of Visual Monitoring System Based on Real-Time Traceability System in Information Quality Management of Central Sterile Supply Department

作　　者：吴小娜[1] 陈慧[1] 何倩[1] 刘佳微 WU Xiaona;CHEN Hui;HE Qian;LIU Jiawei(Central Sterile Supply Department,West China Hospital of Sichuan University,Chengdu Sichuan 610041,China)

机构地区：[1]四川大学华西医院洗浆消毒供应中心,四川成都610041

出　　处：《中国医疗设备》2023年第7期108-112,151,共6页China Medical Devices

基　　金：四川大学华西护理学科发展专项基金青年创新项目(HX2022.052)。

摘　　要：目的 探讨基于信息追溯的视觉监控系统在消毒供应中心(Central Sterile Supply Department,CSSD)质量管理中的应用效果。方法 采用SAAS的模式架构,在CSSD信息追溯系统的基础上建立视觉监控系统体系,实现追溯系统与监控系统数据对接,监控系统中设置物品、器械处置风险点监测,实现数据分析与回溯、归档预警提示。比较系统应用前后医疗器械质量、无菌物品管理工作质量、管理工作质量缺陷情况。结果 系统应用后,急件器械处置时效和医疗器械全流程处置不合格率均低于系统应用前(P<0.05);无菌包发放和管理不合格率低于系统应用前(P<0.05);工作量统计、账务管理、过期预警、生物监测记录缺陷率低于系统应用前(P<0.05)。结论 基于信息追溯的视觉监控系统能够实时分析潜在风险工作质量问题,扩大信息预警功能,有利于规避不良事件的发生,对提高CSSD的工作质量、服务质量及管理能力有一定的意义,值得推广。Objective To explore the application effect of visual monitoring system based on information traceability system in quality management of Central Sterile Supply Department(CSSD).Methods The SAAS model structure was adopted to establish a visual monitoring system based on the information traceability system of the CSSD.The data connection between the traceability system and the monitoring system was established.The monitoring system was equipped with the monitoring of the risk points of the disposal of articles and instruments,so as to realize the data analysis,backtracking and archiving of early warning and prompt.The quality of medical devices,the quality of sterile items management and the quality defects of management work were compared before and after the system application.Results After the application of the system,the disposal time of emergency devices and the unqualified rate of medical devices in the whole process were lower than before the application of the system(P<0.05).The failure rate of sterile package distribution and management was lower than before the system application(P<0.05).The defect rates of workload statistics,accounting management,overdue warning and biological monitoring records in the observation group were lower than before the system application(P<0.05).Conclusion The visual monitoring system based on information traceability can analyze the potential risk work quality problems in real-time,expand the information warning function,and help to avoid the occurrence of adverse events.It has certain significance for improving the quality of work,service quality and management ability of the CSSD,and is worth promoting.

关 键 词：消毒供应中心 视觉监控系统 信息预警 质量管理 

分 类 号：R197.324[医药卫生—卫生事业管理]