消化内镜中心内镜信息化追溯系统的设计及应用效果评价  

Design of informatization traceability system of endoscopes in gastrointestinal endoscopic center and application effect

作　　者：王盈盈[1] 鲍小倩[1] 邱晓珏[1] 杜健 桑素娟 刘晓冰[1] 唐平[1] 段振飞[3] 王晨[1] WANG Ying-ying;BAO Xiao-qian;QIU Xiao-jue;DU Jian;SANG Su-juan;LIU Xiao-bing;TANG Ping;DUAN Zhen-fei;WANG Chen(First Medical Center of PLA General Hospital,Beijing 100853,China;不详)

机构地区：[1]解放军总医院第一医学中心消化内科医学部,北京100853 [2]解放军医学院研究生院,北京100853 [3]解放军总医院第一医学中心信息科,北京100853

出　　处：《中华医院感染学杂志》2024年第1期139-143,共5页Chinese Journal of Nosocomiology

基　　金：北京市自然科学基金青年项目(7234412)。

摘　　要：目的设计内镜信息化追溯系统,评价其在消化内镜中心管理中的应用效果。方法收集2021年11月第一周解放军总医院第一医学中心消化内镜中心所记录的1690例次内镜信息作为对照组,2022年11月第一周所记录的1495例次内镜信息作为研究组,对照组和研究组分别采用常规手工追溯和全程信息化追溯管理方式,比较两组内镜清洗消毒合格率、追溯内容完整率、追溯登记耗时、污染内镜放置时间和血清四项纳入追溯系统对全流程的影响。结果两组内镜清洗消毒合格率无统计学差异;研究组和对照组内镜追溯内容完整率分别为100.00%、91.78%,比较有统计学差异(P<0.05);对照组追溯不完整内容中操作医生、送镜人员、患者编号信息缺失较多,缺失占比分别为5.86%、4.50%、2.25%;研究组和对照组追溯登记耗时分别为(7.55±1.30)s和(30.89±3.68)s,比较有统计学差异(P<0.05);研究组和对照组污染内镜放置时间分别为3.80(1.90,5.90)min、7.00(6.00,8.00)min,两组比较有统计学差异(Z=-30.629,P<0.001);96.15%的医护人员对血清四项纳入追溯系统起到提示职业防护作用给予认可。结论应用内镜信息化追溯系统进行内镜使用、转运、清洗消毒流程的管理,可明显提高追溯质量及效率,血清四项提示作用明显,可增强防护意识。OBJECTIVE To design the informatization traceability system of endoscopes and assess the application effect on management of the gastrointestinal endoscopic center.METHODS The information regarding 1690 case-times of patients who were treated with endoscopes was collected from the First Medical Center of PLA General Hospital in Nov 2021 and were assigned as the control group;the information regarding 1495 case-times of pa-tients who were treated with endoscopes in the first week of Nov,2022 was collected as the study group.The con-ventional manual traceability management was carried out in the control group,and the whole-process informatiza-tion traceability management was adopted in the study group.The qualified rate of cleaning and disinfection of en-doscopes,completeness rate of traceability content,time consumption of traceability and registration,placement time of contaminated endoscopes and four serological test items were brought into the traceability system and were compared between the two groups,and the effect on the whole process was observed.RESULTS There was no sig-nificant difference in the qualified rate of cleaning and disinfection of endoscopes between the two groups.The completeness rate of traceability content was 100.00%in the study group,91.78%in the control group,and there was significant difference(P<0.05).As for the incomplete traceability content of the control group,the in-formation loss of operating doctors accounted for 5.86%,the information loss of endoscope delivery personnel ac-counted for 4.50%,and the information loss of patients'number accounted for 2.25%.The time consumption of traceability and registration was(7.55±1.30)s in the study group,(30.89±3.68)s in the control group,and there was significant difference(P<0.05).The placement time of contaminated endoscopes was 3.80(1.90,5.90)min in the study group,7.00(6.00,8.00)min in the control group,and there was significant difference be-tween the two groups(z=-30.629,P<0.001).96.15%of the health care workers approved that the fo

关 键 词：内镜信息化追溯系统 消化内镜中心 内镜管理 

分 类 号：R197.39[医药卫生—卫生事业管理]