手术室复用器械信息化闭环管理流程再造研究  

Research on informationization closed loop management process reengineering of reusable instruments in operating rooms

作　　者：吴春玲 王文莉 黎燕卿 徐信兰 吴小珍 WU Chunling;WANG Wenli;LI Yanqing;XU Xinlan;WU Xiaozhen(Operating Room,Guangzhou Women and Children's Medical Center Maternal and Child Hospital,Guangdong Province,Guangzhou510180,China)

机构地区：[1]广州市妇女儿童医疗中心妇婴院区手术室,广东广州510180

出　　处：《中国当代医药》2024年第7期160-163,181,共5页China Modern Medicine

基　　金：广东省医学科学技术研究基金项目(A2022212)。

摘　　要：目的探讨手术室复用器械信息化闭环管理流程再造的效果。方法选取2021年1月至6月广州市妇女儿童医疗中心实施常规管理期间消毒供应室接收的6000个手术器械包作为对照组;另选取2021年7月至12月广州市妇女儿童医疗中心实施追溯闭环管理期间消毒供应室接收的6000个手术器械包作为观察组。使用消毒供应追溯系统对手术室复用器械从初期购入、身份确认到使用、回收、清洗、配包、灭菌、发放、接收等各个环节实行闭环管理,全程采用条形码和移动信息化工具(PDA)技术对使用情况进行跟踪。比较两组器械包欠缺发生情况以及医护人员满意度。结果观察组的手术室器械包欠缺发生率低于对照组,差异有统计学意义(P<0.05)。观察组的手术室和消毒供应室工作人员对管理满意度评分高于对照组,差异有统计学意义(P<0.05)。结论手术室复用器械信息化闭环管理流程再造的不断完善和改进,可降低器械包欠缺发生率,从而提升工作人员对管理的满意度。Objective To explore the effect of process reengineering of information closed-loop management of operating room reusable instruments.Methods A total of 6000 surgical instrument sets received by the disinfection supply room of Guangzhou Women and Children's Medical Center during the routine management period from January to June 2021 were selected as the control group.Another 6000 surgical instrument kits received by the disinfection supply room during the implementation of retrospective closed-loop management in Guangzhou Women's and Children's Medical Center from July to December 2021 were selected as the observation group.The disinfection supply traceability system was used to implement closed-loop management of the operating room reuse instruments from the initial purchase,identity confirmation to use,recycling,cleaning,packaging,sterilization,distribution,receipt and other links,and the use of barcode and personal digital assistant(PDA)technology is tracked throughout the process.The situation of kit deficiency and the satisfaction of medical staff were compared between the two groups.Results The incidence of instrument kit deficiency in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).The satisfaction scores of the operating room and disinfection supply room staff in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusion The continuous improvement and improvement of the process reengineering of the information closed-loop management of reusable instruments in the operating room can reduce the incidence of instrument kit deficiency,thus improving the staff's satisfaction with management.

关 键 词：手术室 复用手术器械 信息化闭环管理 流程再造 

分 类 号：R472.3[医药卫生—护理学]