基于自动灌注系统的手术病理标本前处理系统的建设与应用  

Construction and Application of Pre-Processing System for Surgical Pathological Specimens Based on Automatic Perfusion System

作　　者：孙碧海[1] 张颖[2] 钟林涛[3] 庞蕾 SUN Bihai;ZHANG Ying;ZHONG Lintao;PANG Lei(Department of Information,China-Japan Friendship Hospital,Beijing 100029,China;Department of Surgical Anesthesiology,China-Japan Friendship Hospital,Beijing 100029,China;Department of Medical Affairs,China-Japan Friendship Hospital,Beijing 100029,China;Chao Yang Emergency Medical Rescuring Center,Beijing 100000,China)

机构地区：[1]中日友好医院信息部,北京100029 [2]中日友好医院手术麻醉科,北京100029 [3]中日友好医院医务处,北京100029 [4]北京市朝阳区紧急医疗救援中心,北京100000

出　　处：《中国医疗设备》2024年第11期75-81,111,共8页China Medical Devices

基　　金：中日友好医院高水平医院临床业务专项费项目(2023-NHLHCRF-GLMS-10)。

摘　　要：目的探索建立标准、实用、高效的管理模式,有效解决手术病理标本前处理管理中存在的问题。方法参照国内外标准要求,依托移动护理PDA、条码追溯技术、Wi-Fi覆盖、自动灌注系统和多接口技术等,实现手术病理标本获取、登记、固定、暂存、转运、签收等环节的闭环管理。结果信息化方案实施后,标本前处理各环节耗时、不良事件发生率、福尔马林用量均低于实施前,手术室及病理科人员使用满意度高于使用前,且差异均有统计学意义(P<0.05)。结论基于自动灌注系统的手术病理标本前处理管理信息化,实现了病理标本管理的标准化,规范化,有效减少了福尔马林用量、职业暴露,有效保障了医护人员健康,方案实用、高效、安全,具有推广价值。Objective To explore the standardized,practical and efficient managerial approach,to effectively solve the problems existing in the management of pre-processing of surgical pathological specimens.Methods By referring to the requirements of domestic and foreign standards,relying on mobile nursing PDA,barcode tracing technology,Wi-Fi coverage,automatic perfusion system and multi-interface technology,the closed-loop management of acquisition,registration,fixation,temporary storage,transportation,signing and other processes for surgical pathological specimens was realized.Results After the scheme implementation,the time consuming of specimens pre-processing,adverse event occurrence rate and formalin dosage were significantly lower than before the implementation;the satisfaction of operating room and pathology department personnel was higher than before the use,and the differences were statistically significant(P<0.05).Conclusion The information management approach for the pre-processing procedure for surgical pathological specimens based on the automatic perfusion system,realizes the standardization and normalization management of pathological specimens,effectively reduces the formalin dosage and occupational exposure,and effectively protects the health of medical personnel.The approach is practical,efficient,and safe,and has popularization value.

关 键 词：自动灌注系统 手术病理标本 标本前处理 条码追溯 移动应用 福尔马林 

分 类 号：R197.32[医药卫生—卫生事业管理]