专人管理模式在手术室腹腔镜器械管理中的应用

Application of Specially-assigned Person Management Model in the Laparoscopic Instrument Management in the Operating Room

目的观察专人管理模式在手术室腹腔镜器械管理中的应用效果,分析其临床应用价值。方法选取2016年1—12月期间280台手术腔镜器械及手术医生作为研究对象,2016年1—6月期间未实施专人管理模式的有140台手术,2016年7—12月期间实施专人管理模式的有140台手术。观察并对比专人管理模式实施前后的腔镜器械清洗消毒合格、腔镜器械零部件缺损、腔镜器械遗失、维修次数以及医生满意度等指标,分析专人管理模式的应用价值。结果专人管理模式实施后的腔镜器械清洗消毒合格率98.6%明显高于实施前的89.3%,实施后的腔镜器械零部件缺损、腔镜器械遗失、维修次数比例明显低于实施前(P<0.05),实施前后的腔镜器械清洗消毒合格、腔镜器械零部件缺损、腔镜器械遗失、维修次数比较差异有统计学意义(P<0.05)。专人管理模式实施前手术医生的满意度为87.1%,实施后手术医生的满意度为97.1%,实施前后手术医生的满意度比较差异有统计学意义(P<0.05)。结论专人管理模式在手术室腹腔镜器械管理中的应用效果显著,具有一定的临床意义。

Objective To observe the application effect of specially-assigned person management model in the laparoscopic instrument management in the operating room and analyze the clinical application value. Methods 280 operative laparoscopic instruments and operative doctors from January to December 2016 were selected as the research objects and divided into two groups, including 140 instrument without the specially-assigned person management model from January 2016 to June 2016 and 140 instruments with the specially-assigned person management model from July to December 2016, and the cleaning and disinfection qualified rate of laparoscopic instrument, zero part defect of laparoscopic instrument, loss of laparoscopic instrument, maintenance frequency and satisfactory degree of doctors before and after the implementation of specially-assigned person management model were observed and compared and the application value of specially-assigned person management model was analyzed. Results The cleaning and disinfection qualified rate of laparoscopic instruments after the implementation of specially-assigned person management model was obviously higher than that before the implementation（98.6% vs 89.3%）, after the implementation, the ratio of zero part defect of laparoscopic instruments, loss of laparoscopic instruments and maintenance frequency was obviously lower than that before the implementation（P 0.05）,and the differences in the cleaning and disinfection qualified rate of laparoscopic instruments, zero part defect of laparoscopic instruments, loss of laparoscopic instruments and maintenance frequency before and after the implementation were statistically significant（P〈0.05）, and the difference in the satisfactory degree of operation doctors before and after the implementation was statistically significant（P〈0.05）. Conclusion The application effect of specially-assigned person management model in the laparoscopic instrument management in the operating room is obvious, which is of a certain clinical significance.