智能器械回收信息系统在特殊时段器械交接管理中的应用

Application of intelligent recovery information system in instrument handover management in special period

目的提高特殊时段手术室与消毒供应中心(CSSD)器械交接质量。方法收集华中科技大学同济医学院附属协和医院2016年9?—12月和2017年9月?—12月手术室与CSSD之间在周末、节假日、夜班等特殊时段器械回收资料记录。将2016年9?—12月器械回收资料设为对照组,采用人工集中回收交接方法;2017年9?—12月器械回收资料为试验组,采用智能器械回收信息系统交接方法。比较两组器械交接质量和交接不良事件发生率。结果采用器械智能回收信息系统后,试验组记录内容和器械包内容正确率均高于对照组,差异有统计学意义(P<0.01)。试验组器械遗失、器械缺损、职业暴露、问题无法追溯发生率均低于对照组,差异有统计学意义(P<0.01)。结论智能器械回收信息系统在手术室与CSSD器械交接特殊时段应用效果良好,能及时解决交接问题,可推广使用。

Objective To improve the handover quality of instruments between operating room and central sterile supply department (CSSD) in special period. Methods The instrument recovery records between operating room and CSSD during special period, including weekends, holidays and night shifts from September to December 2016 and from September to December 2017 in Union Hospital of Tongji Medical College, Huazhong University of Science and Technology were collected. The records from September to December 2016 were assigned as control group, using artificial transition method. The records from September to December 2017 were assigned as intervention group, using using new intelligent information system. The quality of instrument handover and the incidence of adverse events were compared between the two groups. Results After using intelligent information system, the accuracy rate of records and the content of instrument package of the intervention group were both higher than those of the control group, and the differences were statistically significant (P<0.01). The incidences of instrument loss, instrument defect, occupational exposure and problem traceability in the intervention group were lower than those in the control group, and the differences were statistically significant (P<0.01). Conclusions The intelligent information system has good application effect on instrument handover between operating room and CSSD in special period. It can solve handover problem in time and can be popularized.