手术室器械全流程可追溯信息化管理实践

Information management practice of operating room instruments based on whole process traceability

目的 探讨全流程可追溯信息系统在手术室器械管理中应用及效果。方法 选择2021年10-12月7 715个手术器械包作为对照组,采用常规手术器械管理方法;2023年4-6月8 417个手术器械包作为观察组,将手术麻醉临床信息系统与消毒供应中心追溯系统对接,通过控制入库、领用、术前清点、使用记录、术后归位5个关键环节,实现手术室器械全流程可追溯信息化管理。结果观察组手术器械交接缺陷率为0.90%,显著低于对照组的2.10%(P<0.05);全流程可追溯信息化管理后,手术医生对手术器械准备、器械性能、器械传递、器械清点和手术配合的满意度显著高于信息化管理前(均P<0.05)。结论 全流程可追溯信息化管理手术室器械,有利于降低术后器械交接缺陷率,提升手术医生对手术器械管理满意度。

Objective To explore the application effect of a whole process traceability information system in operating room instrument management.Methods A total of 7 715 surgical instrument packages managed by the conventional method from October to December 2021 were selected as a control group,the other 8 417 surgical instrument packages from April to June 2023 were selected as an experimental group,which were managed by integrating the surgical anesthesia clinical information system with the traceability sy stem of the disin fection supply center,and achieved operating room instruments whole process traceable information management through five keylinks:warehousing,receiving,preoperativei nventorying,usage recording,and postoperative repositioning.Results The defect rate of surgical instrument handover in the experimental group was 0.90%,which was significantly lower than that of 2.10% in the control group(P <0.05).After the implementation of whole process traceable information manageme nt,the satisfaction of surgeons with surgical instrument preparation,instrument performance,instrument delivery,instrumentinve ntory,and surgical cooperation were significantly higher than those before the implementation of information management(all P<0.05).Conclusion The whole process traceable information management of operating room instruments is conduciveto reducing the defect rate of postoperative instrument handover and improving the satisfaction of surgeons with surgical instrument management.