基于射频识别技术的手术室耗材管理系统的设计与应用

Design and Application of Consumables Management System Based on RFID Technology in Operating Room

目的探讨基于射频识别(Radio Frequency Identification,RFID)技术的手术室耗材智慧屋管理系统的应用效果。方法利用超高频RFID技术,将手术室原有库房进行整体改造及屏蔽铺设,搭建成基于RFID的手术室耗材智慧屋管理系统,建立产品入库、使用登记、库存管理和查询4个模块,完成对高值耗材的全过程管理和可追溯管理。比较系统使用前后耗材管理不良事件发生率、日均管理时间、日均领用时间和领用次数以及未使用耗材归位率情况。结果系统使用后,耗材管理不良事件发生率为2.9%,显著低于系统使用前的8.8%(χ^(2)=31.601,P<0.001);耗材日均管理时间为(66.56±10.37)min,显著低于使用前(110.18±16.89)min(t=69.598,P<0.001);耗材日均领用时间和领用次数显著低于使用前(t=109.051、39.659,均P<0.001)。未使用耗材归位率由系统使用前的95.2%提高到使用后的100%。结论手术室耗材智慧屋管理系统在高值耗材管理中应用效果显著,可减少耗材管理不良事件的发生,精简耗材管理和领用环节,值得推广应用。

Objective To investigate the application effect of the intelligent house for consumables management system based on radio frequency identification(RFID)technology in operating room.Methods Using ultra high frequency RFID technology,the original warehouse of the operating room was reformed as a whole and shielded,and the intelligent house with consumable management system for operating room based on RFID was built.Four modules including basic information maintenance,use registration,inventory management and query were established to complete the whole process management and traceability management of high-value consumables.The incidence of adverse events in consumables management,the average daily management time of consumables,the average daily usage time and number of usages of consumables,and the return rate of unused consumables were compared before and after the system was wsed.Results The incidence of adverse events in consumables management after using the system was 2.9%,which was significantly lower than that of 8.8%before using the system(χ^(2)=31.601,P<0.001).The average daily management time of consumables after using the system was(66.56±10.37)min,which was lower than that of(110.18±16.89)min before using the system(t=69.598,P<0.001).The average daily usage time and number of usages of consumables after using the system were significantly lower than before(t=109.051,39.659;both P<0.001).The return rate of unused consumables was increased from 95.2%before using the system to 100%after using the system.Conclusion The intelligent house with consumable management system in operating room has a remarkable application effect in the management of high-value consumables.It can reduce the occurrence of adverse events,simplify the management and the collection of high-value consumables,and is worth promoting and applying.