组织工程与重建外科杂志

组织工程与重建外科杂志 ›› 2023, Vol. 19 ›› Issue (3): 285-.

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手术室临床应用场景中无菌物品的数字化信息化管理实践与体会

  

  • 出版日期:2023-06-01 发布日期:2023-07-05

 Application of digital information management on sterilized items in clinical operating scenarios: Practice and

experience #br#

  • Online:2023-06-01 Published:2023-07-05

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摘要：

目的　探讨数字化信息化管理模式对手术室无菌物品管理时间成本和可靠性的影响。方法　无菌物品来源
于本院整复外科门诊手术室，共收集了 2021 年 12 月至 2022 年 1 月期间的 1 790 件无菌物品。按照管理模式分为两组，
实验组（n=910）采用数字化信息化管理模式，对照组（n=880）采用传统台账管理模式。记录两组无菌物品的入库
时间、清查失效期、整理时间、取用时间，采用团体 t 检验评价两组的差异；同时记录两组无菌物品使用的可靠性（无
菌物品过期率、丢失率、错误发放率）和手术室医护人员应用满意度，采用卡方检验评价两组的差异。结果　实验
组清查失效期、整理时间、取用时间均明显短于对照组（P<0.001）；实验组的入库时间明显长于对照组，但总管理
时间短于对照组（P<0.001）；实验组无菌物品过期率、丢失率、错误发放率均低于对照组（P<0.01）；实验组医护人
员满意度高于对照组（P<0.05）。结论　相较于传统台账式手术室无菌物品管理模式，数字化信息化管理能有效减少
管理流程中的时间成本，获得更高的满意度，临床使用效果更好。

关键词:

Abstract:

Objective　To explore the influence of digital information management mode on the time cost and reliability
of sterilized items management in operating rooms. Methods　The present study was performed basing on the sterilized items
from the operating division, Department of Plastic and Reconstructive Surgery. A total of 1 790 sterilized instrument kits were
collected from December 2021 to January 2022. According to the management, the kits were divided into two groups. The experimental group (n=910) adopted the digital information management mode, while the control group (n=880) adopted the conventional ledger management mode. The item-registering time, the validity-checking time, the storage cabinet settling time and
the item-taking time were recorded in both groups. A group t test was applied to evaluate the difference between the two groups.
Meanwhile, the reliability of the two groups, including sterilized item expiration, loss, and mistaking delivery, were also recorded
and analyzed with Chi-square test. The satisfaction ratio of the medical staff was evaluated at the same time. Results　Of the
experimental group, the validity-checking time, the storage cabinet settling time and the item-taking time were significantly less
than those of the control group (P<0.001). The item-registering time of the experimental group was significantly longer than that
of the control group, but the total management time was still better than that of the control group (P<0.001). The item expiration
rate, the item loss rate and the mistaking delivery rate of the experimental group were all lower than those of the control group 
(P<0.01). Meanwhile, the satisfaction of medical staff in the experimental group was higher than that in the control group (P<0.05).
Conclusion　Compared with the traditional ledger management mode of sterilized items in the operating room, the digital information management mode could effectively reduce the time cost in the management process, obtain higher satisfaction of medical
staff, and give a better clinical application.

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