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1790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。
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 1790 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.
作者
江雪
黄莹
杨欣
刁培欣
侯莉
陈萍
丁维
JIANG Xue;HUANG Ying;YANG Xin;DIAO Peixin;HOU Li;CHEN Ping;DING Wei(Nursing Management,Shanghai Ninth People’s Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200011,China)
出处
《组织工程与重建外科》
CAS
2023年第3期285-288,共4页
Journal of Tissue Engineering and Reconstructive Surgery
基金
上海交通大学医学院附属第九人民医院2022年度医院管理研究项目(YGB202214)
上海交通大学医学院附属第九人民医院2022年度护理院级基金项目(JYHL2022MS06)。
关键词
手术室
无菌物品
数字化管理
时间成本
满意度
Operating room
Sterilized items
Digital management
Time cost
Satisfactory rate
