摘要
目的:分析多色无纺布包装材料在手术器械灭菌管理对手术周转效率、手术器械准备情况及外科医护人员与患者满意度等影响.方法:选取2016年3月至2021年12月首都医科大学附属北京友谊医院消毒供应中心的31589件手术器械,根据管理方法不同,将2016年3月至2019年1月的71007例手术患者及患者使用的16 224件手术器械纳入对照组,采用传统的纱棉布包包装手术器械管理方法.将2019年2月至2021年12月的62 548例手术患者及患者使用的15 365件手术器械纳入观察组,采用多色无纺布包装材料手术器械管理方法,比较两组手术周转效率、手术器械准备情况及患者与外科医护人员的使用管理满意度.结果:观察组患者手术的入室时间、入室-切皮时间、接台手术入室-切皮时间及手术延误率均低于对照组,差异有统计学意义(t=52.681、37.167、72.524,x2=9.605,P＜0.05).与对照组比较,观察组外出送物品次数、装配错误和器械丢失明显降低,器械完好件数明显提高,差异有统计学意义(x2=107.345、11.782、8.727、66.223,P＜0.05);观察组患者及医护人员器械使用管理的满意度显著高于对照组,差异有统计学意义(t=100.723、6.756,P＜0.05).结论:手术器械运用多色无纺布包装材料有助于提高手术周转率,通过降低外出送物品次数、装配错误及器械丢失提高消毒供应中心工作效率,改善外科医护人员与患者对手术器械多色无纺布包装材料的满意度.
Abstract
Objective:To analyze the impact of multi-color non-woven packaging in surgical instrument management on surgical turnover efficiency,surgical instrument preparation,and satisfaction of surgical medical staff and patients.Methods:31,589 surgical instruments from Beijing Friendship Hospital Capital Medical University from March 2016 to December 2021 were Selected.According to different management methods,71,007 surgical patients and corresponding 16,224 surgical instruments from March 2016 to January 2019 were included in the control group,which adopted traditional gauze-cotton bag packaging surgical instrument management method;62,548 surgical patients and the corresponding 15,365 surgical instruments from February 2019 to December 2021 were included in the observation group,which adopted multi-color non-woven packaging surgical instrument management method.The surgical turnover efficiency,surgical instrument preparation and satisfaction of surgical staff and patients were compared between the two groups.Results:The room entry time,room entry to skin incision time,the following surgery room entry to skin incision time,and surgical delay rate of surgeries of patients in the observation group were lower than those in the control group,the difference was statistically significant(t=52.681,37.167,72.524,x2=9.605,P<0.05).Compared with the control group,the number of outgoing deliveries,assembly errors and loss of instruments decreased significantly,the number of intact devices was increased significantly,the difference was statistically significant(x2=107.345,11.782,8.727,66.223,P<0.05.The satisfaction of patients and medical staff in the observation group was significantly higher than that in the control group,the difference was statistically significant(t=100.723,6.756,P<0.05).Conclusion:The application of multi-color non-woven packaging in the management of surgical instruments can help to improve surgical turnover rates,improve the efficiency of the central sterile supply department by reducing the number of outgoing deliveries,assembly errors and instrument losses,and improve the satisfaction of surgical medical staff and patients with multi-color non-woven packaging of surgical instruments.
国家科技期刊平台
NSTL
万方数据