Design of informatization traceability system of endoscopes in gastrointestinal endoscopic center and application effect
OBJECTIVE To design the informatization traceability system of endoscopes and assess the application effect on management of the gastrointestinal endoscopic center.METHODS The information regarding 1 690 case-times of patients who were treated with endoscopes was collected from the First Medical Center of PLA General Hospital in Nov 2021 and were assigned as the control group;the information regarding 1 495 case-times of pa-tients who were treated with endoscopes in the first week of Nov,2022 was collected as the study group.The con-ventional manual traceability management was carried out in the control group,and the whole-process informatiza-tion traceability management was adopted in the study group.The qualified rate of cleaning and disinfection of en-doscopes,completeness rate of traceability content,time consumption of traceability and registration,placement time of contaminated endoscopes and four serological test items were brought into the traceability system and were compared between the two groups,and the effect on the whole process was observed.RESULTS There was no sig-nificant difference in the qualified rate of cleaning and disinfection of endoscopes between the two groups.The completeness rate of traceability content was 100.00%in the study group,91.78%in the control group,and there was significant difference(P<0.05).As for the incomplete traceability content of the control group,the in-formation loss of operating doctors accounted for 5.86%,the information loss of endoscope delivery personnel ac-counted for 4.50%,and the information loss of patients'number accounted for 2.25%.The time consumption of traceability and registration was(7.55±1.30)s in the study group,(30.89±3.68)s in the control group,and there was significant difference(P<0.05).The placement time of contaminated endoscopes was 3.80(1.90,5.90)min in the study group,7.00(6.00,8.00)min in the control group,and there was significant difference be-tween the two groups(z=-30.629,P<0.001).96.15%of the health care workers approved that the four sero-logical test indexes that were brought in the traceability system played a role in reminding of occupational protec-tion.CONCLUSION The informatization traceability system can be applied in the management of use of endoscopes,transferring delivery and flow of cleaning and disinfection,it can remarkably improve the quality and efficiency of tracea-bility.The four serological test indexes show remarkable effect on indication and boost protection awareness.
Informatization traceability system of endoscopesGastrointestinal endoscopic centerManagement of endoscope