改良内镜全流程管理模式在泌尿外科手术中的应用

目的探讨改良内镜全流程管理模式在泌尿外科手术中的应用价值。 方法选取我院2019年3月15日至2019年3月29日泌尿外科手术内镜交接178例作为改良全流程管理模式前的对照组；选取2019年5月10日至5月19日共200例作为改良全流程管理模式后的观察组，分析存在问题、制定改进措施并实施，通过对手术医师、护士及工人实施分层、分类专科临床培训；设计图文并茂的内镜图谱；同一套镜身同一种颜色标识；规范镜子的编码与外标签一致性；制定内镜交接相关制度指引手册等。对比改良前后两组交接状况、规范率和满意度。 结果实施改良全流程管理后交接的规范率、满意度（96.7%）、成员无形效果评分明显高于实施前，差异有统计学意义（P<0.01）。 结论改良泌尿外科手术内镜全流程管理模式提高了专业知识，增加了器械供应的及时性和有效性，提高了工作效率和使用安全性，提升了护理人员综合能力，提高了医院的经济和社会效益，突显了手术室消毒供应中心一体化管理的成效。

Application of improved endoscopic whole-process management mode in urological surgery

ObjectiveTo investigate the application value of modified endoscopic whole-process management mode in urological surgery. MethodsFrom March 15, 2019 to March 29, 2019, 178 cases of endoscopic handover in urological surgery in our hospital were selected as the control group before the modified whole-process management mode; 200 cases from May 10, 2019 to May 19, 2019 were selected as the observation group after the modified whole-process management mode. The existing problems were analyzed, and the improvement measures were formulated and implemented. Through the implementation of stratified and classified specialist clinical training for surgeons, nurses and workers; the endoscopic map with pictures and texts was designed; the same set of mirror body was identified in the same color; the coding and external labeling consistency of the mirror were standardized; and the guidelines for the system related to endoscopic handover were developed. The handover status, standardization rate and satisfaction rate were compared between the two groups before and after the improvement. ResultsThe standard rate, satisfaction rate (96.7%) and intangible effect score of members after modified whole process management were significantly higher than those before implementation (P<0.01). ConclusionsAfter improving the whole process management mode of endoscope in urological surgery, the professional knowledge is improved, the timeliness and effectiveness of device supply are increased, the work efficiency and use safety are improved, the comprehensive ability of nursing staff is improved, the economic and social benefits of the hospital are improved, and the effect of integrated management of disinfection supply center in the operating room is highlighted.