基于信息共享平台建立追溯系统在供应室管理中的应用价值

目的探讨基于信息共享平台建立追溯系统在供应室管理中的应用价值。方法自2019年6月山东省眼科医院供应室在信息共享平台的支持下建立追溯系统。我院供应室于2019年1—5月(追溯系统建立前)回收眼科显微器械16583件,于2019年6—10月(追溯系统建立后)回收眼科显微器械18371件。比较追溯系统建立前后器械回收、清洗、包装质量及信息记录效率、器械发放情况、科室满意度。结果追溯系统建立后,器械回收合格率为97.52%(17915/18371),清洗合格率为99.68%(18312/18371),包装合格率为99.91%(18355/18371),器械正确发放率为99.98%(18367/18371),高于建立前的96.20%(15953/16583)、99.52%(16504/16583)、99.80%(16550/16583)、99.76%(16544/16583),差异均有统计学意义(χ²值分别为50.209、5.341、7.797、32.306;P<0.05)。追溯系统建立后,供应中心库存正确率为100.00%(18371/18371),高于建立前的99.25%(16459/16583),差异有统计学意义(P<0.01)。追溯系统建立后,50包器械回收分类时间及包装时间为(3.93±0.68)、(10.29±1.73)min,短于建立前的(9.58±2.36)、(14.13±3.57)min,差异有统计学意义(t值分别为16.267、6.845;P<0.01)。追溯系统建立后的器械包装过期率为0.67%(123/18371),低于建立前的2.09%(348/16583),差异有统计学意义(χ²=133.885,P<0.01)。追溯系统建立后,科室医护人员的器械发放、器械使用得分及总分分别为(48.41±1.16)、(47.86±2.87)、(96.27±3.94)分,高于建立前的(47.66±1.54)、(45.72±3.69)、(93.38±4.78)分,差异均有统计学意义(t值分别为6.738、7.929、8.081;P<0.01)。结论医院供应室在信息共享平台建立追溯系统后能够持续控制供应室内器械质量,进行精细化、信息化管理,提高器械质量与器械运转效率,减少工作差错,值得临床推广。

Application value of establishing traceability system based on information sharing platform in Supply Room management

Objective To explore the application value of establishing a traceability system based on the information sharing platform in Supply Room management.Methods Since June 2019,the Supply Room of Shandong Eye Hospital established a traceability system with the support of the information sharing platform.The Supply Room of our hospital recovered 16583 ophthalmic microscopic instruments from January to May 2019(before the establishment of the traceability system)and 18371 ophthalmic microscopic instruments from June to October 2019(after the establishment of the traceability system).Device recovery,cleaning,packaging quality,information recording efficiency,device distribution and department satisfaction were compared before and after the establishment of the traceability system.Results After the establishment of the traceability system,the qualified rate of equipment recovery was 97.52%(17915/18371),the qualified rate of cleaning was 99.68%(18312/18371),the qualified rate of packaging was 99.91%(18355/18371)and the correct distribution rate of equipment was 99.98%(18367/18371),which were significantly higher than those before establishment 96.20%(15953/16583),99.52%(16504/16583),99.80%(16550/16583)and 99.76%(16544/16583),and the differences were statistically significant(χ²=50.209,5.341,7.797,32.306;P<0.05).After the establishment of the traceability system,the inventory accuracy rate of the supply center was 100.00%(18371/18371),which was higher than 99.25%(16459/16583)before the establishment,and the difference was statistically significant(P<0.01).After the establishment of the traceability system,the classification time and packaging time of 50 packs of devices were(3.93±0.68)and(10.29±1.73)min,both shorter than(9.58±2.36)and(14.13±3.57)min before the establishment,and the differences were statistically significant(t=16.267,6.845;P<0.01).After the establishment of the traceability system,the expiry rate of device package was 0.67%(123/18371),which was lower than 2.09%(348/16583)before the establishment,and the difference was statistically significant(χ²=133.885,P<0.01).After the establishment of the traceability system,scores of device distribution,device use and total scores of medical staff in the department were respectively(48.41±1.16),(47.86±2.87)and(96.27±3.94),which were higher than(47.66±1.54),(45.72±3.69)and(93.38±4.78)before the establishment,and the differences were statistically significant(t=6.738,7.929,8.081;P<0.01).Conclusions The establishment of traceability system in the information sharing platform in Supply Room of hospitals can continuously control the quality of equipment in the Supply Room,carry out refined and information management,improve the quality of equipment and the efficiency of equipment operation and reduce work errors,which is worthy of clinical promotion.