摘要
目的探讨基于信息化追踪系统的腹腔镜共享与集中管理改进对手术室腹腔镜应用及维修情况的影响。方法收集无锡联勤保障中心第904医院手术室2019年1一10月6台腹腔镜设备使用的相关数据,分析腹腔镜设备管理不合理的原因,以此为基础制订基于信息化追踪系统的腹腔镜共享与集中管理改进方法,于2020年1月开始实施管理改进。记录2020年1一10月手术室6台腹腔镜的手术情况及设备维修情况,采用随机整群抽样法调查手术医师对腹腔镜使用的满意度,比较2019年及2020年的医师满意度。结果2020年1一5月每月腹腔镜手术量为108例,平均18例/台,每日腹腔镜使用时间为8h;2020年6一10月每月腹腔镜手术量378例,平均63例/台,较2019年同期提升,且每日腹腔镜使用时间较2019年同期缩短,每日仅耗时12h,为2019年耗时的92.3%。2020年使用同一腹腔镜的连台手术等候时间短于2019年(P<0.05)。2020年手术室腹腔镜维修及时率略高于2019年,设备故障与手术量低于2019年,但组间比较差异无统计学意义(P0.05);2020年手术室承担的设备维护费用较2019年下降(53074元vs.84116元)。2020年手术医师对腹腔镜使用的满意度(96.88%)高于2019年(75.00%)(P<0.05)。结论基于信息化追踪系统的腹腔镜共享与集中管理在手术室腹腔镜设备管理中的应用效果较好,可提高腹腔镜周转率,保证腹腔镜故障得以及时维修,还能核算各科室承担的成本,实现共享优质医疗资源。
Objective To explore effects of shared and centralized laparoscope based on information tracking system on application and maintenance of laparoscope in Operating Room.Methods The relevant data of 6 sets of laparoscopic equipment used in the Operating Room of the 904 Hospital of Wuxi Joint Logistic Support Center from January to October 2019 were collected to analyze the reasons for unreasonable management of laparoscopic equipment.Based on this,the shared and centralized management method of laparoscopy based on the information tracking system was developed,and the management improvement was implemented in January 2020.The operating conditions and equipment maintenance of 6 laparoscopes in the Operating Room from January to October 2020 were recorded.The random cluster sampling method was used to investigate the satisfaction of surgeons on the use of laparoscopes and the satisfaction of doctors in 2019 and 2020 was compared.Results From January to May 2020,the monthly laparoscope operation volume was 108 cases,18 cases per set,and the daily use time of laparoscope was 8 hours.From June to October,the monthly laparoscope operation volume was 378 cases,63 cases per set,which was higher than that in the same period of 2019.And the daily use time of laparoscopes was shorter than that in 2019,and it only took 12 hours a day,which was 92.3%of the time spent in 2019.The waiting time of consecutive operations with the same laparoscope in 2020 was shorter than that in 2019(P<0.05).The timely rate of laparoscopic maintenance in the Operating Room in 2020 was slightly higher than that in 2019,and the amount of equipment failure and operation was lower than that in 2019,but there was no statistical significance between groups(P>0.05).The equipment maintenance cost of the Operating Room in 2020 was lower than that in 2019(53074 yuan vs.84116 yuan).The satisfaction rate of surgeons on laparoscopic use in 2020(96.88%)was higher than that in 2019(75.00%)(P<0.05).Conclusions The application effect of shared and centralized lapar
作者
李晓玉
焦薇
罗静枝
Li Xiaoyu;Jiao Wei;Luo Jingzhi(Anesthesiology Operating Room,the 904 Hospital of Wuxi Joint Logistic Support Center,Wuxi 214000,China;Department of Nursing,No.904 Hospital of Wuxi Joint Logistic Support Center,Wuxi 214000,China)
出处
《中华现代护理杂志》
2022年第33期4696-4700,共5页
Chinese Journal of Modern Nursing
基金
江苏省自然青年基金(BK20200146)。
关键词
手术室
腹腔镜
器械管理
信息化
成本
Operating Room
Laparoscope
Device management
Informatization
Cost
