摘要
目的 探讨多部门合作后取消手术器械跟台人员对骨科手术质量管理的影响.方法 2015年5月—2016年5月温州医科大学附属第一医院手术室对骨科手术器械跟台人员参与围术期器械准备、使用及管理的现状进行改进,借助信息管理平台,多学科协助及培训等措施,取消器械人员跟台的工作模式,骨科手术器械由医院各部门工作人员管理.观察改进前（2015年4月）和改进后（2016年4月）两组器械人员跟台率、器械清洗合格率、手术器械准确率、手术医生满意度.结果 改进前后两组骨科手术类别差异无统计学意义（P〉0.05）;跟台人员参与率由80.00%下降到2.97%,器械清洗合格率由91.59%提高到96.90%,外来器械包装合格率由86.98%提高到95.97%,医生总满意率由55.10%提高到93.14%,差异均有统计学意义（χ2值分别为625.834、65.930、25.860、195.671;P〈0.01）.结论 多部门合作可以实现取消骨科手术器械跟台的现状,提高医院骨科手术的管理质量,保障患者安全.
Objective To explore the effects of multi-department cooperation and removing technical support staffs who are responsible for the external instruments on the quality management of the orthopedic surgery.Methods The old work pattern of operating room in our hospital was reformed from February 2015 to May 2016,with the help of information management platform and multi-disciplinary assistance and training. As a result,the technical support staffs who were responsible for the external instruments did not have to participate in the orthopedic surgery,and the surgical instruments could be managed by hospital staffs. The participation of the technical support staffs,the qualification of instruments cleaning,the precision of external instruments package,and the satisfaction of surgeons before and after the reformation were compared between two groups.Results The surgical categories had no difference before and after the reformation （P〉0.05）. After the reformation,the participation of the technical support staffs significantly decreased from 80.00% to 2.97%;the qualification of instruments cleaning increased from 91.59% to 96.90%;the precision of the externall instruments package increased from 86.98% to 95.97%;and the satisfaction of surgeons increased from 55.10% to 93.14% （χ2=625.834,65.930,25.860,195.671;P〈0.01）.Conclusions The reformation of removing the technical support staffs who are responsible for the external instruments can be realized by the implementation of multi-department cooperation. It can highly improve the management quality and safety of the orthopedic surgery.
出处
《中华现代护理杂志》
2017年第3期429-432,共4页
Chinese Journal of Modern Nursing
基金
温州医科大学附属第一医院院级科研孵化项目（FHR2014002）
关键词
骨科手术
外来器械
跟台人员
多部门合作
Orthopedics operation
External instruments
Technical support staff
Multi-department cooperation
