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| 信息化追溯系统联合器械图谱技术在消毒供应中心外来医疗器械再处理中的应用 |
| Information traceability system combined with instrument graph technology in reprocessing of external medical instruments in disinfection supply center |
| 投稿时间：2023-09-19 |
| DOI：10.3969/j.issn.1000-0399.2024.02.020 |
| 中文关键词: 信息化追溯 消毒供应中心 外来医疗器械 再处理 |
| 英文关键词: Information traceability Central sterile supply department External medical instruments Reprocessing |
| 基金项目:安徽省教育厅自然科学研究重点项目（编号：2023AH050805） |
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| 中文摘要: |
| 目的 探讨信息化追溯系统联合器械图谱技术在消毒供应中心外来医疗器械再处理中的应用价值。方法 对2021年6~12月天长市人民医院消毒供应中心接收的225个外来医疗器械包18512件器械进行常规处理模式;2022年1~7月天长市人民医院消毒供应中心接收的144个外来医疗器械包15204件器械使用信息化追溯系统联合器械图谱技术处理,比较两组管理模式下外来医疗器械的清洗合格率、拆卸合格率、组装合格率、包装合格率、灭菌合格率及湿包发生率,将两种处理模式的结果进行统计比较。结果 信息化追溯系统联合器械图谱技术处理组目测法清洗合格率98.37%,三磷酸腺苷生物荧光检测法清洗合格率96.50%,拆卸合格率97.20%,组装合格率94.57%,包装合格率100%均优于常规处理模式组(88.81%、83.5%、91.04%、90.62%、92.89%),湿包发生率3.47%低于常规处理模式组16.89%,外来医疗器械再处理平均总时长(148.19±4.47) min低于常规处理模式组(180.01±6.29) min,差异均具有统计学意义(P<0.001)。结论 实施信息化追溯系统联合器械图谱技术可显著提高外来医疗器械的再处理质量,降低湿包发生率,减少感染风险,值得临床推广使用。 |
| 英文摘要: |
| Objective To explore the application value of information traceability system combined with instrument graph technology in the reprocessing of external medical instruments in central sterile supply department (CSSD).Methods Routine treatment of 18,512 foreign medical devices in 225 medical device packages was performed from June to December 2021.A total of 15,204 devices from 144 foreign medical device packages between January and July 2022 were processed using the computerized traceability system combined with device atlas technology.The qualified rate of cleaning,disassembly,assembly,sterilization,and packaging of the two processing modes were statistically compared.Results The qualified rate of visual cleaning,ATP cleaning,disassembly,assembly and packaging in the information traceability system combined with instrument graph technology group was 98.37%,96.50%,97.20%,94.57% and 100%,respectively,which was better than the indexes in the routine treatment group (88.81%,83.5%,91.04%,90.62%,92.89%,respectively).The incidence of wet package in the information traceability system combined with instrument graph technology group was lower than that in the routine treatment group (3.47% vs.16.89%),and the mean total time of retreatment (148.19±4.47) min was shorter than that in the routine treatment group (180.01±6.29) min,and the differences were statistically significant (P <0.001). Conclusions The implementation of information traceability system with instrument atlas can significantly improve the reprocessing quality of external medical instruments,reduce the incidence of wet pack and reduce the risk of infection,which is worthy of clinical application. |
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