提升手術室器械管理成效之改善專案

Project to Improve Operating Room Surgical Apparatus Management

張月霞(Yu-Hsia Chang) ； 林倖安(Shin-An Lin) ； 莊芬綺(Fen-Chii Juang) ； 蔡宗益(Tzung-Yi Tsai) ； 蕭淑代(Shu-Tai Sheen Hsiao)

《護理雜誌》 57卷2期 (2010/04) Pp. 70-78

https://doi.org/10.6224/JN.57.2.70

摘要

背景　手術器械是醫院的重要資材之一，不當的器械管理，除會影響手術之順利進行外，亦可能對病人生命安全造成極大之威脅。
目的　提升手術器械管理成效，有效降低器械損壞率、減少護理人員備物的時間，及提高器械保養率。解決方法經現況分析後發現器械因使用、維護及保養不當，導致器械損壞率高，另人員平均備物時間長、器械保養率偏低，故舉辦醫療團隊之共同在職教育，以及採行手術器械科別化與標準化為本專案之改善策略。
結果　器械損壞率從8.3%降至3.8%、手術平均備物時間從8.2分鐘降為3.5分，以及器械清洗評核正確率從30%提升至98.6%；各科器械保養率更提高至100%。
結論　本專案除能有效地提升手術器械管理成效外，亦能提升手術醫療品質，並對手術病人之安全有所助益。

關鍵字

手術室 ； 手術器械 ； 管理 ； 成效

並列摘要

Background & problems: Surgical apparatus represent a critical hospital asset. Improper management of such both affects the effective progress of surgical procedures and threatens patient safety.
Purpose: This project aimed to improve the effectiveness of surgical apparatus management in order to improve surgical success rates, reduce surgical preparation times required of nurses, and increase the percentage of apparatus under management regimens. Resolution: Analysis of data found that improper usage, maintenance, and management were principal factors leading to elevated failure rates, longer preparation times, and longer periods between maintenance. Therefore, strategies, including holding continuing education, implementing surgery categorization tailored to the inventory of each unit, and standardizing apparatus storage locations, were used to improve surgical apparatus management effectiveness.
Results: After implementation, surgical apparatus failures dropped from 8.3% to 3.8%, surgical preparation time shortened from 8.2 minutes to 3.5 minutes, the audited accuracy rate for apparatus cleaning rose from 30% to 98.6%, and the maintenance rate achieved 100%.
Conclusions: This project enhanced surgical apparatus management effectiveness and improved surgical quality. Adoption of the proposed management system may benefit patient safety.

並列關鍵字

operating room ； surgical apparatus ； management ； effectiveness