Abstract:

Objective　To study the application of target flow diagram real - scene image management in the management of orthopedic implants in disinfection supply room. Methods　This study was a prospective randomized controlled trial. Two hundred orthopedic implants from the Disinfection Supply Center of Wuxi Second People's Hospital from December 2020 to December 2021 were selected as the control group for routine disinfection management. Two hundred orthopedic implants from the Disinfection Supply Center of Wuxi Second People's Hospital from January 2022 to January 2023 were selected as the research group to implement target flow diagram real - scene image management. The disinfection efficiency, cleaning time, qualified rates of disinfection, and incorrect handover rates of the two groups were compared. Independent sample t test and χ² test were used. Results　The disinfection efficiency questionnaire score and cleaning time of orthopaedic implants in the control group were (49.42±1.50) points and (39.98±1.50) min, and those in the research group were (49.78±1.65) points and (39.52±1.46) min. The disinfection efficiency of the research group was higher than that of the control group (P<0.05), and the cleaning time of the study group was shorter than that of the control group (P<0.05). The qualified rates of 5x magnifying glass test, microbial culture test, and Jelli paper test in the control group were 97.00% (194/200), 96.00% (192/200), and 96.50% (193/200), those in the research group were 100.00% (200/200), 99.50% (199/200), and 100.00% (200/200), and the qualified rates of instrument cleaning and disinfection in the research group were higher than those in the control group (all P<0.05). The incorrect handover rate of the control group was 3.00% (6/200), no incorrect handover occurred in the research group, and the incorrect handover rate of the research group was lower than that of the control group (χ²=4.230, P=0.040). Conclusion　Target flow diagram real - scene image management can effectively improve the cleaning and disinfection efficiency of orthopedic implants in the disinfection supply room and reduce the risk of incorrect device handover.

Key words:

Disinfection supply room, Orthopedic implants, Target flow diagram real, Scene image management

摘要：

目的　研究目视流程图解实景图像管理在消毒供应室骨科植入器械管理中的应用。方法　本研究为前瞻性随机对照试验，选取2020年12月至2021年12月在无锡市第二人民医院消毒供应中心的200件骨科植入器械作为对照组，实施常规消毒管理；另选取2022年1月至2023年1月无锡市第二人民医院消毒供应中心的200件骨科植入器械作为研究组，实施目视流程图解实景图像管理。比较两组器械消毒效率、清洗时间、消毒合格率及交接错误率。采用独立样本t检验、χ²检验。结果　对照组骨科植入器械消毒效率调查问卷评分及清洗时间分别为（49.42±1.50）分、（39.98±1.50）min，研究组骨科植入器械消毒效率调查问卷评分及清洗时间分别为（49.78±1.65）分、（39.52±1.46）min，研究组消毒效率高于对照组（P<0.05），研究组清洗时间短于对照组（P<0.05）。对照组5倍放大镜检测、微生物培养检测、杰力试纸检测消毒合格率分别为97.00%（194/200）、96.00%（192/200）、96.50%（193/200），研究组5倍放大镜检测、微生物培养检测、杰力试纸检测消毒合格率分别为100.00%（200/200）、99.50%（199/200）、100.00%（200/200），研究组器械清洗消毒合格率均高于对照组（均P<0.05）。对照组器械交接错误率为3.00%（6/200），研究组未发生器械交接错误，研究组交接错误率低于对照组（χ²=4.230，P=0.040）。结论　目视流程图解实景图像管理可有效提升消毒供应室对骨科植入器械的清洗消毒效率，降低器械错误交接风险。

关键词:

消毒供应室, 骨科植入器械, 目视流程图解, 实景图像管理