手術器械包盤條碼電腦化運用管理作業之改善

Computerized Barcode Operational System for Package of Surgical Instruments in Operating Room

台灣估計每年約有8,000人直接或間接因院內感染而導致死亡，臨床上一旦使用了滅菌不完全之醫療器械時，即可能導致病人發生院內感染。為了提供手術病人安全、增加管理效率及降低營運資材成本，進行資料收集分析，找出問題點進行改善。此解決方案結合電腦化建制器械包盤條碼化資訊系統、建立手術器械包盤動向流程管理電腦化功能、在職教育訓練推展等措施推動。其成效為平均每月縮短手術中器械包盤動向查詢時間為2872分鐘（47.8小時／月）、目標值150%、監控到期器械包盤數量，每月成本節省154,713元佔29.2%，透過器械包盤條碼運用電腦化，列印包盤條碼標籤每日降低辨識異常率至0%，均達到專案目的，也提高病人手術安全性。由於此方案結合目前包盤滅菌包外化學指示紙及條碼之管理作業，乃為手術室之較新式管理方法，希望藉此方案能提供其他醫療院所手術室管理作業之參考。

About 8,000 people die every year in Taiwan as a result of nosocomial infection. Clinically, there is a high possibility for patients to contract nosocomial infection if medical equipment is not completely sterilized. In order to provide care and safety to patients in the operating room, increase management effectiveness and efficiency, and to reduce equipment operating costs, a project was developed to improve operating room management through data collection and analysis. A computerized barcode operational system for packages of surgical instruments was developed and executed throughout an entire operating room. The results showed that average time spent searching for surgical instruments decreased by 2,872 minutes (47.8 hrs/month), 150% of the target figure; computerized monitoring of equipment expiration dates reduced total cost by 29.2% abnormal recognition of equipment tags was reduced to 0%. This project is the first one of its kind in the world.