提升手術精密器械操作及清洗正確率～以眼科為例

Improve the Accuracy of Operation and Cleaning of Ophthalmic Precision Instruments

手術精密器械操作清洗攸關病人安全及手術品質，本專案旨在提升眼科手術精密器械操作清洗正確率；調查發現手術精密器械操作清洗正確率低；原因為手術間隔時間短有趕台壓力、自覺泡酵素耗時、無規範術後精密器械放回器械盒再送出清洗、無規範精密器械不可重疊、當次剪保護套耗時且無合適尺寸、無持續查核等。經增修眼科手術精密器械操作及清洗標準規範及常規、張貼創意口訣海報、清洗區裝置酵素計時器、新增眼科專用精密器械彩色保護套盒並張貼保護套適用尺寸對照表、定期在職教育及品質監測後，正確率提升由54.0%提升至99.7%，認知得分由69.2分提升至99.0分，滿意度由7.0分提升至9.5分（滿分十分），故創意有效輔助工具及政策，可提高正確率、認知和滿意度，且作為類似單位參考。

Operation and cleaning of surgical precision instruments is critical to patient safety and surgical quality, This project aims to improve the accuracy of operation and cleaning of precision instruments in ophthalmic surgery; The survey found that the correct rate of operation and cleaning of precision surgical instruments was low; The reasons are mostly, operation interval between operations is short, there is pressure to rush to the stage, it takes time to soak the enzyme consciously, there is no unified standard, it takes time to cut the protective sleeve and there is no suitable size, and there is no continuous inspection. The revised standard specification and routine for the operation and cleaning of precision instruments for ophthalmic surgery, Post creative formula posters, install enzyme timers in the cleaning area, After adding a color protective cover box for ophthalmic precision instruments and posting a comparison table of the applicable size of the protective cover, regular on-the-job education and quality monitoring, The accuracy rate increased from 54.0% to 99.7%, Therefore, creative and effective auxiliary tools and policies, improve accuracy, cognition and satisfaction, and as a reference for similar units.