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Hu Li Za Zhi ; 57(2): 70-8, 2010 Apr.
Artigo em Chinês | MEDLINE | ID: mdl-20401869

RESUMO

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.


Assuntos
Salas Cirúrgicas/organização & administração , Instrumentos Cirúrgicos , Humanos , Erros Médicos/prevenção & controle , Controle de Qualidade , Instrumentos Cirúrgicos/normas
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