条形码追溯+手工追溯在降低棉布类手术敷料丢失率中的应用效果探讨

刘翠平 张会云 彭燕 李青

[摘要] 目的 探討条形码追溯+手工追溯在降低棉布类手术敷料丢失率中的应用效果。 方法 收集我院2019年6～10月同等数量的无编号敷料与出厂有编号敷料：130×200 cm 中单各50条;60×80 cm治疗巾各50条;设定实施后为“条形码追溯+手工追溯，实施前为“手工追溯”，比较实施前后棉布类手术敷料丢失率。 结果 中单丢失率由30%降至2%;治疗巾丢失率由20%降至0%;棉布类手术敷料丢失率由50%降至2%，实施前后比较差异有统计学意义（P<0.05）。 结论 条形码追溯与手工追溯相结合方法，实现了棉布类手术敷料快速、精准的可追溯性管理，敷料丢失可追责到科室、相关责任人以及丢失敷料编号。科学规范化管理棉布类手术敷料，减少了丢失现象，满足了临床使用需求，保证了手术的顺利。同时完善了工作人员操作的规范性与自觉性，提高了工作质量和工作效率。

[关键词] 条形码追溯;手工追溯;棉布类手术敷料;有编号敷料;标准化工作流程

[中图分类号] R197.3          [文献标识码] B          [文章编号] 1673-9701（2020）16-0092-04

An exploration of the application effect of bar code tracing plus manual tracing on reducing the loss rate of cotton surgical dressing

LIU Cuiping1   ZHANG Huiyun2   PENG Yan1   LI Qing1

1.Central Sterile Supply Department（CSSD）， the Second People's Hospital of Karamay City in Xinjiang Uygur Autonomous Region， Karamay   834009， China; 2.Department of Pediatrics，the Second People's Hospital of Karamay City in Xinjiang Uygur Autonomous Region， Karamay   834009， China

[Abstract] Objective To explore the application effect of bar code tracing plus manual tracing on reducing the loss rate of cotton surgical dressing. Methods The same numbers of unnumbered dressings and factory numbered dressings of our hospital from June to October 2019 were collected and divided into two groups， with 50 draw sheets sized 130×200 cm and 50 Huck towels sized 60×80 cm in each group. "Bar code tracing plus manual tracing" was arranged after the application of bar code tracing plus manual tracing， and "manual tracing" was arranged before the application of bar code tracing plus manual tracing， and the loss rate of cotton surgical dressings was compared before and after improvement. Results The loss rate of draw sheet decreased from 30% to 2%， the loss rate of Huck towel decreased from 20% to 0%， the loss rate of cotton surgical dressing decreased from 50% to 2%， with statistically significant differences between before and after the application of bar code tracing plus manual tracing（P<0.05）. Conclusion The combination of bar code tracing and manual tracing can realize fast and accurate traceability management of cotton surgical dressings. With it， the loss of dressings can be traced to the responsibility of department and relevant responsible persons and the number of dressings lost. Scientific and standardized management of cotton surgical dressings has reduced loss， satisfied clinical needs and ensured smooth operation. Meanwhile， it has improved the manipulation standardization and consciousness of the staff and ameliorated the quality and efficiency of work.

[Key words] Bar code tracing; Manual tracing; Cotton surgical dressing; Numbered dressing; Standardized workflow

手术敷料是临床治疗中最常用的卫生材料[1]。手术室敷料分为一次性使用敷料和重复性使用敷料[2]，重复多次使用的棉布类敷料可采用符合YY/T 0698.2要求的棉布[3]，如手术用的孔单及洞巾、治疗巾、中单、无菌手术衣及其外包装棉布等[4]。保障棉布手术敷料的质量和使用需求[5]，能有效降低医院感染的机会，从而确保患者的安全。针对棉布类手术敷料丢失现象较严重现状，造成不能及时打包，就不能及时满足手术室使用需求，为了更好地服务于临床，服务于患者，如何科学规范管理棉布类手术敷料，降低丢失率是本期活动主题。现报道如下。

1 资料与方法

1.1 一般资料

收集我院2019年6～10月同等数量的无编号敷料与出厂有编号敷料：130×200 cm中单各50条;60×80 cm治疗巾各50条。

1.2 方法

1.2.1 研究方法  针对棉布类手术敷料丢失现象较严重现状，进行解析。（1）绘制鱼骨图：从人（本科室员工、手麻科员工、洗衣房员工、外来器械商）、敷料、方法、环境4个方面进行原因分析，为什么棉布类手术敷料丢失？……