CAJ | 학술논문

目的探讨精细化管理在手术室高值耗材中应用的效果。方法对耗材实施精细化管理，构建精细化管理体系，成立耗材管理小组，并自主开发高值耗材管理系统应用于手术室耗材管理，规范耗材名称，统一标识，建立多个虚拟仓库，按照各手术所用的耗材设置不同的类别，制定精细化管理流程，通过集中管理，专人负责，统一发放，每日使用后及时登记并专人核查，实现信息追溯和管理，对耗材基数进行维护，对特殊耗材（如人工晶体）分类管理，保持适量库存，保证临床使用。结果实施精细化管理，构建管理体系，设立专人负责，优化流程，实现耗材信息追溯和管理，可提供法律凭证，减少了差错的发生，释放护士工作负荷，提高护理管理水平。结论采用精细化管理对手术室高值耗材进行系统化管理，通过“有意识”的引导，强化与推行，也使精细化逐渐成为员工“潜意识”的行为，保证耗材的安全性和可追溯性，提高工作效率，进一步提升手术室护理工作质量。
목적탐토정세화관리재수술실고치모재중응용적효과。방법대모재실시정세화관리，구건정세화관리체계，성립모재관리소조，병자주개발고치모재관리계통응용우수술실모재관리，규범모재명칭，통일표식，건립다개허의창고，안조각수술소용적모재설치불동적유별，제정정세화관리류정，통과집중관리，전인부책，통일발방，매일사용후급시등기병전인핵사，실현신식추소화관리，대모재기수진행유호，대특수모재（여인공정체）분류관리，보지괄량고존，보증림상사용。결과실시정세화관리，구건관리체계，설립전인부책，우화류정，실현모재신식추소화관리，가제공법률빙증，감소료차착적발생，석방호사공작부하，제고호리관리수평。결론채용정세화관리대수술실고치모재진행계통화관리，통과“유의식”적인도，강화여추행，야사정세화축점성위원공“잠의식”적행위，보증모재적안전성화가추소성，제고공작효솔，진일보제승수술실호리공작질량。
Objective To investigate the application effect of delicacy management in the management of high-value consumables in operating room. Methods Implemented delicacy management on consumables and built delicacy management system. Set up consumable management team and developed high-value consumables management system independently, which was applied to consumables management in operating room. Standardized consumables names and unified their logo. Built several virtual warehouse and set up different categories in accordance with different surgeries respectively as well as delicacy management processes. Through centralized management and timely registration, information traceability and management of consumables was realized. Maintained the quantity of consumables and managed special consumables (like IOL) by classification to ensure it is enough for clinical use.Results Implementation of delicacy management and building management system could achieve the traceability and information management of consumables, which can provide legal proof, reduce errors, release nurses' workload and improve nursing management.Conclusion By systematic management on high-value consumables in operating room with delicacy management and intended guidance and promotion, staffs has behaved with more delicacy in an unaware way, which ensures the safety and traceability of consumables, improves work efficiency and further enhances the nursing quality in operating room.