CONF-20-Chan-Kyuong-Park.pdf

1、Improvement of patients safety through the development of surgical instruments tracking system with RFIDtechnologyName:PARK CHANKYUNGAffiliation:SNUBH in SOUTH KOREAWhere is SOUTH KOREA?Seoul National University HospitalJejungwon,the first western national hospitalDaehan Hospital18851907SNU College

2、of MedicineSeoul National University Hospital19781946Seoul National University HospitalSeoul National University HospitalChildren HospitalSeoul National Seoul National University University BundangBundang Hospital Hospital Gangnam Health Outpatient CenterSheikh Khalifa Specialty Hospital(UAE)Boramae

3、 HospitalSeoul National University BundangHospitalOR in Seoul National University BundangHospitalSIXDa Vinci Robots in SNUBHCSSD in Seoul National University Bundang HospitalHospital bedsOutpatients/dayOperating roomsSurgeries/day1,3007,50039180Steam SterilizerE.O gasSterilizerHydrogen Peroxide Ster

4、ilizerCart WasherAutomatic Washer DisinfectorUltrasonic CleanerManual Sink Line119329119RNAssistant1146Decontamination AreaEnzymatic Detergent DispenserCart WasherAutomaticWasherDisinfectorUltrasonic CleanerThree Bowls SinkPackaging and Sterilization Area Packing andInspection TablesSteam Sterilizer

5、Unloading Area from Automatic WasherReceiptCleaningInspectionPackingSterilizationReleaseRegistration(in OR)What?Why?Surgical instruments are reused after being cleaned and sterilized.However,if a tracking system is not equipped,the usage history is not managed,so it is impossibleto identify the caus

6、e and take appropriate measures when an infection problem occurs.In addition,since it is difficult to grasp the progress of cleaning and sterilization of surgicalinstruments,if surgical instruments are insufficient compared to the number of surgical cases,preparation for surgery may be delayed,which

7、 may cause many problems.In conclusion,through the development of a surgical instrument tracking system,it complies withinternational guidelines,prevents potential transmission of infection and enables appropriatefollow-up measures in case of problems,promotes patient safety,and furthermore,improves

8、 theconvenience of managing surgical instruments,manpower and equipment from the central supplydepartment.1Necessity of activityProblem analysis(1)The standardized surgical instrument reprocessing process(request,cleaning,packaging,sterilization,release)is not computerized.(2)The use history of surg

9、ical instruments is unknown.Key Indicators and Goals(1)Reduce the average number of errors per month from 10.3 cases per month to 4 casesper month when surgical instruments used in the operating room are requested to besterilized by the central supply part in the three departments of GS,CVC and HYBR

10、ID,which are subject to the task.(2)Improved job satisfaction of operating room nurses using the tracking system from51.05 to 80 points.2Problem analysis and goalsDevelopment and use of surgical instrument tracking program.Development and installation of RFID equipment linked with surgical instrumen

11、t trackingprogram.3Improvement activitiesKey indicator evaluation summary(1)Reduction in sterilization request errors(current level of 10.3 cases per month reduced to 2.1 cases,18.4%exceeded theprevious target)(2)Improvement in nurse satisfaction(current level 51.05 points 80.25 pointsimprovement,ac

12、hievement of exceeding 0.25 points compared to the previous goal)4Effect of improvement activitiesIn addition,it can be used for management work that can maximize work efficiency throughreal-time grasp of the current status of surgical instruments,equipment,and personnel.Although there is a lack of

13、quantitative evaluation tools to show the effect of the systemconstruction,it is encouraging that the data accumulated through the surgical instrumenttracking system can be used for various QI activities in the operating room and central supplydepartment.The remaining task is to expand the applicati

14、on of the system to all surgical instruments in thefuture.Based on the data currently being collected,we will continue to develop the program in thefuture and prepare a foothold to support the efficient work system of the operating room andcentral supply department.5Conclusion and future management

15、planRegistrationReceiptCleaningInspectionPacking&SterilizationReleaseRegistration Program in EMRRegistration Program in EMRContainer Container RFID TAGDisposable RFID TAGDisposable RFID TAGRegistrationReceiptCleaningInspectionPacking&SterilizationReleaseCSSD CSSD EnteranceEnterance(connected to(conn

16、ected to OR)OR)RFID RFID AntenaAntenaReceived set listReceived set listInstruments list&Instruments list&InformationInformationRegistrationReceiptCleaningInspectionPacking&SterilizationReleaseStaff is tagging set and ID cardStaff is tagging set and ID cardRFID RFID AntenaAntena(portable)(portable)ID

17、 CardID CardAutomatic Washer NO.&CountRegistrationReceiptCleaningInspectionPacking&SterilizationReleaseStaff is inspecting the instruments with a listStaff is inspecting the instruments with a listRegistrationReceiptCleaningInspectionPacking&SterilizationReleaseStaff is tagging the set before steril

18、izationStaff is tagging the set before sterilizationTagged sets&Sterilizer NO.Tagged sets&Sterilizer NO.&count count RegistrationReceiptCleaningInspectionPacking&SterilizationReleaseCSSD exit CSSD exit(connected to OR)Released set listRegistrationReceiptCleaningInspectionPacking&SterilizationRelease

19、Surgical Instrument Inventory Program in EMRSurgical Instrument Inventory Program in EMRSurgical Instrument History Viewer Program in EMRSurgical Instrument History Viewer Program in EMRFrequently Asked Questions&Answers1.Why RFID?How about a bar code?2.How much did it cost to build the system?3.Can the RFID tag withstand HEAT,PRESSURE and CHEMICALS?4.What do you think about the RFID tag on the surgical instrument?5.Any other questions?Please feel free to contact me JTHANK YOU!RN.PARK CHANKYUNGRN.PARK CHANKYUNGMobile:+82+82-1010-24922492-28972897E-mail: