12项手术用物标准化流程的智能化清点系统在手术室中的应用 [中文引用][英文引用]

目的  探讨基于 12 项手术用物标准化流程的智能化清点系统（简称“系统”）在手术室的应用效果，以提升手术室安全管理与工作效率。方法  采用前 - 后对照研究设计，选取 2023 年 9 月至 12 月的 2 381 台手术为对照组，2024 年 9 月至12 月的 2 417 台手术为试验组。对照组采用基于《手术室护理实践指南》制定的具有肿瘤专科特色的 12 项手术用物标准化清点流程进行手工清点；试验组在此基础上应用新开发智能化清点系统进行管理。比较两组手术用物清点时间、清点完成质量和护士满意度。结果  对照组清点时间（2 047.1±764.6）s 长于试验组（1 639.4±805.8）s；试验组的手术用物清点成功率（98.8%）高于对照组（93.1%），试验组的清点错误率（包括清点过程中断、清点有遗漏、记录内容错误和其他情况）低于对照组，两组比较，差异具有统计学意义（均 P<0.001）。结论  基于 12 项手术用物标准化流程的智能化清点系统能明显提升手术室工作效率和工作质量，有效减少清点差错，保障患者安全。

Objective To assess the effect of a newly developed smart counting system based on a standardised procedure for counting 12 surgical items in operation theatre，aiming to improve safety management and work efficiency. Methods A quasiexperimental pre-post design was employed in this study. A total of 2，381 surgical procedures performed between September and December 2023 were assigned to a control group，and 2，417 procedures between September and December 2024 were assigned to an experimental group. A manual counting was carried out in the control group under the standardised procedure for the 12 surgical items counting according to the guidelines for operating room nursing practice developed and tailored for the oncology specialty. The experimental group employed a newly developed smart counting system adhering to the same standardised procedure as in the control group. Key metrics，including counting time，counting quality and nurse satisfaction，were compared between the two groups. Results The mean counting time was（2 047.1±764.6）seconds and（1 639.4±805.8）seconds for the control and experimental group，respectively. While the counting success rate in the experimental group was significantly higher than the control group（98.8% vs. 93.1%）. The experimental group also demonstrated significantly lower rates in total counting errors，interruptions，omissions and recording errors than those in the control group（all P<0.001）. Conclusion The smart counting system based on the standardised procedure for 12 surgical items significantly improves counting efficiency and quality in an operating theatre. It effectively minimises errors and enhances the safety of patients.