Abstract：Objective To investigate the methods and results of process management in joint prosthesis implants and external instruments, in order to ensure the quality safety in operation. Methods In view of the theory and methods of process management, the process management of joint prosthesis implants and external instruments were standardized, optimized and regenerated by cooperation of related department through enough investigation and analysis. That is to say, standardized admittance criterion was made by medical department and infection management department; standardized checking and signing were made by medical engineering department, and implants sampling and detailed external instruments recording were implemented by disinfection and supply center. After that, cleaning, examining, packaging and sterilization were performed for all the implants and external instruments based on standardized process. And all the implants and external instruments were checked carefully by operating nurses according to their own recording information, and their information code should be confirmed and charged by medical engineering department. Results Among all the 647 patients with joint prosthesis replacement, none of them occurred surgery delaying caused by incompetent type of implants and unqualified instruments sterilization. The infection rate of operative incision decreased from 6.02% last year to 2.78%; the infection rate of joint prosthesis implants decreased from 1.54% to 0.77%; the loss rate of unpaying in joint prosthesis implants decreased from 2.23% to zero; and the incidence of delayed surgery decreased from 1.72% to 0.0% (all P＜0.05). Conclusion The management level of joint prosthesis implants and external instruments could be improved greatly by standardized process management, thus to decrease infection rate of operative incision and implants effectively, and ensure the safety of patients and lower the loss rate of unpaying.
陈东方，曹海虹，刘亚琴，刘雪连，刘亚军. 流程管理应用在人工关节植入物及外来器械管理的效果评价[J]. 中国医疗设备, 2015, 30(10): 25-27.
CHEN Dong-fang, CAO Hai-hong, LIU Ya-qin, LIU Xue-lian, LIU Ya-jun. Evaluation on Results of Process Management in Joint Prosthesis Implants and External Instruments. China Medical Devices, 2015, 30(10): 25-27.
