108 - Application of Closed-loop Operative Management System to Improve Perioperative Patients’ Safety and Surgical Care Efficiency
Clinical Issue: The closed-loop management system, COMS, is an efficient feedback system, which is currently used for trauma care, diabetes management, fluid management during anesthesia to maintain clear communication and decrease preventable errors. However, perioperative caregivers use this system is not much. Our team innovatively applies the COMS to improve patients’ safety and operating room efficiency . Description of team: Our perioperative nursing team provides strong support for multidisciplinary surgeries .We has won the honorary title of the “Outstanding Contribution Award for the Further Improvement of Medical Service Action Plan” in 2017, the “Excellent Nursing Group” of Shenzhen. Preparation and planning: In 2015, we began to equipped with computer nursing operation platform, mobile nursing system and operating room logistics robots and other intelligent equipment for each operating room. in 2017, the operating room began to design and implement a fully closed-loop operation management system, and set up an information management system centered on patient surgery .
Assessment: Through the implementation of this project, the whole process of information retrospective can be realized to ensure the credibility and integrity of data .The accuracy and efficiency of patient handover, safety check and risk assessment of pressure ulcer, and the accuracy of specimen disposal and transfusion check will be improved. Implementation :COMS Full-closed-loop operating room management system mainly includes patient operation closed-loop, patient equipment management , operating room equipment package maintenance and other functional modules. It covers preoperative, intraoperative and post-operative care. It scans the two-dimensional code of wristband worn by surgical patients to realize the transfer and handover of surgical patients, safety verification of surgical patients, traceability management of equipment and consumables, blood transfusion checking, pathological specimen checking and so on. Closed-loop process management. Outcome :After two years, our team has repeatedly trained and adjusted the application of COMS. We have improved the accuracy and efficiency of the handover and safety check of surgical patients, increased the accuracy of the risk assessment of nurses in the operating room, improved the correct rate of specimen processing . Significance for perioperative nursing: To sum up, the use of the COMS closed-loop operating room management system makes the patient equipment management, nursing documents in series. During the whole perioperative period, only two-dimensional code of the wristband is scanned to realize the transfer of surgical patients, the safety check of surgical patients, and so on. The whole process improves the quality and efficiency of medical treatment .
Co-Authors: Ming Xiao, Xiao hua Wu, Xu chuan Zhou, Yi fang Hou