Effects of removing technical support staffs who are responsible for the external instruments on quality management of orthopedic surgery

Abstract

Objective To explore the effects of multi-department cooperation and removing technical support staffs who are responsible for the external instruments on the quality management of the orthopedic surgery. Methods The old work pattern of operating room in our hospital was reformed from February 2015 to May 2016, with the help of information management platform and multi-disciplinary assistance and training. As a result, the technical support staffs who were responsible for the external instruments did not have to participate in the orthopedic surgery, and the surgical instruments could be managed by hospital staffs. The participation of the technical support staffs, the qualification of instruments cleaning, the precision of external instruments package, and the satisfaction of surgeons before and after the reformation were compared between two groups. Results The surgical categories had no difference before and after the reformation (P>0.05) . After the reformation, the participation of the technical support staffs significantly decreased from 80.00% to 2.97%; the qualification of instruments cleaning increased from 91.59% to 96.90%; the precision of the externall instruments package increased from 86.98% to 95.97%; and the satisfaction of surgeons increased from 55.10% to 93.14% (χ2=625.834, 65.930, 25.860, 195.671; P<0.01) . Conclusions The reformation of removing the technical support staffs who are responsible for the external instruments can be realized by the implementation of multi-department cooperation. It can highly improve the management quality and safety of the orthopedic surgery. Key words: Orthopedics operation; External instruments; Technical support staff; Multi-department cooperation