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眼科手术器械和流程优化管理:混合方法研究。

Management of ophthalmic surgical instruments and processes optimization: mixed method study.

机构信息

Hospital de Clínicas de Porto Alegre (HCPA). Porto Alegre, Rio Grande do Sul, Brasil.

Universidade Federal do Rio Grande do Sul(UFRGS), Escola de Enfermagem, Programa de Pós-Graduação em Enfermagem. Porto Alegre, Rio Grande do Sul, Brasil.

出版信息

Rev Gaucha Enferm. 2020 Apr 9;41:e20190111. doi: 10.1590/1983-1447.2020.20190111. eCollection 2020.

DOI:10.1590/1983-1447.2020.20190111
PMID:32294725
Abstract

AIM

Analysis of the use of ophthalmic instruments during surgical procedures in order to propose a material management method.

METHOD

Mixed method study, sequential exploratory design, performed from January to June 2015, at a university hospital in southern Brazil. First, a qualitative approach was held from brainstorming and field observation. Themes were grouped into thematic categories. By connection, the quantitative stage happened through matrix arrangement and linear programming, culminating in the instrument management proposal.

RESULTS

Given categories - instruments reorganization according to the time of the surgical procedure and the need surgical instruments for in each procedure - guided the definition of existing restrictions and application of mathematical models. There was an average reduction of 13.10% in the number of surgical instruments per tray and an increase of 17.88% in surgical production.

FINAL CONSIDERATIONS

This proposal allowed the rationalization and optimization of ophthalmic instruments, favoring sustainability of the organization.

摘要

目的

分析手术过程中眼科仪器的使用情况,以便提出一种材料管理方法。

方法

混合方法研究,序贯探索性设计,于 2015 年 1 月至 6 月在巴西南部的一所大学医院进行。首先,通过头脑风暴和现场观察进行定性研究。将主题分为主题类别。通过联系,通过矩阵排列和线性规划进行定量阶段,最终提出仪器管理建议。

结果

鉴于类别 - 根据手术程序的时间和每个程序所需的手术器械对仪器进行重新组织 - 指导了对现有限制的定义和数学模型的应用。每个托盘的手术器械数量平均减少了 13.10%,手术产量增加了 17.88%。

最终考虑

该建议实现了眼科仪器的合理化和优化,有利于组织的可持续性。

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Management of ophthalmic surgical instruments and processes optimization: mixed method study.眼科手术器械和流程优化管理:混合方法研究。
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