System Optimization for Advances in Sterile Processing

系统优化促进无菌处理的进步

• 批准号: 10689739
• 负责人: Ken Catchpole
• 金额: $ 39.69万
• 依托单位: MEDICAL UNIVERSITY OF SOUTH CAROLINA
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-09-01 至 2026-08-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10689739
• 关键词: System; Optimization; Advances; Sterile; Processing

Sterile processing departments (SPDs) clean and pack reusable surgical instruments. They directly affect productivity, efficiency, safety, and infection control within acute interventional care. About 15% of surgical instrument trays have missing, broken or dirty instruments, that can lead to surgical site infections and a range of safety, procedural, and inefficiency problems. Rather than being the fault of individuals, our prior funded R03 Work Systems Analysis demonstrated a range of performance-shaping factors and the need for staff and administrators to balance of multiple interacting system components and resources. We propose to extend or R03 work to develop interventions, improve data-analytic approaches, and predictive models, across multiple facilities. The overall aim is to harmonize the SPD work system to create optimized safety and quality, controlled production costs, and increased efficiency through systems modelling, interventions, data visualization, and prediction tools. Our first aim is to develop multiple system models of five sterile processing units across two hospital systems that will provide a comprehensive understanding of SPD system function, allow the comparison of methods for representing SPD work and the prediction and evaluation of interventions to improve point-of-use reprocessing, tray composition, and interruption management. Our second aim is to create data visualization tools that highlight systems interactions and thus enhance decisions making. Our third aim is to develop discrete event simulations that predict performance based on system parameters, providing a tool for making decisions and for understanding how decisions are made. This will be the biggest program of research in sterile processing ever conducted.

无菌处理部门(SPD)清洁和包装可重复使用的手术器械。他们 直接影响急性介入治疗中的生产力、效率、安全性和感染控制。 大约15%的手术器械托盘有丢失、损坏或脏的器械，这可能会导致 手术部位感染以及一系列安全、程序和效率低下的问题。宁可 相比个人的过错，我们之前资助的R03工作系统分析展示了 一系列影响业绩的因素，以及工作人员和管理人员需要平衡 多个交互的系统组件和资源。我们建议将或R03工作扩展到 制定干预措施、改进数据分析方法和预测模型 设施。总体目标是协调SPD工作系统，以创建优化的安全和 通过系统建模提高质量、控制生产成本和提高效率； 干预、数据可视化和预测工具。我们的首要目标是开发多种系统 跨两个医院系统的五个无菌处理单元的模型，将提供 全面了解SPD系统功能，允许对各种方法进行比较 代表SPD工作以及改善使用点的干预措施的预测和评估 后处理、托盘组合和中断管理。我们的第二个目标是创建数据 可视化工具，突出系统交互，从而提高决策能力。我们的 第三个目标是开发基于系统预测性能的离散事件仿真 参数，为决策和理解决策是如何做出的提供了工具。 这将是有史以来进行的最大规模的无菌加工研究项目。