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Improvement and effectiveness of the method of recording the handover of laparoscopic instruments between the sterilisation supply centre and the operating theatre
2024-05-20

Purpose
In the process of handing over instruments between the Sterilization and Supply Centre and the operating room, there are often problems such as damaged instruments, incomplete accessories, detached labels, damaged packages, incorrect sterilization methods, unclear number of instrument packages, and subsequent inter-departmental tug-of-war, and even though there is an information traceability system to manage the process, there are still disputes in actual work. In order to effectively avoid the above situations, the Sterilization and Supply Centre and the operating room improve the handover method and the design of the handover form. Improvement, refinement of the handover elements, to improve the effective accuracy of the operating room and disinfection supply centre luminal instrument handover, to avoid departmental disputes, saving labour costs.

Setting up a special post responsible for the recovery of luminal scopes, using the design of a refined form of the handover book, the recovery of luminal scopes and the delivery of the book into one, the establishment of a special post will be handed over to the name of the instrument, the number of accessories, the performance of the intact or not, the packaging / sterilisation requirements, whether or not to expedite the sterilisation and the communication of both sides of the special problems and so on, one by one, clearly recorded, signed by both sides of the Department of the handover personnel;
After the sterilisation of the instruments, the operating theatre staff will check the name, number, package integrity and correct/intact outer label of the instruments according to the handover register for luminal scopes, with signatures of the handover staff from both departments.

Results
The accuracy of handover was improved by the application of the tabular luminal handover book for the process of recovery and post-sterilisation handover of luminal instruments between the two departments, with the time of recovery and time of down-collection of the instruments being clearly visible. Saving recording time, under the collection and delivery of only one registration, improve work efficiency. At the same time, both departments are reminded to pay attention to the key points of the handover to avoid only counting the number and neglecting the quality of the sterilisation kit. Instrument intactness, number, sterilisation mode, whether urgent, etc., the formation of a regular management mode, focusing on the details of quality control, to improve the normal operation of the handover of luminal instruments. Avoid unnecessary disputes.

Conclusion
In the handover process that cannot be completely replaced by the operation of the information traceability system, the manual register is irreplaceable and necessary, and the standardised use of the manual register can effectively improve inter-departmental co-operation and promote the steady and orderly progress of daily work. Results During the handover process between the two departments for the recovery of luminal instruments and the handover process after sterilisation, the application of the proforma luminal handover book improves the accuracy of the handover, avoids unnecessary disputes, and improves the work efficiency. The two departments were reminded to pay attention to the key points of the handover, to form a regular management mode, to pay attention to the details of quality control, and to improve the normal operation of the handover of luminal instruments.

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