PDF(Pubmed)
Abstract：
Sterile Processing Departments (SPDs) must clean, maintain, store, and organize surgical instruments which are then delivered to Operating Rooms (ORs) using a Courier Network, with regular coordination occurring across departmental boundaries. To represent these relationships, we utilized the Systems Engineering Initiative for Patient Safety (SEIPS) 101 Toolkit, which helps model how health-related outcomes are affected by healthcare work systems. Through observations and interviews which built on prior work system analyses, we developed a SEIPS 101 journey map, PETT scan, and tasks matrices to represent the instrument reprocessing work system, revealing complex interdependencies between the people, tools, and tasks occurring within it. The SPD, OR and Courier teams are found to have overlapping responsibilities and a clear co-dependence, with critical implications for the successful functioning of the whole hospital system.
摘要：
无菌加工部门（SPD）必须清洁，保持,store,并组织手术器械，然后使用Courier网络将其交付给手术室（ORs），跨部门边界进行定期协调。为了代表这些关系，我们使用了病人安全系统工程计划(SEIPS)101工具包，这有助于模拟与健康相关的结果如何受到医疗保健工作系统的影响。通过建立在先前工作系统分析基础上的观察和访谈，我们开发了SEIPS101旅行地图，PETT扫描,和任务矩阵来表示仪器后处理工作系统，揭示了人与人之间复杂的相互依存关系，工具,以及其中发生的任务。SPD,OR和Courier团队被发现有重叠的责任和明显的共同依赖性，对整个医院系统的成功运作具有重要意义。
