背景:试管婴儿实验室中的双人检查不能完全避免混淆或胚胎移植错误,数据转录或输入是耗时且冗余的,往往导致延误完成医疗记录。
方法:本研究引入了基于工作流的RFID标签见证和实时信息输入平台,以应对这些挑战。为了评估其减少混淆的潜力,我们进行了精液准备的模拟实验,以分析其纠错率。此外,我们评估了它对工作效率的影响,特别是在操作和数据输入方面。此外,我们比较了纸质标签和RFID标签之间的周期成本。最后,我们回顾性分析了20,424个卵母细胞回收周期和15,785个冷冻胚胎移植周期的临床结果,分为纸质标签和RFID标签组。
结果:研究表明,与纸质标签相比,RFID标签见证纠正了100%的标签错误,不影响配子/胚胎手术,并显著缩短了输入数据的时间,但RFID标签的周期成本明显较高。然而,在受精方面没有观察到显著差异,胚胎质量,囊胚率,临床妊娠,两组之间的活产率。
结论:RFID标签见证不会对配子/胚胎操作产生负面影响,胚胎质量和妊娠结局,但它可能会降低混淆或错误的风险。尽管成本大幅增加,将RFID标签见证与实时信息输入集成可以显着减少数据输入时间,大大提高了工作效率。这种基于工作流的管理平台还增强了操作安全性,确保医疗信息的完整性,增强了胚胎学家的信心。
BACKGROUND: Dual-person inspection in IVF laboratories cannot fully avoid mix-ups or embryo transfer errors, and data transcription or entry is time-consuming and redundant, often leading to delays in completing medical records.
METHODS: This study introduced a
workflow-based RFID tag witnessing and real-time information entry platform for addressing these challenges. To assess its potential in reducing mix-ups, we conducted a simulation experiment in semen preparation to analyze its error correction rate. Additionally, we evaluated its impact on work efficiency, specifically in operation and data entry. Furthermore, we compared the cycle costs between paper labels and RFID tags. Finally, we retrospectively analyzed clinical outcomes of 20,424 oocyte retrieval cycles and 15,785 frozen embryo transfer cycles, which were divided into paper label and RFID tag groups.
RESULTS: The study revealed that comparing to paper labels, RFID tag witnessing corrected 100% of tag errors, didn\'t affect gamete/embryo operations, and notably shorten the time of entering data, but the cycle cost of RFID tags was significantly higher. However, no significant differences were observed in fertilization, embryo quality, blastocyst rates, clinical pregnancy, and live birth rates between two groups.
CONCLUSIONS: RFID tag witnessing doesn\'t negatively impact gamete/embryo operation, embryo quality and pregnancy outcomes, but it potentially reduces the risk of mix-ups or errors. Despite highly increased cost, integrating RFID tag witnessing with real-time information entry can remarkably decrease the data entry time, substantially improving the work efficiency. This
workflow-based management platform also enhances operational safety, ensures medical informational integrity, and boosts embryologist\'s confidence.