[[alternative]]The Impact of Improvement on Surgical Caring Process and Quality with the Use of UDI Medical Material Management System

[[abstract]]近年來全球在電子健康資訊導入醫療器材單一識別系統（Unique Device Identification，UDI）、建置醫材設備使用記錄、不良品醫材通報機制、並制定新分析模式歸納不良品發生的原因。衛生福利部台灣病人安全資訊網將積極參與醫療器材不良事件通報列入年度目標，可見此議題之重要性。透過導入醫療器材單一識別系統（UDI）進行醫材管理，有效追蹤醫材流向及監測品質，落實通報不良品機制，進而改善工作流程、縮少護理時數浪費，減輕護理人員工作壓力，提升滿意度，將護理時數真正用於臨床照護工作，提升照護品質。本研究採單組前後測研究設計，提供單一識別系統運用於手術室醫材管理，使用「單一識別系統」績效之關鍵因素、病人安全通報系統、不良品通報系統主要收集醫材效期與衛署字號過期比率、不良品比率，比較導入前後差異。本研究結果顯示單一識別系統導入後，護理人員對任務特性、科技特性、任務績效有顯著下降；均於使用前即發現產品有瑕疵，故未用於病人體內；研究期間未有因醫材問題危及病人手術安全，故無病人安全通報單。使用單一識別系統成效之一主要改善減少人工作業，如護理師書寫不清楚或錯誤、效期沒留意而誤用，透過資訊系統管理，對使用者而言能提升醫材管理效率，對病人而言，確保所使用醫材能正確詳實記錄，供日後追蹤追溯依據。導入醫療器材單一識別系統（UDI）進行醫材管理，進行追蹤與追溯醫材的動向，達到簡化醫材管理作業流程，提升人員作業之效率。減少人工作業，可有效率進行醫材效期及庫存量的檢視，提升管理效率，減少醫材過期、屯積過多或不足因而產生之不必要醫療浪費；確保病人使用醫材能達到追蹤追溯的目的，提升病人手術安全。[[abstract]]A Unique Device Identification (UDI) has recently been introduced in electronic health information for maintaining medical equipment and usage records, reporting defective medical material mechanisms, and formulating a new analysis model to clarify the causes of defective products. The analysis model summarizes the reasons for the emergence of defective products. The annual targets of the Taiwan patient-safety reporting system under the Ministry of Health and Welfare include notification of adverse events related to medical equipment, highlighting this topic’s importance. A UDI system effectively manages medical materials, monitors their flow and quality, and implements notifications. This enables suitable product mechanisms, improving the work process, reducing nursing duration and work pressure to direct more labor toward clinical care work, increasing satisfaction, and enhancing quality of care.This study adopts a single-group pre-test research design by using a UDI system for managing medical materials in the operating room to collect key performance indicators. This involves a patient-safety reporting system and defective product notification system. After introduction, the nursing staff's task characteristics, technological characteristics, and task performance reduced significantly. Products identified as defective before use were not used on patients. A major advantage of the system was the reduction of errors from manual tasks, such as unclear or incorrect writing by nurses, misuse due to careless examination of the expiration date, and poor information system management; it improves the efficiency of medical management for users and patients while ensuring accurate usage and tracking of medical materials for future tracking.The UDI system should be implemented to manage medical materials, track and trace their trends, simplify medical materials management and operation process, and improve the efficiency of personnel operations and reduce manual labor. It effectively monitors the validity period and medical inventory, improves management efficiency, and reduces unnecessary medical waste caused by overdue, excessive, or insufficient medical materials, ensuring patients use safe medical materials during surgery