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Implementing a Barcode-Based Whole-Life Cycle Management Process to Improve Robotic Instrument Tracking.

Chen Qian, Yun Ning, Tianfu Li

    AORN Journal
    |May 28, 2024
    PubMed
    Summary

    Implementing a barcode system for robotic surgical instruments significantly improved tracking accuracy and reduced inventory times. This quality improvement project enhanced documentation and addressed concerns with reprocessing and sterilization records.

    Keywords:
    barcode‐based technologyquality improvement projectreusable medical devicerobotic instrumentsunique device identifier

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    Area of Science:

    • Robotic Surgery
    • Healthcare Technology
    • Quality Improvement

    Background:

    • Minimally invasive surgery increasingly utilizes robotics, necessitating robust tracking of specialized instruments.
    • Existing tracking methods for reprocessed robotic instruments in China were found to be inadequate.
    • Reprocessing protocols require precise management of instrument usage and sterilization status.

    Purpose of the Study:

    • To develop and implement a standardized, barcode-based tracking process for robotic surgical instruments.
    • To enhance the accuracy and efficiency of managing robotic instrument inventory and usage records.
    • To address challenges in tracking instrument reprocessing and sterilization.

    Main Methods:

    • A quality improvement project was undertaken to establish a new tracking system.
    • Barcode technology was implemented to generate unique identifiers for each instrument reprocessing cycle.
    • Nurses scanned barcodes to document instrument usage during surgery.

    Main Results:

    • Significant increase in the accuracy of robotic instrument use documentation.
    • Reduction in untraceable sterilization and use records.
    • Decreased average daily and monthly inventory management times.
    • Observed increase in adverse event reports related to robotic instruments.

    Conclusions:

    • Barcode technology provides a standardized and effective method for tracking robotic surgical instruments.
    • The implemented system improved documentation accuracy and operational efficiency.
    • Further expansion of barcode tracking to other specialty instruments is being considered.