在手术期间的眼内透镜废弃物:发生率,成本和原因
Junjie Cai1, Yamin Li1, Dongdong Pan1
1Research Center for Ocular Diseases, Eye Hospital, Wenzhou Medical University, Wenzhou, China.
Seminars in ophthalmology
|May 19, 2024
概括
眼内透镜 (IOL) 废弃物很少发生,但会产生重大成本,特别是聚甲基甲酸 (PMMA) 材料和特定设计. 损害是主要原因,突出了减少废物战略的必要性.
科学领域:
- 眼科医生 眼科 眼科
- 医疗保健经济学 医疗保健经济学
- 手术废弃物管理的方法
背景情况:
- 白内障手术涉及眼内透镜 (IOL) 植入,这是一个具有潜在物质浪费的关键步骤.
- 了解内腔镜废物的经济和后勤影响对于优化外科手术资源配置至关重要.
研究的目的:
- 为了确定眼内镜片 (IOL) 浪费的发生率和财务成本.
- 为了确定特定的IOL属性和流程因素,有助于废物.
- 分析植入过程中IOL浪费的主要原因.
主要方法:
- 从中国的一家眼科第三级医院 (2016-2020年) 进行了IOL废弃物登记册的回顾性分析.
- 包括来自73,246个植入的485例IOL废物.
- 检查IOL材料,设计,程序细节,以及浪费原因.
主要成果:
- 在6.62‰的植入物中发生了IOL浪费,总成本为429,850.26 CNY.
- 聚甲基甲酸 (PMMA) 材料,三件式设计和二次植入与更高的废弃率有显著联系.
- 损坏 (60.80%) 是浪费的主要原因,其次是患者原因 (21.26%) 和无菌错误 (12.50%).
结论:
- 虽然IOL浪费的发生率很低,但它代表着相当大的财务负担.
- 特定的内膜眼镜类型 (PMMA,三件式) 和二次植入物增加了浪费.
- 损害,通常是由于人为错误,是内腔眼镜浪费的主要驱动因素,需要有针对性的缓解策略.
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