Optimize the Management and Effectiveness of Orthopedic Spare Loaner Instrumentation and Implants in Central Sterile Supply Department

Objective: Loaner Instrumentation due to various comprehensive factors, the equipment often can not be delivered to the disinfection supply center according to the prescribed time, which not only affects the handling quality of the equipment, but also affects the timely supply andusage of the equipment. The study aims to explore the managing method of orthopedic spare loaner instrumentation and implants in Central Sterile Supply Department of the hospital (hereinafter referred to as CSSD). Methods: 418 orthopedic operations use orthopedic spare loaner instrumentation and implants in 2018 were selected as per-implementation. The routine methods were used to manage the orthopedic spare loaner instrumentation and implants. 437 orthopedic operations use orthopedic spare loaner instrumentation and implants in 2019 were selected as the implementation. Using the optimized method to manage the orthopedic spare loaner instrumentation and implants is to compare the changes of timely supply rate, double closed loop management execution rate and doctor satisfaction before and after the implementation of orthopedic spare loaner instrumentation and implants in our hospital. Results: After the implementation of optimized management measures, the timely supply rate of orthopedic spare loaner instrumentation and implants reached 100%; the implementation rate of double closed-loop management increased from 69.86% to 100%; and the doctor satisfaction increased from 77.78% to 97.22%. Conclusion: By optimizing the management measures of orthopedic spare loaner instrumentation and implants, we can improve the timely supply rate, achieve the whole process trace ability and improve the doctor's satisfaction, further improve the safety of the instruments, reduce the surgical infection, and ensure the safety of patients.