Man-Xi Jiang, Lei Guo, Sen Li, Xiao-Feng Xiao, Wei Chen, Shao-Qing Chen, Nan-Qiao Chen, Yuan-Yuan Sun, Guang-Li Zhang, Xiao-Hai Zeng, Yan-Mei Xiao, Li-Hua Fan
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引用次数: 0
摘要
试管婴儿实验室的双人检查无法完全避免混淆或胚胎移植错误,而数据转录或输入耗时且冗余,往往会导致医疗记录延迟完成。本研究引入了基于工作流程的 RFID 标签见证和实时信息输入平台,以应对这些挑战。为了评估该平台在减少混淆方面的潜力,我们在精液制备过程中进行了模拟实验,分析其纠错率。此外,我们还评估了其对工作效率的影响,特别是在操作和数据录入方面。此外,我们还比较了纸质标签和 RFID 标签的周期成本。最后,我们回顾性分析了 20424 个卵细胞取回周期和 15785 个冷冻胚胎移植周期的临床结果,并将其分为纸质标签组和 RFID 标签组。研究显示,与纸质标签相比,RFID 标签见证可纠正 100%的标签错误,不影响配子/胚胎操作,并显著缩短了输入数据的时间,但 RFID 标签的周期成本明显更高。不过,两组在受精率、胚胎质量、囊胚率、临床妊娠率和活产率方面没有明显差异。RFID 标签见证不会对配子/胚胎操作、胚胎质量和妊娠结果产生负面影响,但有可能降低混淆或错误的风险。尽管成本大幅增加,但将 RFID 标签见证与实时信息输入相结合,可显著减少数据输入时间,大幅提高工作效率。这种基于工作流程的管理平台还能提高操作安全性,确保医疗信息的完整性,增强胚胎学家的信心。
IVF laboratory management through workflow-based RFID tag witnessing and real-time information entry
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. 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. 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. 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.
期刊介绍:
Reproductive Biology and Endocrinology publishes and disseminates high-quality results from excellent research in the reproductive sciences.
The journal publishes on topics covering gametogenesis, fertilization, early embryonic development, embryo-uterus interaction, reproductive development, pregnancy, uterine biology, endocrinology of reproduction, control of reproduction, reproductive immunology, neuroendocrinology, and veterinary and human reproductive medicine, including all vertebrate species.