Strategies for management of trauma orthopedic implant and effect on control of infections in operating rooms

OBJECTIVE To explore the impact of trauma orthopedic implant management on the operating room infection control rate and the medical device vendor follow-up rate.

METHODS Trauma orthopedic implant management was implemented at Shaoxing People′s Hospital from Mar. 2023 to Mar. 2024, involving 2 047 trauma orthopedic surgeries (study group). For comparison, a control group consisting of 2 067 trauma orthopedic surgeries from Mar. 2022 to Feb. 2023 under routine management was selected. The impact of trauma orthopedic implant management on operating room efficiency, infection control rate and medical device vendor follow-up rate in both groups were analyzed.

RESULTS The study group showed satisfaction rates of 78.65% and 91.35% for circulating cooperation familiarity and handwashing cooperation familiarity, respectively, both higher than those in the control group (P < 0.001). The study group also demonstrated higher rates of standardized use of orthopedic trauma implants (96.43%), accurate item-code correspondence (98.19%) and timely availability (98.19%) than those in the control group, with a lower medical device vendor follow-up rate of 3.57% (P < 0.001). The study group′s monthly overtime hours, costs, time costs, average cost per re-disinfection and re-cleaning service and monthly re-disinfection re-cleaning frequency were 13.85 hours, 235.86 yuan/day, 25 233.51 yuan, 0.35 yuan/time and 183.81 times/month, respectively, all lower than those in the control group (P < 0.001). The study group had higher rates of consumable access compliance (99.22%), accurate charging (98.58%) and timely delivery (97.90%) than the control group (P < 0.001). The study group also achieved a 100.00% implant regulatory recovery rate, higher than the control group (P < 0.001). Furthermore, the surgical site infection rate in the study group was 1.91%, lower than that in the control group (P < 0.001).

CONCLUSIONS This study establishes a trauma orthopedic implant management system integrating supply chain management, an identification system and IoT technology. This model effectively addresses core issues such as the difficulty in regulating multiple vendors, blind spots in virtual warehousing and disorder in item-code tracing under the traditional vendor self-management model. It significantly improves operating room efficiency, reduces the surgical site infection rate, and achieves a notable decrease in the medical device vendor follow-up rate.