Development of Nursing Information Services on instruments in the Operating Room, Phranangklao Hospital

Abstract

Phranangklao Hospital employs the reimbursement system established by the Comptroller General's Department. According to the data from the hospital database between 2016 and 2020, the cost of instruments in the operating room accounted for more than 50% of the total cost amount of the hospital. It was found that the Central Office of Healthcare Information’s inability to refund the costs that affected hospital budgeting was due to information that was not properly verified and/or processed (C-labeled). The primary goal of this research was to investigate the problems of the instrument reimbursement systems employed by government officers to develop and establish a nursing information system related to instruments in the hospital’s operating room through an application of the Real-Time Digital Validity Testing System by using the Match Index function in the Excel software to detect incorrect data and correct the instrument reimbursement data in which the number of C-labeled instruments was measured in relation to the conceptual framework of the Six Building Block Health System. This research was a retrospective cohort study, assessing historical hospital data on government officers' welfare reimbursement for instruments from 2017 to 2021. A chi-square test and odds ratios in the SPSS software were employed to analyze data. The results showed that the number of C-labeled instruments in the operating room significantly decreased by 33.9 percent after the rectification. Personal errors were revealed to be the primary cause of C-labeled difficulties. This may be remedied by educating staff to utilize the SSB tool more effectively and implementing the Standard Operating Procedure to ensure that the staffs understand the entire system and can employ it appropriately.