摘要
目的:研究基于风险视阈下的供应-加工-配送(SPD)模式在医院临床科室低值医用耗材管理中的应用效果,提升医院低值医用耗材管理效率。方法:基于风险视阈梳理低值医用耗材管理风险点,采用SPD模式对医院低值医用耗材进行协同管理。选取2021年10月至2023年11月成都中医药大学附属医院临床科室使用的低值医用耗材,将2021年10月至2022年10月期间所有使用的医用耗材采用数字表法选取885件采用传统管理模式管理,2022年11月至2023年11月期间所有使用的医用耗材采用数字表法选取885件采用基于风险视阈下的SPD模式管理。对比两种管理模式低值医用耗材管理效果评分、绩效评估效果、管理效率和不良情况发生率。结果:采用SPD模式的低值医用耗材物品出现问题和运营成本平均评分分别为(15.14±2.06)和(20.44±3.16)分,低于传统管理模式数据,差异均有统计学意义(t=84.009、92.863,P<0.05),而配送及时性、工作效率、规范化、耗材溯源、耗材废物回收、配送满意和需求预测平均评分分别为(97.14±10.11)、(95.25±10.85)、(89.65±12.54)、(88.25±9.14)、(94.14±10.22)、(88.14±9.22)和(95.84±10.33)分,高于传统管理模式,差异均有统计学意义(t=78.169、77.874、75.326、68.557、35.288、25.422、102.959,P<0.05)。采用SPD模式的低值医用耗材平均发放时间和补充时间分别为(6.11±0.72)min和(12.58±2.35)h,均少于传统管理模式,差异有统计学意义(t=54.129、122.343,P<0.05)。采用SPD模式的885件低值医用耗材发放准确率和节约件数占比分别为98.76%和3.16%,高于传统管理模式,差异均有统计学意义(χ^(2)=159.178、5.618,P<0.05),而发放差错次数和过期失效或破损件数占比分别为1.24%和0.90%,少于传统管理模式,差异均有统计学意义(χ^(2)=159.178、23.792,P<0.05)。采用SPD模式的低值医用耗材每日和每月核对平均耗时分别为(0.29±0.02)和(1.14±0.25)h,少于传统管理模式,月平均库存积压件数和平均流通时间分别为(33.19±4.25)件和(26.14±3.18)d,少于传统管理模式,差异均有统计学意义(t=412.428、122.343、114.555、39.848,P<0.05)。采用SPD模式的885件低值医用耗材用后未登记、操作不熟练、电脑未录入、交接班不认真和耗材遗失发生率分别为6.21%、7.12%、2.03%、2.26%和1.92%,均低于传统管理模式,差异均有统计学意义(χ^(2)=28.882、15.225、22.824、12.683、16.893,P<0.05)。结论:基于风险视阈下的SPD模式应用于医院临床科室低值医用耗材管理,可降低医院运营成本,提高低值医用耗材采购效率,提升低值医用耗材精细化管理水平。
Objective:To research on the application effect of the supply-processing-distribution(SPD)model based on risk perspective in the management of low-value medical consumables of clinical departments in hospital,so as to improve management efficiency of hospital for low-value medical consumables.Methods:Risk points in the management of low-value medical consumables were identified based on a risk perspective,and the SPD mode was adopted to conduct collaborative management for low-value medical consumables in the hospital.Low-value medical consumables were used in clinical departments of the Hospital of Chengdu University of Traditional Chinese Medicine from October 2021 to November 2023 were selected.According to random number table,885 medical consumables were used from October 2021 to October 2022 were managed by using the conventional management model,and another 885 medical consumables were used from November 2022 to November 2023 were managed by using the SPD model based on a risk perspective.The management effect scores,performance evaluation results,management efficiency,and incidence of adverse situations of low-value medical consumables were compared between the two management modes.Results:The average scores of occurring problems and operation cost of low-value medical consumables in the SPD model group were respectively(15.14±2.06)and(20.44±3.16),which were lower than those in the conventional management model group,with statistically significant differences(t=84.009,92.863,P<0.05).The average scores of delivery timeliness,work efficiency,standardization,traceability of consumables,waste recycling of consumables,delivery satisfaction,and demand forecasting were respectively(97.14±10.11),(95.25±10.85),(89.65±12.54),(88.25±9.14),(94.14±10.22),(88.14±9.22),and(95.84±10.33)in the SPD model group,which were higher than those in the conventional management model group,with statistically significant differences(t=78.169,77.874,75.326,68.557,35.288,25.422,102.959,P<0.05).The average issuance time and replenishment time of low-value medical consumables in the SPD model group were respectively(6.11±0.72)min and(12.58±2.35)h,which were shorter than those in the conventional management model group,with statistically significant differences(t=54.129,122.343,P<0.05).The issuance accuracy rate and proportion of saved amount of low-value medical consumables in the SPD model group were respectively 98.76%and 3.16%,which were higher than those in the conventional management model group,with statistically significant differences(χ^(2)=159.178,5.618,P<0.05).The number of issuance error and the proportion of expired consumables,invalid consumables or damaged consumables in the SPD model group were respectively 1.24%and 0.90%,which were lower than those in the conventional management model group,with statistically significant differences(χ^(2)=159.178,23.792,P<0.05).The average time consuming of daily and monthly of low-value medical consumables in the SPD model group were respectively(0.29±0.02)h and(1.14±0.25)h,which were shorter than those in the conventional management model group,and the average number of monthly inventory backlog and average circulation time in the SPD model group were respectively(33.19±4.25)and(26.14±3.18)d,which were lower than those in the conventional management model group,with statistically significant differences(t=412.428,122.343,114.555,39.848,P<0.05).The incidence rates of unregistered use,unskilled operation,failure to enter data into the computer,carelessness during shift handovers,and loss of consumables of low-value medical consumables in the SPD model group were respectively 6.21%,7.12%,2.03%,2.26%and 1.92%,which were lower than those in the conventional management model group,with statistically significant differences(χ^(2)=28.882,15.225,22.824,12.683,16.893,P<0.05).Conclusion:The application of the SPD model based on a risk perspective in the management of low-value medical consumables in clinical departments of hospital can reduce operating costs of hospital,and increase procurement efficiency for them,and enhance the level of refined management for low-value medical consumables.
作者
李美美
江山杉
王航
云洁
Li Meimei;Jiang Shanshan;Wang Hang;Yun Jie(Department of Procurement and Supply,Hospital of Chengdu University of Traditional Chinese Medicine,Chengdu 610000,China;Office of Nosocomial Infection Management,Hospital of Chengdu University of Traditional Chinese Medicine,Chengdu 610000,China)
出处
《中国医学装备》
2025年第1期126-132,共7页
China Medical Equipment
基金
成都中医药大学附属医院科技发展基金(23GL05)。
关键词
低值耗材
管理效率
风险视阈
供应-加工-配送模式(SPD)
Low-value consumables
Management efficiency
Risk perspective
Supply-processing-distribution(SPD)mode
