胸外科手术耗材PDCA管理  

Application of PDCA Management of the Consumables in Thoracic Surgery

作　　者：何露洋 侯旭敏[1] 朱燕刚[1] 王凯 娄洁琼 成月佳 陈珏 HE Luyang;HOU Xumin;ZHU Yangang;WANG Kai;LOU Jieqiong;CHENG Yuejia;CHEN Jue(Medical Affairs Department,Shanghai Chest Hospital Affiliated to Shanghai Jiao Tong University,Shanghai 200030)

机构地区：[1]上海市胸科医院/上海交通大学附属胸科医院医务部,上海200030

出　　处：《解放军医院管理杂志》2020年第4期377-380,共4页Hospital Administration Journal of Chinese People's Liberation Army

摘　　要：为降低医院手术均次耗材费和耗占比水平,促进医用耗材合理使用。结合PDCA循环管理方法,分析医院手术耗材使用现状,利用鱼骨图从管理、信息、医生、患者、手术和耗材等六个维度对医院手术均次耗材费和耗占比偏高的问题进行根因分析,以胸外科手术耗材管理为切入点,在制度建设、信息支撑和质控管理三个阶段分别采取综合管控措施,最终主要手术均次耗材费和耗占比均实现有效下降。To reduce the cost per surgery and the cost proportion of medical consumables,and promote rational use of medical consumables,the method of PDCA cycle was applied to conduct the centralized management.The present situation on the use of surgery consumables was analyzed.Taking advantage of the PDCA method,root cause analysis on the problem of the high level of the cost per surgery and the cost proportion of consumables was conducted from six dimensions,including management,information,doctors,patients,surgery and consumables.With the consumable management of thoracic surgeries as the breakthrough point,comprehensive management measures on regulations construction,information support and quality control were taken,which effectively decreased the cost per surgery and the cost proportion of consumables.

关 键 词：鱼骨图 PDCA法 精细化管理 

分 类 号：R197.32[医药卫生—卫生事业管理]