精益六西格玛在改善医用耗材验收环节的应用  

Application of Lean Six Sigma in Improving Acceptance of Medical Consumables

作　　者：余静芸 吴丽华[1] 邝燕华[1] 朱庆棠[1] 余冬兰[1] 廖冰野[2] YU Jingyun;WU Lihua;KUANG Yanhua;ZHU Qingtang;YU Donglan;LIAO Bingye(Department of Medical Engineering,The First Affiliated Hospital,Sun Yat-sen University,Guangzhou Guangdong 510080,China;Operating Theatre&Anaesthesia Centre,The First Affiliated Hospital,Sun Yat-sen University,Guangzhou Guangdong 510080,China)

机构地区：[1]中山大学附属第一医院医学工程部,广东广州510080 [2]中山大学附属第一医院手术麻醉中心,广东广州510080

出　　处：《中国医疗设备》2021年第2期139-143,共5页China Medical Devices

摘　　要：目的应用精益六西格玛管理方法,提高医用耗材验收效率,促进医用耗材精细化管理。方法以高值高风险骨科产品为例,通过收集该类产品的验收现状数据、验收时长及一次通过率,结合六西格玛DMAIC五步骤管理,即界定(Define)、测量(Measure)、分析(Analyze)、改进(Improve)和控制(Control),收集和分析影响验收环节的各种因素,实施改进,根据改进前后的量化标准评价改进效果。结果通过实施改进方案,验收时长由P75(75%以上)的58 min缩短至20.3 min,一次通过率由P75的80%提高至98%。结论运用管理手段对验收各环节分析改进,减少环节错误率,提高环节效率,对耗材精细化管理具有重要意义。Objective To improve the acceptance efficiency of medical consumables and promote the fine management of medical consumables through the application of Lean Six Sigma.Methods Taking high-value and high-risk orthopedic products as an example,by collecting the acceptance status data,acceptance time and one-time pass rate of such products,combined with Six Sigma five-step management,including definition,measurement,analysis,improvement and control(DMAIC),various factors affecting the acceptance process were collected and analyzed,and the improvement was implemented.The improvement effect was evaluated according to the quantitative standards before and after the improvement.Results Through the implementation of the improvement scheme,the acceptance time was shortened from 58 minutes of P75(75%or more)to 20 minutes,and the one-time pass rate was increased from 80%to 98%.Conclusion Using management tools to analyze and improve each link of acceptance,reduce the error rate in the process and improve the efficiency is of great significance to the fine management of consumables.

关 键 词：精益六西格玛 医用耗材验收 一次通过率 医疗器械唯一标识 

分 类 号：R197.324[医药卫生—卫生事业管理]