诊断相关组支付模式下手术室高值耗材闭环式管理  

Closed loop management of high-value medical consumables in the operating room under the payment based on diagnosis-related-groups(DRG)

作　　者：陈捷茹 华玮 钦苓 Chen Jieru;Hua Wei;Qin Ling(Nursing Department,Eye&ENT Hospital of Fudan University,Shanghai 200031,China)

机构地区：[1]复旦大学附属眼耳鼻喉科医院护理部,上海200031

出　　处：《护理学杂志》2021年第22期39-42,共4页Journal of Nursing Science

基　　金：上海市医院协会医院管理研究基金项目(201701015)。

摘　　要：目的探讨诊断相关组支付模式下构建手术室医用耗材闭环式管理方案的应用效果。方法自主研发医用耗材闭环式管理系统:生成耗材二维码、建立基本信息维护、库存管理、使用查询,通过环节痕迹化管理实现医用耗材使用过程的监控及追溯,比较系统应用前后实物盘点时间、收费错误事件发生率、计费时间及护理人员使用满意度。结果实施医用耗材闭环式管理后,每日实物盘点时间缩短、错误事件发生率降低,计费时间缩短,手术室人员满意度提高(均P<0.01)。结论诊断相关组支付模式下构建闭环式方案管理手术室高值耗材,高效精准,使用人员满意度高。Objective To explore the effect of closed-loop management of medical consumables in the operating room under the payment based on the DRG.Methods An information technology assisted,closed-loop management system for medical consumables was designed,including the generation of two-dimensional code of consumables,establishment of basic information maintenance,stock management,and use query.The use process of medical consumables was monitored and traced through the trace management of each link.The stocktaking time,the incidence of wrong billing events,time for billing,and the user satisfaction before and after the application of the system were compared.Results After the implementation of closed-loop management of medical consumables,the daily average stocktaking time and time for billing were significantly shortened,the incidence of wrong billing events was significantly reduced,and user satisfaction was significantly enhanced(P<0.01 for all).Conclusion The application of closed-loop management of medical consumables in the operating room based on the DRG is efficient and precise,and it promotes user satisfaction.

关 键 词：诊断相关组支付模式 手术室 医用耗材 闭环式管理 计费时间 

分 类 号：R472.3[医药卫生—护理学]