手术室医用高值耗材"1+3"管理模块的设计与应用  

Design and application of"1+3"management module for medical high-value consumables in Operation Room

作　　者：张军花 肖明[2] 蔡文智 罗伟 陈凌武 王红 裴振东 姚君妍 肖娟 Zhang Junhua;Xiao Ming;Cai Wenzhi;Luo Wei;Chen Lingwu;Wang Hong;Pei Zhendong;Yao Junyan;Xiao Juan(Operation Room,Shenzhen Hospital of Southern Medical University,Shenzhen 518101,China;Operation Room,Peking University Shenzhen Hospital,Shenzhen 518036,China;Lean Enterprise China,Shanghai 201101,China)

机构地区：[1]南方医科大学深圳医院手术室,深圳518101 [2]北京大学深圳医院手术室,深圳518036 [3]精益企业中国,上海201101

出　　处：《中华现代护理杂志》2024年第13期1720-1723,共4页Chinese Journal of Modern Nursing

摘　　要：目的建立手术室高值耗材的"1+3"管理模块并进行应用,为手术室耗材成本管理提供新思路。方法南方医科大学深圳医院手术室团队于2022年设计了"1+3"管理模块:"1"代表手术室高值耗材的管理流程;"3"代表手术室库房耗材精准管理、手术间耗材闭环使用管理、耗材不良事件管理3个管理模块。选取本院胸外科、胃肠外科、泌尿外科3个科室术中使用高值耗材的手术为研究对象,将2022年1—6月常规使用耗材的手术作为对照组,将2022年7—12月实施"1+3"管理模块的手术作为观察组。比较两组巡回护士术前领取耗材数量和术后退回的高值耗材数量。统计并比较两组发生高值耗材漏收费、错误收费的数量。结果对照组术前领取耗材数量多于观察组,差异有统计学意义(P<0.05);观察组术后退回的高值耗材数量少于对照组,差异有统计学意义(P<0.01)。观察组耗材漏收费比例低于对照组,差异有统计学意义(P<0.01),但两组错收费比例差异无统计学意义(P>0.05)。结论"1+3"管理模块使高值耗材的领取、归还、收费流程清晰,数据可追溯,实现手术室高值耗材管理的精细化,减少高值耗材退库数量,降低耗材漏收费比例,有利于手术室成本的有效控制。Objective To establish the"1+3"management module of high-value consumables in Operation Room and verify its application,so as to provide new ideas for cost management of consumables in Operation Room.Methods The Operating Room team of Shenzhen Hospital of Southern Medical University designed a"1+3"management module in 2022,where"1"referred to the management process of high-value consumables in Operation Room,and"3"referred to the precise management of consumables in Operation Room warehouse,the management of closed-loop use of Operation Room consumables and adverse event management of consumables.Surgeries using high-value consumables in the Thoracic Surgery Department,Gastrointestinal Surgery Department,and Urology Department of the hospital were selected as the research objects.The surgeries using conventional consumables from January to June 2022 were set as the control group,and the surgeries implementing the"1+3"management module from July to December 2022 were set as the observation group.The number of consumables received by the itinerant nurses before the operation and the number of high-value consumables returned after the operation were compared between the two groups.And the number of missed and error charges for high-value consumables in the two groups were counted and compared.Results The number of consumables received before operation in the control group was higher than that in the observation group,and the difference was statistically significant(P<0.05).The number of high-value consumables returned in the observation group was less than that in the control group,and the difference was statistically significant(P<0.01).The proportion of missed charges for consumables in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.01),but there was no statistically significant difference in the proportion of incorrect charges between the two groups(P>0.05).Conclusions The"1+3"management module for high-value consumables in Operation Room makes

关 键 词：护理管理 手术室 高值耗材 精细化管理 模块化 成本控制 

分 类 号：R47[医药卫生—护理学]