精益六西格玛管理在降低胸外科耗材占比中的应用效果  

The Application Effect of Lean Six Sigma Management in Reducing the Proportion of Consumables in Thoracic Surgery

作　　者：孙玲 韦俐[1] 陈赛君[1] 徐婷[1] Sun Ling;Wei Li;Chen Saijun;Xu Ting(The First People's Hospital of Changzhou,Changzhou Jiangsu 213000,China)

机构地区：[1]常州市第一人民医院,江苏常州213000

出　　处：《医疗装备》2024年第7期45-48,52,共5页Medical Equipment

基　　金：江苏省卫生经济学会研究课题(JSWSJJ202306)。

摘　　要：该研究通过分析胸外科医用耗材管理现状和存在的不足,并结合精益六西格玛管理(即定义、测量、分析、改进和控制),分析改进影响胸外科耗材管理的各因素,制定标准化的耗材占比管控流程,根据改进前后的量化标准评价精益六西格玛管理在降低胸外科耗材占比中的改进效果。经实践,精益六西格玛管理可明显改善胸外科耗材管控效果,科室耗材占比较管理前降低20.1%,同时对其他科室也产生辐射效果,使全院耗材占比较管理前降低1.33%。因此,对医用耗材应用精益六西格玛管理能够促进耗材合理管控,提高科室耗材管理水平,控制医院运营成本,有效降低临床科室耗材占比。In this study,with the analysis of the current status and shortcomings of medical consumables management in thoracic surgery,and integration of the five steps of Lean Six Sigma,namely Define,Measure,Analyze,Improve,and Control,the factors affecting the management of consumables in thoracic surgery were analyzed and improved,and standardized consumables proportion control process was developed.The improvement effect of Lean Six Sigma management in reducing the proportion of thoracic surgical consumables was evaluated based on quantitative standards before and after improvement.Through practice,Lean Six Sigma management can significantly improve the control effect of thoracic surgery consumables,reducing the proportion of departmental consumables by 20.1%compared to before management.Meanwhile,it also has a radiation effect on other departments,resulting in a 1.33%decrease in the proportion of consumables in the entire hospital compared to before management.Therefore,the application of Lean Six Sigma management in medical consumables can promote reasonable control of consumables,improve the level of department c onsumables management,control hospital operating costs,and effectively reduce the proportion of clinical department consumables.

关 键 词：精益六西格玛 耗材占比 胸外科 

分 类 号：R197.3[医药卫生—卫生事业管理]